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Home My WebLink AboutXR2023-0902 - PermitsCity of Newport Beach �aEWPO�T p d Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 u $ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cy<�4cR�'P newportbeachca.gov/inspections Combination Type - Work Class - Other 11111111111111111111111111111111111111111111111111111111� 11 COMB Permit : XR2023-0902 Plan Check No : 0953-2021 Issued Date : 04/13/2023 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 209 CRYSTAL AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 6 LOT 24 Description: SFR (N) 51 LF X 42" MAX HIGH BLOCK AND RETAINING WALLS AT FRONT AND 69 LF X 72" MAX HIGH INSIDE P/L *MARKERS ON SITE* Owner: SALLHOUSE CRYSTAL LLC Address : 170 NEWPORT CENTER DR, 220 NEWPORT BEACH, CA 92660 Phone: (949)891-0090 Applicant: ERIC DAVIS Address : 170 NEWPORT CENTER DR, 220 NEWPORT BEACH, CA 92660 Phone: (714)345-0539 Owner/Builder : Address : Contractor: SALLHOUSE HOMES INC Address : 170 NEWPORT CENTER DR #260 NEWPORT BEACH, CA 92660 Phone: (949)281-6044 Con State Lid : 1007531 Lic Expire : 09/30/2023 Bus Lic : BT30055585 Bus Lic Expire : 06130/2023 Workers' Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No : C51275421 W. C. Expire: 11/1/2023 Architect Address Phone: State Lic Engineer: DEIHIMI AMIR HOSSEIN Address : 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS, CA 92653 _ Phone: (949)954-7244 - Designer: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 •' , TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 ; Flood Zone : X , Use Zone : R-BI - Two -Unit Residential, Balboa Island _ PROCESSED BY: ; SPECIAL CONDITIONS: HIGH DENSITY AND LIQUEFACTION ZONE P/L MARKERS ON SITE t hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reason(s) indicated below by the cheokrnark(s) I have placed next to the applicable itemts) Section 7031.5, Business and Professions Code: Any city or county that requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance; also requires the applicant for is permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and irofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, rusiness and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through employees` Or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). *tt 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not ppiy to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from ficensum under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements Covered by thispermit, i cannot legal ell a structure that I have built as an owner -builder if it has not boon Constructed in its Dntiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site,http:/Mvvw.leginfo.ca.gov/calow.html. signature of Property Owner or Authorized Agent ate ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions at Chapter g (commencing with Section 7 of tvi Ion 3of the Business and P f ssior Cod ,Ind my license is to full force no effect. License Class License No Data 3 Contractor Signal �e II VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000), IN ADDITION TO TH' OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTUS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] I have and will maintain a certificate of consent to self -insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IT ,leormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for theperformance of the work for which this permit is lssued. My workers' trance carrier and policy number are: Policy Number of Agent Date It Certify that, in the performance of the k for wh}Gj� this permit is issued I shall not employ any person In any manner so as to become subject to the workers' co nsation laws of California, and ogre tat, dt i should bBDam7ect to the wo comySytJlsauon provisions of Section 3700 of the Lobar Code I shall forthwith comply wiln those provisions. gnatum of Applicant /� rrr(VIVV //// a--w Data If J IECLARATION REGANSTf WCTION LENDING AGENCY hereby affirm under penaltyof perjury that theca is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, 1 certify to each of tire following: I am the property owner or authorized to act on the property owner's behalf, I have read il,ib application and the information I have provi d is correct. I a3 ea to c�r.lplv with all applicable city and county ordin as and tale laws relating to building construction.. ./ / I authorize mpi SovE tahves of this oily or aaumy tt,��Q'('ter t Step - eri fled property for inspection purposes. c �� / S jJ�,a'/� Q draturi of Probe ty Owner or Authorized, I /N 4 l is Pont Property Owner's or Authorized Auent's Name r f-i f eta �/ fl; FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE. PERMIT EXPIRED FFR:.R?TCXTEN(7CD' PERMif FINAL L IASSESIO5NOTIFICAUCINJSNO1 APPLICABLE TO C°RTIFtCATE Of f� I PROPOSED DEMOLITION OCCUPANCY 153UCC 1 (, �'m L()li�esSIGNATURE: