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Home My WebLink AboutXR2023-0652 - Permits (3)�gWPORT City cf Nevepci t Beach 11111111111111111111111111p111111111111111111111111I1 III 11COMB Permit: XR2023-0652 DF @ Community Devalopm?nt CAepartTent- Building Division 100 Civic,enter i-)rive, Newport 3each, CA 92660 Plan Check No : PC2023-0159 > i Permit Cowder Phone.(949,71E-IGBE Issued Date: 12/19/2023 .,� newportbeachca.gov/civic Final Date: cq�./FORN`P Combination Type - SFP Permit Status: Reissued Woa: ClEss - Otke r Inspection /jrea : 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 : 17 CYPRESS POINT LN Legal Desc : N TR 7223 BLK LOT 20 Description: SFR - 21' LF X 6' H MAX BLOCK WALL FROM EXIST'G GRADE (INSIDE P/L) Owner: TRESKA MICHAEL A TR Address : 17 CYPRESS POINT LN NEWPORT BEACH, CA 92660 Phone : Applicant: INSTANT LANDSCAPE INC Address : 833 DOVER DR #24 NEWPORT BEACH, CA 92663 Phone : (949) 347-0700 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone: Use Zone : Contractor: INSTANT LANDSCAPE INC Architect Address : 833 DOVER DR #24 Address NEWPORT BEACH, CA 92663 Phone : (949) 347-0700 Phone Con State Lie : 842586 State Lie: Lie Expire : 07/31/2024 Bus Lie : BT30072973 Engineer Bus Lie Expire : 09/30/2024 Address Workers' Compensation Insurance Phone: Carrier: PALOMAR SPECIALTY INS CO Policy No: PSIC1166203 Designer W. C. Expire : 8/15/2024 Address Phone: 2022 Fire Sprinklers : NO Construction Valuation : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg U No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage Ti TAL sq. ft. Front: 10, Side: 5, Side: 5, Rear: 15 X PC - Big Canyon PROCESSED BY: /01 - SPECIAL CONDITIONS: $7,000.00 0 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 cherkrrark(-; I f 3vr pla.ed ncxt to tare applicable items) (Section 7031.5, Business and Professions Code: Any city or county [list requires a permit to construct, alter, improve, dernolish, or repair any stn'ctore pr >r'o ins i`si also -equires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to trio provisions of the Contractors' State License Law (Chapter 9 (commerz,ng wi,h Section i000) of Division 3 of the Business and Professions Code} or that he or she is exempt from licensure 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 not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the stru^ture it nrt Intended or nTared 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 �r improves the r1open7, provided Itlat the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buia9erwill have the burden of provinO trial it was not built or improved for the purpose of sale). ❑ 1, as owner of the property. am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply 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). El I am exempt from licensure under line Contractors' State License Law for the following reason: _._.o com_._—_...—`._T__ By my signature ball h acknowledge that, except fort h personal residence in which I must have resided fora[ least one year prior to completion of the Improvements covered by this permit, I cannot Iegall; Poll e structure ro that I have built pan owner -builder when i it has not been constructed in its foilo i g 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 VJeh site:nUp:liwwwJeglnfo.ca.govlcalaw.html, 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 (commencfog with Section 7000) of Division 3 of the Business and Prof so and in license is In full force and effect. License Class License No Date ,�17 -- Q�_ -Z}! Contractor signature WORKERS' COMPENSATION DECLARATION NARNING: 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 till 0,0001, IN ADDrrION TO THE COST OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: nn ve 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 th, nee of the work for which this permit is issued. Policy No. e and will maintain workers' compensation insurance, as required by Section 3700 of thee. Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior ce carrier and policy number are: Policy Number is of Agent Date I certify that, in the performance f the work for w hich this permit is issued.. I shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire t, if I should becomes T u I rkers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,fir Inalure of Applicant Date,-��Z. -` `�'Z CLARATION REGARDIN TRUCTION L DING AGENCY T 3reby affirm under peri of perjury that there Is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Cade). Tder's Name Lender's Address 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 andthe information I have providii is correct. I agree to comply with all applicable City arid county none and sta laws relating to building construction. I authorize representatives of this city or county tG ntert re-ider led property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name DATE. BY DEaMTATICN OF CONAIIANCE Wind CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AD AND AQMD RULE ASBESTOS CER7 FI �� gSBESTO5 MOL TION'ION' 15 N01'APPLICABLE 'I'V CER7lFIC1iTE Of /P PROPOSED OEMOLITIOh! OCCUPANCY ISSUED 1 nrnlnn ioa. -Z�