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Home My WebLink AboutXR2023-0718 - Permits (3)c£wpoR City of Newport Beach D� Community Development Department- Building Division y j 100 Civic Center Drive, Newport Beach, CA 92660 Y Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C��F00.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0718 Plan Check No: Issued Date : 03/16/2023 Inspection Area : 8 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: 623 IRVINE AVE Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 28 NEWPORT HEIGHTS LOT 28 SWLY 40 FT SELY 145 FT Description: SFR - 12'LF X 42" LOW BLOCK WALL & 32'LF X 6'H BLOCK WALL ON P/L `AGREEMENT/WAIVERS ATTACHED o/ �P y,(o%L/G / 22j — Owner: DOUGLAS SPETH Contractor : Architect Address : 623 IRVINE AVE Address : Address NEWPORT BEACH, CA 92663 Phone : (949) 929-7935 Phone : Phone Con State Lic : State Lic Lic Expire Applicant : DOUGLAS SPETH Bus Lic : Engineer Address : 623 IRVINE AVE Bus Lic Expire : Address NEWPORT BEACH, CA 92663 Phone : (949) 929-7935 Workers' Compensation Insurance Phone Carrier : Owner/Builder : DOUGLAS SPETH Policy No: Designer Address : 623 IRVINE AVE W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone : (949) 929-7935 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks: Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 0� 8 w,1 $3,50b.00, 0 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 checkmark(s) I have placednext 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 io 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 Irofessions 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 of m than five hundred dollars ($50D). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not. intended cr offered for sale (Section 7044, L mess and Professions Code: The Contractors' State License Law does not apply to an owner of property Who, through employees' of personal effort, builds or improves the property, provided that the nprovements are not intended or offered for Sale. It, 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)_ I, as owner of the property, are exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ppy, 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 lam exempt from licensure under the Contractors' State License Law for the following reason:-.-_._-___ ly 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 iogall) ell a structure that I have built as an owner -builder if it has not been constructed in its entiraty by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and 'rofessions Code., is available upon request when this application submitted oral the following W ite:http:llwww.leginfo.ca.gov/calaw.html, ifgnatum of Property Owner or Authorized Agent -- Date '?i 17 l .ICENS£D CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is in full force no effect. License Class License. No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS ONLAWFVL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE DST OF COMPENSATION, bAMAO€S AS PROVIDED FOR ON SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under p=natty of perjury one Of the following declarations: I I have and will r„0,Aoin 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 in Orfar.r.aa-e of the work for which this permit is issued. Policy No. .have and will mail{lain 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' Ir:,nce carrier and policy number are: of Agent _--�- Policy Number Date ;.;ra'y that, in the per`armance of the work for which this permit Is Issued, i shall not employ any parson in any manner so as to become subject to the warners' compensation laws of California, and If -hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. innature of Applicant - _ Date_ rLCLAR[,TION DEG:',RD3NG CONSTRUCTION LENDING AGENCY tare c7 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 3097, Civil Code). end-r's Name Lender's Address iy my signature s:ow, 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 county to ter the alove-Identifled erty for inspection purposes. �� r� 0anature of Property Owner or Authorized Acent � � Print Property Owner's or Authorized Agent's Name W�J\zbp ACTION DATE BY DECLARATION el TITLE 40 ON OF COMPLIANCE H CODE 01RULE 'RAL FOR OFFICE USE ONLY EXPIRED I l I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXFENDED 1 UAOMD PERM7T fINAt 2-It _ '$E51O5 NOT I FICAI ION 15 NOT APPLICABLE TO CERTIFlCATEOP PROPOSED DEMCLITC --J �� OCCUPANCYISSUED f` SIGNATURE: �i�/�