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Home My WebLink AboutXR2023-1578 - Permits�gWPpRT City of Newport Beach II IIIII I IIII IIII IIII IIIII IIII IIIIIIIIII II COMB Permit : XR2O23-1578 o� :I Community Development Department- Building Division X R 2 0 2 3 1 5 7 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1839-2020 i Permit Counter Phone: (949) 718-1888 Issued Date : 0912012023 newportbeachca.gov/civic Final Date: CgGiFORN`P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 4 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 : 1973 PORT NELSOW PL Legal Desc : N TR 7028 BILK LOT 43 Description: SFR (N) 65 LF X 2.5' HIGH MAX RETAINING WALL, INSIDE THE P/L Owner: MAYO ALVIN F TR MAYO FAMILY TR Contractor: GRISSINGER FINE HOMES Architect Address : 1007 EMERALD BAY Address : 11912 ARROYO AV Address LAGUNA BEACH, CA 92651 SANTA ANA, CA 92705 Phone : Phone : (949) 922-5755 Phone Con State Lie : 807874 State Lie Lie Expire : 05/31/2024 Applicant: CRAIG HAMPTON Bus Lie: BT30043274 Engineer: FORBES DALE L Address : 5500 E QUARTERSAWN ST Bus Lie Expire : 05/31/2024 Address : 1800 E 16TH ST #B BOISE, ID 83716 SANTA ANA, CA 92701 Phone: (949) 209-8883 Workers' Compensation Insurance Phone: (714) 835-2800 Carrier: NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer : CRAIG HAMPTON Address : W. C. Expire: Address : 5500 E QUARTERSAWN ST BOISE, ID 83716 Phone: Phone: (949) 209-8883 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $7,00d.110• 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: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY : SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the rel i(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ,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 !, :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do t_J all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3GSineSs 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 mprovements are not intended or offered for sale_, If, however, the building or Improvement Is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or .unproved for the purpose of sale). 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' Stale License Law does not apply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensors under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I mast have resided for at least one year prior t0 completion of the improvements covered by this permit, I cannot legally Sall a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following 'Web site:http:llwww.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with So _ n 000 �o !vista 3of the .Busln s and Professions C i!€,. and icenseis In full force and effect. License Class License No a zv r_ Contra9kr Signature WORKERS' COMPENSATION DECLARATION NANNING: FAI W RE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE06406USAND DOLLARS (St00,000)., IN ADDITION TO THE COST OF COMPENSAI IUN, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm ur,ce, penalty of perjury one of the following declarations: J I ha,,e and will me:ntarn 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 Iht aerformance of the work for which this permit is issued. Policy No. 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` carrier and pclicy number are: Policy Number of Agent ___ Date „cr„fy that, in th erformance of the ark for which this permit is issued, I shall not. employ any person in any manner so as to become subject to the , if I sSoli (b me subject to the r ecompensetlon provisions of Section 3700 of the Labor Code, I shall forthwith comply w!In those provisions. hr. a y affirm under penalty oft jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section antler's Name Lender's Address 3y my signature below, I cert y 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 slat laws relating to building. construction. I authorize representatives of this city or co ty to enter the above-i f property for inspection purposes. Signature of Property Owner or Authorize ant Print Property Owner's or Authorized A ACTION DATE. BY I DECLAR OMPLIANCE WIT]-[ CODE OF FEDERAL FOR OFFICE USE ONLY i BEG 'U N ART51OFTITLE 40ANDAQMDRULE PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL 1 10111/'141 eJV4P I UASBESTOS NOT'lFICA1 ION IS NOTAPPLICABLE TO CERTIFICATEOF I PROPOSED DEMOLITION OCCUPANCYISSUfO _ SIGNATURE: compensation laws of California, and , Civil Code). 2PJ- Z