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Home My WebLink AboutXR2024-0894 - Permits�gWPOQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2024-0894 Community Development Department- Building Division X R 2 0 2 4 0 8 9 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0699 >� x Permit Counter Phone: (949) 718-1888 Issued Date : 04116/2024 newportbeachca.gov/civic Final Date: cg4Fo> Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 8 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 : 1026 SANTIAGO DR Legal Desc : N TR 4224 BILK LOT 210 Description: SFR - BLOCK WALL 40 LF X 6' WALL @ THE SIDE YARD, ON THE P/L, MARKERS ON SITE Owner: WELLS FARGO BANK N A TR MADDIX FAMILY Contractor: BRANOV INC Architect TR Address : 2829 TOWNSGATE RD STE100 Address : 120 TUSTIN AVE #C Address WESTLAKE VILLAGE, CA 91361 NEWPORT BEACH, CA 92663 Phone: Phone: (949)760-1290 Phone: Con State Lic : 996199 State Lic Lic Expire : 08/31/2024 ' Applicant : BRANOV INC Bus Lic: BT30067676 Engineer: Address : 120 TUSTIN AVE #C Bus Lic Expire : 06/30/2024 Address NEWPORT BEACH, CA 92663 Phone: (949) 760-1290 Workers' Compensation Insurance Phone: Carrier: EXEMPT Owner/Builder : Policy No: EXEMPT Designer: - Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 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: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: j SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable item(s) Section 7031,5, Business and Professions Cade: 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 file a s€gned'. 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 licensure 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 ict more than five hundred dollars ($500). 1 I, 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 intended or offered for sale (Section 7044, 3usiness 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 properly, provided that the mprovements 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). 1 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 improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Cuntractors' 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 soli a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and �rofessrons Code., is avallable upon request when this application Is submitted or at the following Web site:bttp:liwww.leginto.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f 4visi 3 he Business an sio de, a cerise Ds ull force and effect. License Class License. No Date ontractor Signatu€e NORKERS'COMPENSATION DECLARATION NARNING: FA.ILURG *O cECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS I5100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S PEES. hereby affirm under penalty of perjuryone of the following declarations: 1 Have and wil, mamWih 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 thi 3arformance of the work for which this permit is issued. Policy No. have and rill me�rtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' ranee caruer and Colley number are: Policy Number Expiration Date of Agent Certify that, ii,. the p rformance, of the work for whicfylFils per it is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree k,! I should'aec(t a workerscomp sation ovtsions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. - Vure of AlSpir: _ Data C Z _ CLARATION A rG RO ` CONS RUCTION LENDING AGENCY afeby affirm u, ICEr penalty of perjury hat there is a construction lending agency for the performance of the Work for which this permit is issued (Sectlon 3097. Civil Code). Ider'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 rehalf. I have read this application and the information 1 have provided is correct. -� I agree to comply with all applicable city and county ordinances and state aws relatin to building construction. ` 1 authorize representatives of this city or coute-BRtet; the ove-identi red pro 'for inspection purposes. \—--,X ��L� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Name ACTION DATE. BY DECLYlRANCROF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY REGULArioNs PART 6113FTirLe404NDACIMD RULE {{ 1403 PERMIT LI I SUBMITTED ASRFSTOS NOT1 FICATION TO PERMITIFMNDED LIAQMD PERMEr FINAL 0 BE5TO$ OIIFICAC N. 15 NOT CERTIFICATE OF.� PRO ITION c OCCUPANCYISSUEE Ire I SIGNATURE: