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Home My WebLink AboutXR2023-2583 - PermitsSEW WORT City of Newport Beach 111 11111111111111111111111111 IIII 11111111111111111111111111 0 4 6 Community Development Department- Building Division X R 2 0 2 3 2 5 8 3 coMBPert„it:XR2023-2583 �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2028 ? Permit Counter Phone: (949) 718-1886 newportbeachca.gov/civic Issued Date : 99/1312023 C4G/Fp PN�P Combination Type - SFP Final Date: Permit Status: Issued Work Class -Other Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THA EARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO W ON SUNDAY AND HOLIDAYS IN ALL AREAS CO2 Job Address : 103 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 877 TRACT NO 9J}z LOT B77 "&®78 AN Description : SFR BLOCK WALL (CITY STANDARD) TX 18' & 6' X 88' ON P/L 6 J1 Owner: FLUTER RUSSELL E TR Contractor: MICHAEL A EVANS INC Architec£�. + } - - - -- ---' Address : 2025 W BALBOA BLVD Address : 9197 NADINE RIVER �J►Address NEWPORT BEACH, CA 92663 FOUNTAIN VALLEY, CA 92708 s G'3d /� Phone: (949)466-9468 Phone: Con State Lic (714)963-9809 498867 ne: to e' Lic Expire : : 09/30/2024 Lic: -9 �® Applicant : MICHAEL A EVANS INC Bus Lic BT00007441 : En r : Address : 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Bus Lic Expire : 12/31/2022 Addr€ss Phone: (714) 963-9809 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No: Designer: MICHAEL A EVANS INC Address : W. C. Expire: Address : 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone: Phone: (714)963-9809 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Fire Sprinklers : NO Construction Valuation : $12,000.00 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 Front: 4, Front: 10, Side: 4, Side: 4, Front: 10, Front: 4, Side: 4, Side: 4 AE, 8 FT; X R-1 - Single -Unit Residential SPECIAL CONDITIONS: SAME OWNER FOR BOTH PROPERTIES (103 & 105) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031-5, Business and Professions Code: Ahy 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 file a signed statement that lie or she is licensed pursuant to the provisions of the ContractorsState 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 fora permit subjects the applicant io a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) BE of or U 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 built or Improved 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 'apply 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), ❑ I am exempt from licensure under the Contractors' Stale 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 of least one year prior to completion of the Improvements covered by this permit, 1 cannot legalli sell a structure that I have built as an owner -builder 4 it has not open constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code., Is available upon request when this application is submitted or at the following Web site: htip://www.leginfo.co govIcalaw. html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I' nse Is In full force i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0� of Divisio99,,3 0# the Business and Prate sio de, y '.. and effect. License Class License. No Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 60LLAR31E100.,00061N "ORION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORA SECTION 37D6 OF THE LABOR cone, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ l have and will maintain a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor code, for th performance of the work for which this permit is issued. Policy No. ❑I 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` compensatio insurance carrier and policy number are: Expiration Date — Carner Policy Number of Agent ..._.._ .. __.. so as to become subject t0 the workers' Compensation laws of California, and 2gre nify that, in the performance Of the work for which this permit is issued. I shall not employ any person in any manner I should become sub of to thB work rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Data [ ?r3 ure of Applicant re� e�...- IECLARATION KFQAKUINO UVNI KIJ4IJVN LcJXV n- I hereby 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). enders Name Lenders Address ry 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 state laws relating to building construction. authorize representatives of this city or county toe rthe ov -Ide tified property, for in purposes. �� , 5 iignature of Pro ert Owner or Authorized Agent 2 Mrs Print Property Owner's or Authorized Agent's N i F Data ACTION 1 DATE. BY DFCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULAtlONS PART 51 UFTITCE 40 AND AQMD RUtE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERArt7T CAACEiIEB CPA __-_,__., FERiofiT EXTENDED _ LL_� L1MD PCRM7T FINAi b�y�24 p�,�-3 Y�ASBESTOS NOPIfICAI'10'N IS NUT APVCCABLE TQ CERTIFICATE OF OCCUPANCYISSUED IGNATURE: Yf