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Home My WebLink AboutX2021-0621 - Permits (3)�EWPORT City of Newport Beach IIIIIII IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit X2U21-os21 pr' 6 Community Development Department- Building Division X 2 0 2 1 0 6 2 1 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0569-2021 >� = Permit Counter Phone: (949) 718-1888 Issued Date : 03/15/2021 w.newportbeachca.gov/civic - Final Date: cgC�FOP��P Combination Type- Permit Status: Reissued Work Class - Other 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 : 760 VIA LIDO SOLD Description: BLOCK WALL "`STOP WORK" RAISE E) Owner: STEVEN ROSS Address : 760 VIA LIDO SOUD NEWPORT BEACH, CA 92663 Phone: (949)515-5210 Applicant: Address Phone: Owner/Builder : Address Phone : Legal Desc : N TR 907 BLK LOT 283 8 LF OF WALL TO 54" H 'INSIDE THE P/L" Contractor: RJ TANNER CONSTRUCTION Address : 893 OAK STREET COSTA MESA, CA 92627 Phone : (949) 235-4856 Con State Lic : 744104 Lic Expire : 12/31/2025 Bus Lic: BT98043220 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INS CO Policy No: PSIC0897405 W. C. Expire: 6/1/2024 Architect Address Phone: State Lic Engineer: AUJAGHIAN DAMIR Address: 510 OLD NEWPORT BLVD #C NEWPORT BEACH, CA 92663 Phone: (949)675-4103 Designer Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : 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: 0, Front: 1.5, Front: 4, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby allIm 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a perrnil to construct, alter. improve, demolish, or repair any structure, prior to 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 Yarn Section 7000) 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 perritt subjects the applicant to a civil penalty of '.. not more than five hundred dollars ($500). 0 1, 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' Slate 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. 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 improved for the purpose of sale). 0 I, 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El 1 am exempt from licensure 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 feast one year prior to completion of the improvements covered by this permit, I. Cannot legally sell a structure that I have built as an owner-buildor if it has not been constructad in its entirety by licensed contractors. I understand that a copyof 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:liwww.leginfo.ca.gov)calaw.html, Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe,� ry that I am licensed under provisions,gfg��pter 9 (commencing with Section 7000 of ivision 3 o the loess and Professi e d + icenseis in fall force and effect. License Class /tl License. No !! /p Date ontractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cr L FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', "a ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I hav nd 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 or once of the work for which this permit Is issued. Policy No. have 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' compensaa ranee carrier and policy number are! 'ter Policy Number Expiration Date is of Agent Phone # certify that, in the performance o wo 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 California, and 2c , if I should become subject to ers corpryet>sa'loadfwv}lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant DateCJ_jpy�C areby affirm under penalty of perjury that there is dconstruction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civil Code). ider's Name Lenders Address my signature below, I certify to each of the following: I am the propet, ')'Peer or authorized to act on the property owner's behalf. I have read thl- T^176cation and the information I have provided is correct. I eg-ee to comply vAh all applicable city and cou99 or 1' a 1 as-rehrttrrg-!s}3uilding construction. I authorize represematives of this city or counj+Jrsa.eg� a-'iantt led property for inspection purposes. ACTION DATE BY DECLARA'110N. OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE. PERMIT EXPIRED I I SURMITTFD ASBESTOS NOTIFICATION TO PEflM17CANCEiCED CPA FERFf1TEYTENOED _ MD PERIvP7T FINAL _ ` ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 C5RTiF1CI`TE OF �� Y Q/`� PROPOSED DEMOLMON OCCUPANCY ISSUED i SIGNATURE: I�