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HomeMy WebLinkAboutXR2023-1814 - Permitse`�wPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1814 o g Community Development Department - Building Division X R 2 0 2 3 1 8 1 4 rx 100 Civic Center Drive, Newport Beach, CA 92660 - Plan Check No : 0354-2021 Permit Counter Phone: (949) 718-1888 g N 1 r. ' , ^-, Issued Date : 07/27/2023 U'd',. newportbeachca.gov/civic 6 4i, L �.�; ft t Final Date: c9<�Fp0.N�P Combination Type - SFP 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 : 1912 KEWAMEE DR Legal Desc : N TR 2813 BLK LOT 35 Description: SFR RETAINING WALL TX 220' INSIDE P/L AND BLOCK WALL 6' X 132" ON P/L. MARKERS ON SITE Owner: EZ PROPERTIES LLC Contractor: J P 3 CUSTOM HOMES INC Architect Address : 175 MONARCH BAY DR Address : 1232 STARLIT DRIVE Address: DANA POINT, CA 92629 LAGUNA BEACH, CA 92651 Phone : (702) 340-9238 Phone: (949) 813-3797 Phone: Con State Lie : 907971 State Lie Lie Expire : 12/31/2023 Applicant : Daniel Kovachev Bus Lie : BT30082241 Engineer: DEIHIMI AMIR HOSSEIN Address : 175 Monarch Bay Dr Bus Lie Expire : 07/31/2024 Address : 23172 PLAZA POINTE DR STE 145 Dana Point, CA 92629 LAGUNA HILLS, CA 92653 Phone: (949) 409-6060 Workers' Compensation Insurance Phone: (949) 954-7244 Carrier: EXEMPT -NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer: GEORGE P MARKOV Address : W. C. Expire: Address : 1623 THOMPSON AVE GLENDALE, CA 91201 Phone: Phone: (818) 551-0353 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: PNJ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION. 1 hereby affirm under penalty of perjury that tam exempt from the Contractors' Slate License Law for the reasons) Ind Ica led below by the checkmark(s) I have placed next to the applicable Items) ction 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 permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensors 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 Irovements 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 noved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to co istruct the project (Section 7044, Business and Professions Code, The Contractors' State License Law does not r€y 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), LJ I am exempt from icensure under the Contractors' Slate 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 ofthe Improvements covered by this permit I cannot. legally sell 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 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:livA .leginfo.ca..govlcalaw.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 701Xf•)b the Business and Pro l?ss 0 a my license is in full force and effect. License Class. License No Date GGGontractor Signet WORKERS' COMPENSATION DECLARATION IDOLLA WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ON UNDRED ($10010001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES" 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 maintaina certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 370 of the Labor Code, for in 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' compereatiol Insurance carrier and policy number are: Cartier Policy Number Expiration Date Nam (Agent Phone# certify that, m the p for which this permit is issued, short not employ any person in any manner so as to become subject to the workers' compensait. laws of California, and ogre that, if I should become •scompensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.Signature tk of APphc .___DateDECLARATION GARDION LENDING AGENCY I hereby affirm and ahere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), Lenders Name _ Lender's Address --------------------- ----- By my signature below, I certify to each 0f he following: I am the property Owner or authorized act on the property owner's behalf. I have read this application and the of matlon I have provided is correct. I agree to comply with all applicab€e c{ty n unty ordinances and state lawsrelating to building construction. I authorize repre�entatives of this city or county to e a ove-identified property for inspection purposes. yj7 Si np ure of Pro en Owner or Authorized A err Pnnt Pro ert Owner's or Authorized Agent's Nan1e Dale �( ACTIrIN DATE BY 1 CLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGUTATI NSPART61 OF TITLF40ANOAQMD RULE 1403 j PERMIT EXPIREJ LJ I sub TIED ASBESTOS NOTIFICATION TO ' ER,L.IT CANCH...:D EPA _', PERMIT EXTEh DED a+ I qq __ .. F j PERb,ITFINAL ��r CERTIFICATEOF . ..... ._...._._—..—_. .. n� / SEES. NOTIFICAT NOTAPPOCABLE TO PROPOSED OE V t =�ANCN ISS_ED_ SIGNATURE: 3