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Home My WebLink AboutXR2023-2890 - PermitsE 'oRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-289U 4' A Community Development Department- Building Division X R 2 0 2 3 2 8 9 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2266 U a+ T Permit Counter Phone: (949) 718-1888 Issued Date : 10/12/2023 « newportbeachca.gov/civic 9'? ^, r'^ ^�"� �,�'1"!�°n, r!i Final Date: °9c�F,. oar`s Combination Type - j ; ' y y �'""4� Permit Status: Issued 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 : 125 BAY FRONT E Legal Dose : A TR. BALBOA ISLAND. SEC 5 BLK 4 LOT 17 Description: SFR WOOD POST TEMP SHORING (XR2022-2419) Owner: GARRETT & HEATHER BLAND Address : 14975 CORONA DEL MAR PACIFIC PALISADES, CA 90272 Phone: (310)488-3778 Applicant : MICHAEL AQUINO Address : 5820 WILSHIRE BLVD, 500 LA, CA 90036 Phone : (323) 931-1365 Owner/Builder: Address : Contractor: CORBIN REEVES CONSTRUCTION Address 245 FISCHER AVE COSTA MESA, CA 92626. Phone ; (714) 540-3700 Con State Lie : 721515 Lie Expire : 04/30/2024 Bus Lie : BT30057133 Bus Lie Expire: 01/31/2024 Workers' Compensation Insurance Carrier: OAK. RIVER INSURANCE COMPANY Policy No : MAWC441551 W. C. Expire 2/23/2024 Architect: WILLIAM HEFNER Address : 5820 WILSHIRE BLVD, 500 LA, CA 90036 Phone : (323) 931-1365 State Lie: C017013 Engineer: GRGURIC NENO Address : 2880 S COAST HWY LAGUNA BEACH, CA 92651 Phone: (949)715-0775 Designer Address: Phone: Phone Code Edition : 2022 Fire Sprinklers : , NO Construction Valuation : $12,000.00 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: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X , Use Zone : R-BI - Two -Unit Residential, Balboa Island R PROCESSED BY: ... SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby afirm Under penalty of I?erjury that i am exempt from the Contractors' Slate License Law for the reasori(s) Indicated below by the chenkmark(s) I have placed next to ate applicable hem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct attar, 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 io 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 licensure and the basis forthe alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ L 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 structure is not Intendedor 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, provtded that (he Improvements are not Intended or offered for sale. If, however, the building cr Improvement is sold withinone year of Completion, the Owner -Builder will have the burden of proving trial it was riot built or Improved For the purpose of sale). W 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 bulids or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 zrn exempt from licensure under the Contractors' Slate License Law for lire following reason, „ _...__ ......... ...... .,,. By my signature below I acknowledge that, except for my personal residence in which I must have rL.,lded for at least one year prior to completion of trio hnpravomen[s covered by sits permit, I cannot leyall; sell a structure that I have bull[ as an owner -builder if Ifhas not. been constructed In its entirety by licensed contractors, I understand that a copy of the applicable law, section 7044 of the Business and Professions Code, Is available upon requestwhen this application Is submitted or at the following Web site:htip:flwrvAv.leginfo.ca.gov/calawthtmi. 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 (commencing with Section 7000) of Division 3 of the Business and Profes Rr e, and my license is in full force and effect. License Class License No Dale Z. Z Contractor Sig no lure WORKERS' COMPENSATION DECLARATION WARI 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 (i100,000),. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN£Y'e FECS. I hereby efftrm under penalty of perjury one of the following declarations: 111 have and will maintain a cerlificate of consent to self- insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37e0 of the Labor Code, for Ito performance of [he work for which this permit is issued. (Policy No. have and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. rvly workers' ranee carrier and policy number are: (Policy Number Expiration Date e of Agent Ul certify Thal, 11) the perfomisnce the(, it I should become "object to III, it oe of crier which this permit is Issued,I shell not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre orkers:' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Siynelure al Applicant ,.,,_„_„_.._..._.:.___'___._._._......,...„„_,_,,.,.,., Date—C'e— N zS� DECLARATION REO DING STRUCTION LENDING I hereby affirm under penalty of perjurythat there is a Construction lending agency for the performance of the work for which this permit is issued (section 3097, Clvil Code). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's. behalf. I have read tht- :ipFiicalion and the information I have provided is correct.. I agree to comply with all applicable city and county ordirlano Q. and slake laws relallnp to building ecnslructlon. I aJ:horize representatives Of this city or county toe ten above-Idenllfled property for inspection purposes. Signature of Property Owner or Authorized Agent FF,- _ _ Print Propen Owner's or Authorized Agent's Name c'-,-1C_4 _ zO L n Date .,Cl iON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY j REGULATIONS PART 690E TITLE 40 AND AdMD RULE SU BrArrrED ASBESTOS FOOTi FICATION TO F'hRi✓11T (',A M1'CF,T.tkl� P�:RA91T FINAL SBE5TOS N01'IFILArIO 5- O'r APPLIiAB1.E TO CERTIFICATFOF-=//(i/2.{ ,�i/C.JL� PROPOSEDDEMOLITI O�Ct,PAN YUSUEO ATURE .._ .. .. SIGN, ........ F