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Home My WebLink AboutXR2023-0083 - PermitsEWPo"T City of Newport Beach Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 .a. Inspection Requests Phone: (949) 644-3255 +�9[iFORN��' newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I��III��III ��III�IIII11111111111111111111111111111111111COMB Permit : XR2023-0083 Plan Check No : PC2023-0090 Issued Date : 01/12/2023 Inspection Area : 1 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 : 1763 OCEAN BLVD Description: BLOCK WALL 6' X 40' (INSIDE P/L) Owner: CONTESSAIILC Address : 19262 MESA DR VILLA PARK, CA 92861 Phone: Applicant: PAUL ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height: Building Setbacks : Front: 10, Side: 1, Sidn: 4, Pear: 0 Flood Zone : X Use Zone : R-1 - Single-U0 RepiriPntial PROCESSED BY: te Legal Desc : N TR 518 BLK C LOT 16 Contractor: PROMONTORY POOLS INC Address : 17401 IRVINE BLVD STE B TUSTIN, CA 92780 Phone: (714)993-0554 Con State Lic : 404194 Lic Expire : 03/31/2023 Bus Lic : BT30043247 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire : Architect Address Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER JAMES Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: Designer: Address Phone: Fire Sprinklers : NO Construction Valuation : $8,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 SPECIAL CONDITIONS: THIS WORK IS TO BE SUBCONTRACTED TO B OR C-29 CONTRACTOR I hereby aMrTn 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to Rte 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 Iieensure 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 not more than five hundred dollars (S500). ❑ I, as owner of the property, or my employees with wages as their sale compensation, will do L) all Of or (_) portions of the work, and the structure is not intended or 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, 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 builtor improved 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 ffa ly 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). L.I I 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 least 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 -builder ifit. has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, $action 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:GLvww.leginfo.ca.govlcalaw.htmi. 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 7 ) f st 3of the. Business and f to ode, - my Iicenseis In full force and effect. License Class License No D I Z � Contractor Signatg€ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 0 UNLAWFUL, AND SHALL SUBAECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a cerlir"te of consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr nsur ance of the work for which this permit is issued. Policy No. a 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' compensatior ce Carder and policy number are: Policy Number Date re of Agent Pnone n certify that, In the =1hatthem or hick thi permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' compansa ion laws of California, and agrer L, If I should becom' moon on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � J 1 nature of Applicant D CLARATIGN REGCOLENDING AGENCY `"��,„ mSby affirm under pre is a construction 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 beach of the following: I am the property owner or authorized to act the propertyowner' ehalf. 1 have read this application and th4Fty matron I h. provide .Fact. I I agree to comply with all applicable and cou na a rid sta. 9 relating to ouiltling constmction.I authorize representatives of this er t bove- nilfie property for inspection purposes.II��/,-/�nature of PrnnRrty nwnar or AuthorDent / Print ProDertv Owner's or Authorised Aoenfs YaMeV ��`G ` �/ ✓ '� Pale ACTION DATE BY `% TR403� REGULATIONS PART SM.0 TION OF AN E-0CE ITH AND DE OFAQMO FEDERAL FOR OFFICE USE ONLY EXPIRED I I I UI SUBMITTED ASBESTOS NOT] FICATION TO PERMITEXTENDED ] LJAQMD PERMiTFINA1 gS8E5T05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFfCATEOF S'�rt y® PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATUREe