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Home My WebLink AboutXR2023-0555 - Permits�EWPoRT City of Newport Beach Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 O x Permit Counter Phone: (949) 644-3288 .M Inspection Requests Phone: (949) 644-3255 cgC�FopN�P newportbeachca.gov/inspections Combination Type- SFP Work Class - Other jjiI��III��III 11111111111111111111111111111111111111111jj COMB Permit : XR2023-0555 Plan Check No : 2938-2016 Issued Date : 03/09/2023 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 : 41 O VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 478 TR 907 LOT 478 SELY 15 FT AND NWLY 15 F T LOT 479 Description: SFR `ADDITIONAL SCOPE' RETAINING WALL 24 LF X THIGH INSIDE P/L Owner: 410 VIACON LLC Contractor: CP MC CLARY CONSTRUCTION INC Architect Address : 410 VIA LIDO NORD Address : 1013 LINDEN PLACE Address NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 Phone : Phone : (714) 271-1055 Phone: Con State Lie : 513053 State Lie Lie Expire : 10/31/2023 Applicant: WALT BUSHMAN Bus Lie: BT00004228 Engineer : XIAO QIANG ' Address : 2480 SANTA ANA AVE Bus Lie Expire : 08/31/2023 Address : 1520 BROOKHOLLOW DR,#45 COSTA MESA, CA 92627 SANTA ANA, CA 92705 Phone: (949) 642-3468 Workers' Compensation Insurance Phone: (714) 662-0510 , Carrier: STATE FUND Owner/Builder: Policy No: 1300846 Designer: WALT BUSHMAN Address : W. C. Expire : 6/1/2023 Address : 2480 SANTA ANA AVE COSTA MESA, CA 92627 Phone: Phone: (949) 642-3468 , Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5100t0109 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 4, Front: 0 Flood Zone : X Use Zone : RIM - Multiple Residential NO CONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: REV2023-0380 ON THE RET WALLS UNDER SLAB WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Yafessions Code) or that he or she is exempt from ticensure 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 of more than five hundred dollars ($500).,. 3 I, as owner of the property, or my employees With wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: 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 uprovements 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). S 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 ppl y 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). 3 I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 this permit, I cannot legal all a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of thin 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:fiwww.leginfo.ca.gov/calaw.html. tignature of Property Owner or Authorized Agent ._ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 10001,of Division 3 of the Business and Proles d my licen nd effect. License Class License No Date d?•0 2 2.Z Contractor Signature VORKERS' COMPENSATION DECLARATION a IARNING: 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 f$100,0001, IN ADDITION TO THI DST OF COMPENSA?ION, OAPAOFS AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby afirm underpenalty of perjury one of the following declarations: 1 have and wi,l n4ntain 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 tl Frfurmaace of the work for which this permit. is issued. Policy No. Khkave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,. for the performance of the work for which this permit is issued. My workers' compensatic lsuance carrier and poli,:.y number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and t, 1' I should bec.lmesgb1atc tin, the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. T9 of Date- 0 —9 • 0 q • Z 2 hereby affirm under fenalty D —perjury thatthere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). endefs Name Lender's Address 'y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or counl. ent rope or ms e , _ a 4. ACTION i DATE. By DECLARATIONOF COMPLIANCE WITHCODE OF FEDERAL FOR OFFICE USE ONLY i{( REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I \ I I I L-IISURMITTEn A59F5TOSNOTIFICATIONTO PERMrTCANCELLED PERMIT EXTENDED PERMITFINAL 1 ( I j PROPOSED p ENOTIFICATION 15 NOT APPLICABLE 70 CERTlF1CATE OF Ir_' i9/. ,J�nr E[ OCCUPANCYISSUED