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Home My WebLink AboutXR2023-1762 - Permitso��EwpoRe City ofCommunity Newport tBeach COMB Permit:XR2023-1762 Department IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Plan Check No: 1o0 Civic Center Drive, Newport Beach, CA 92660 Issued Date : 06/27/2023 U2 Permit Counter Phone: (949) 718-1888 inspection Area : 2 tea„ newportbeachca.gov/civic C'1(,ppp��P Combination Type - Work Class - Other 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 Description : 323 GRAND CANAL Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 14 LOT 25 SFR DRAINAGE/HARDSCAPE ALT PER CITY STANDARD PLAN. Owner: ZIEGLER JAMES DENSON TR Address : 3052 N SNOW CANYON PKWY UNIT86 SAINT GEORGE, UT 84770 Phone: (949)500-8480 Applicant: BOBBY HERRERA Address: 1570 BROOKHOLLOW DRIVE SANTA ANA, CA 92705 Phone: (657)554-5618 Owner/Builder: Address : Contractor: SYSTEM PAVERS Address : 1570 BROOKHOLLOW DR SANTA ANA, CA 92705 00 Phone : (949) 263-83 Con State Lic : 661575 Lic Expire: 03/31/2024 Bus Lic: BT30026268 Bus Lic Expire : 10/31/2009 Workers' Compensation Insurance Carrier: EVEREST NATIONAL INSURANCE COMPANY Policy No: SW3WC00073223 W. C. Expire : 3/1/2024 Phone: 2022 Fire Sprinklers : NO Code Edition: Fire Hazard Zone : NO Type of Construction : V-B No of Units : 1 Occupancy Groups : U No of Stories : 0 Bldg Height: Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X R-BI - Two -Unit Residential, Balboa Island Use Zone: Architect Address Phone: State Lic Engineer: Address Phone Designer: SYSTEM PAVERS Address: 1570 BROOKHOLLOW DR SANTA ANA, CA 92705 Phone: (949)263-8300 Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Q3 No ��VS�6°E�llCTION WORK PROCESSED BY : SPECIAL CONDITIONS: HIGH DENSITY ON SATURDAYS I hereby affirm under penally of perjury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmsrk(s) I have placed next to the applicable{tem(s) (Section 7031.5, Business and Professions Code: Arty 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 rile 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 licensors and the basis for the alleged examptiom Any violation of Section 7031.6by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U Portions of the work; and the structure Is not intended oroffered 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). 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 spply 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 licensors under the Contractors' 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 Ieast one year to prior -Completion of the Improvements ;all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understated that a copy of the applicle Iaw,4tilogall! S bon 704ot the and 'rofassions Code, is available upon request when this application is submitted or at the following Web siteihttpJfwww.leginfo.ca.govlcalaw.htmi. >ignature of Property Owner or Authorized Agent JCENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of pery'ury that I am licensed under provisions Of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Codemy , and license is In full force VORKERS' COMPENSATION OECtA Ind effect. License Class License No Date � �727� ? ontractor Signature_ RATION IARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (fiSa,0001. IN ADDnK)N TO THE DST OF COMPENSATION, DAMAGES As PROVIOED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTORNEY%FEES. hereby affirm under penalty of perjury one Of the fallowing declarations: I have end will maintain a Certificatehipermit i consent to Policy self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 Of the Labor Code, for thl error once oT the work for which this permit is issued. Policy NO. lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatio surance, Carder and policy number are: CdJ artier. Policy Number ' ame of Agent Expiration Date Prone n it,1 certify that, e the performance of teethe Work for which this permit is issued, I shall not employ any parson in any in It so as to become subject to the workers' Compensation laws of California. and agre m if I should become subject to {he wort rs" compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant T / /�Z/2 ? :CLARATtpN REGARDING CONSTRUCTION LENDING ARENCY Date_ (� ! '� 1 sreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). 'lasts Name Lenders Address de signature bEICv', I certify lD each of die following: I am the propEA) '�'vner or authorized to act on the property owner's behalf. I have read th'3 eholication and the information I have provided is correct. I agree to ccmply wi,h all applicable city and county ordinances and state laws relating to building construction. , auCiorize repr=santatives of this city or county to enter a ao. ntified property for Inspection purposes. nature of Proo3nv Owner nr C,nH..nved �..,,.,, ./ ...> ! I _ . , , r UELLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT PtRMI, F'^f f1FFINAI �Q215�Z3 QL r\OH ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE CS U `t PROPOSEDDEMOLIT10% OCCUPANCYISSUED �S SIGMA'r1lac.. ��/