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Home My WebLink AboutXR2022-2874 - Permits4 �E`wPO,pT City of Newport Beach IIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII II COMB Permit : XR2022-2874 p@ Community Development Department - Building Division X R 2 0 2 2 2 8 7 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2721 uN+^ 2 Permit Counter Phone: (949) 644-3288 Issued Date : 0111312023 .rw Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 cgC�F00.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other 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 : 1136 PEMBROKE LN Description: SFR 14' X 8' BLOCK WALL (INSIDE P/L) Owner: SCOTT LEWIS Address : 1136 PEMBROKE LN NEWPORT BEACH, CA 92660 Phone: Applicant: AARON HOLDER Address : Phone: (661)487-2396 Owner/Builder: Address : Phone: Legal Desc : N TR 3607 BLK LOT 11 Contractor: CALIMINGO Address : 23 CORPORATE PLAZA, 150 NEWPORT BEACH, CA 92660 Phone: (714)235-8644 Con State Lic : 919876 Lic Expire : 02/29/2024 Bus Lic : BT30067678 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: SIRIUS AMERICA INS CO Policy No: WC8693400 W. C. Expire : 12/21/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Singe, Unit Residential PROCESSED BY SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER JAMES Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone : Designer: Address : Phone: NO Construction Valuation : $5,000.00 NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg: 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 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 placed next 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 he permit to rile 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 or the Business and )rofesslons 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 fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, lusiness 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 mprovemenls 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 mproved for the purpose of sale). I 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 5 1 ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legally mil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand thata copy of theapplicable law, Section 7044 of the Business and �rofesslons Code., is available upon request when this application is submitted oratthe following Web site:hltp://www.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section9�= is!f the Business and Profession • Code, and m II: U e.is In full force and effect. License Class License. No Dat Contractor Signs a NORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUE IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES IN T8 ONE HUND THOUSAND DOLLARS (1110D.0001, IN ADDFTION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODA. INTEREST, AND ATTORNEYS FEES. her" affirm under penalty of perjury orle of the fallowing declarations: 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 the a4partance of the work for which this permit is issued. Policy No. Rave and will mairntein 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' compensation rice,.�a�rrierandoNcy number a>i tier ]ydJ<r5 " nitro ' (%A4xI4P Policy Number �,ILTJ� 1 ��y� Expiration Date ZL*4/ ne of Agent /i .� Phone fb certify that, in the performance of the work `gr/wrlich this pars is u�d, lshall not employ any person in any manner so as to become subject to the workers' compenyalicn laws of California, and agree If I should become subject. to the workers' mpensation p st f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. areby 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). 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 and the information I.have provided Is correct. I agree to comply with all applicable city and county ordionces and slate laws releling In building construction. ^/ I authorize representatives of this city or counnAo ente,41ta above-idendJkd property foi insaaction purposes. ACTION REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMiTFINAL 2IOP; Y ��//s' t_AASSESTOS NOTIFICATION 15 NOTAPPLICABLE TO CERTIFICATE OF L/ (Y// PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURL FOR OFFICE USE ONLY