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Home My WebLink AboutXR2024-1157 - PermitsEWPo�T City of Newport Beach Il�llll 111 l 11 l l llllll 111 llllii �i II SUMS Permit : XR2024-1157 )- e Community Development Department- Building Division X R 2 0 2 4 1 1 5 ' 0 F n,. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0889 Permit Counter Phone: (949) 71B-1888 Issued Date: 04/26/2024 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Other hv-pcction Ar=a : 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 : 217 VIA MENTONE Legal Desc : N TR 907 BLK LOT 609 TR 907 LOT 609 AND SWLY 10 FT Description: SFR BLOCK WALL 6' HIGH BY 27' LONG INSIDE PL (XR2023-0996) Owner: WILLIAM COCKRUM Address : 217 VIA MENTONE NEWPORT BEACH, CA 92663 Phone: (310)701-0297 Applicant: WILLIAMCOCKRUM Address: 217 VIA MENTONE NEWPORT BEACH, CA 92663 Phone: (310)701-0297 Owner/Builder : Address : Phone Contractor: OWNER/BUILDER Address : Phone: Con State Lic : OWNER/BUILDER Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: EXEMPT Policy No: 0000 W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone : X Use Zone: R-1 - Single -Unit Residential Architect: Address : Phone: State Lic Engineer: ASKARIAN KYLE Address : 17595 HARVARD AVE #C-734 IRVINE, CA 92614 Phone: (310) 404-1834 Designer: IKE BAHADOURIAN Address : 1922 TAMARIND AVE, 9 LOS ANGELES, CA 90021 Phone: (626) 298-1220 NO Construction Valuation : $16,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 PROCESSED BY: L% SPECIAL CONDITIONS: INSPc 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exe,np, Prow the, C�ntraators' Slate icence Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) ,Section 703t.5, Business and Professions Code: Any coy ar cou it th-t mcit4re^ a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he 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 Tot more than five hundred dollars ($500).. 1 I, as owner of the property, or my employees with wanes as their sole ce,mpensation, wi11 do (_) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors Sta::E Licer,e Law yens TIM apply to an nwner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. if, 'loweVer,'the building or;mprc5enren: i"o€d within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose of sale). 1, 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). I am exempt from licansure 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 legall, sell a structure that I have built as an owner -builder if it has no een const cted i s entir by iMansell contractors. I understand that a copy of the: applicable law, Section 7044 of the Business and Professions Code, is available upon request whe. t� 1 In is ub ed or I f wing Web site:http:llwww.ieginfo.ca.gov/calaw.html. r..j / �t '1 Signature of Property Owner or Authorized Agent Dat (� —2 6 a LICENSED CONTRACTOR'S DECLAR I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3of the Business and Professions Code, and my license is In full force and effect. License Class License. No Date Contractor Signature NORKERS' COM'.PENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PeNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (StOS,a06), IN ADDn10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES. hereby affirm under penalty of perjury one of the following declarations: I 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, forth lormance 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' compensatiol licence carrier and policy number are: Tier Policy Number Expiration Date ITS, of Agent Phone If certify that, in the performance of the work for which this ernit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws Of California, and agre If I should become subject to illgwoorke con Isa provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / V Date aFeby 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) )del 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 ordinances and stateJaws relating to building. construction. -I I authorize representatives of this city or county to `en�i heAE a- d property for inspection purposes. / /' I' L1 nature of Property Owner or Authorized Agent C lN� __.. Print Property Owner's or Authorized Agent's Name5< Wt l Ir a r-I Ca _KMrti Date, ACTION DATE, BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE 1403 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED MD k PERMITFINAL �j 0 2y ES`TOS NCy7i{:9CAllOy lS .YAP ICAHIF TO CERTffICATEOF l P OSED OrF(yh>ry'�yfr. l/r7r..N,MII OCCUPANCYISSUED SfGNATURE: