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Home My WebLink AboutXR2022-3232 - Permits2EWPO;gT City of Newport Beach" D4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 .y. Inspection Requests Phone: (949) 644-3255 C4(/Fp0.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Pl,ePlan Check N�2 XR2022-3232 19-2021 Issued Date : 12/13/2022 Inspection area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK Job Address: 701 PATOLITA DR Legal Desc : N TR 1700 BLK LOT 76 Description: SFR BLOCK WALLS, 2 EACH @ 6' X' 95' ON P/L (CITY STANDARD) Owner: GREGORY NEWMAN Address: 24351 TITUS DR DANA POINT, CA 92629 Phone : Applicant: RW LEWIS BUILDERS Address: 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone : (949) 650-4949 Owner/Builder: Address : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: RW LEWIS BUILDERS Address : 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone: (949)650-4949 Con State Lie : 597309 Lie Expire : 06/30/2024 Bus Lie: BT00021581 Bus Lie Expire : 03/31/2023 i FROM ORIGINAL ISSUANCE DATE SUNDAY AND HOLIDAYS IN ALL AREAS rR Lie : Designer: RW LEWIS BUILDERS Address: 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone : (949) 650-4949 2019 Fire Sprinklers : NO Coonstruction Valuation : $10,000.00 V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 U No of Units : 1 A'teration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage : 0 TQTAL sq. ft. 0 _ Front: 20, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: W Workers' Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 46864922 W. C. Expire : 12/11/2023 a o' OWNER -BUILDER 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 iteri (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 fo its Issuance, also requires the applicant for the 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 Ilcensure 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).. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 improvements are not intended or offered for sale. It, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale), ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State 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). ❑ 1 am exempt from acensure 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal], sell a structure that I have built as an ownenbuilder if it has not been constructed in its. entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of tho Business and Professions Code, isavailable upon request when this application is submitted or at the followir i'eb site:http:/iwww.leginfo.ca.govicalaw.btml, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of iyi ion 3 Df the Business and P f . ns D , and my license is In full force and effect. License Class License No D GG Contractor Signatu / NORKERS' COMPENSATION DECLARATION NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISi0S,S00)., IN AODrION TO THE ]DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 37E6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 1 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 lh i re'iblimance 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 policy number are: Policy Number Expiration Date of Agent certify that, in the perform ce of the wor io Non this permit is issued. I shall not employ any person in any manner $o as to become subject to the workers' compensation laws of California, and agre L if I should become subject t the worke. pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant DS a2t� 1,Z �1 IZL CLARAT€ON REGARDI NST ENDING AGENCY 9f/�_ !reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Glv(I Code). ides 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 provided Is correct I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives entatives of this at or county to enter the above -Identified roe for inspection purposes. p Y Y property m' P /� f nature of Property Owner or Authorized Agent _Xrocertv Owner's nr Authnmarf Ar,pM'c nlar„6 X ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMO RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED _ I SubMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLFD P€R>/f7F EXTFNDED J _ _�--rEPA P€WTflNAt 12' Zy j I� T-'wL—JAQMD ppi,_I ASBESTOS NOT iHCAt[ON IS NOTAPPLICABLE '1'Qu CERRFlCATf OF r1J�-'�— ¢ PRIPOEED DEMOLITION OCCUPANCY ISSUED I ( a11.. ni�c.