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Home My WebLink AboutXR2023-2084 - Permits04'. Cityof Newport Beach 11IIIIIIIIIIII i IIIIllllll llll llllll llul lllll1111111111o A Comunity Development Department- Building Division x R 2 0 2 3 2 0 8 4Coma Fermit:XR2023-2084100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1886newportbeachea.gov/civic Issued Date : 07/2812023 Final Date: Combination Type - Permit Status: Issued Work Class - Other Inspection Area: 3 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 : 1612 IRVINE AVE 6�Af Legal Desc : N TR 3082 BLK LOT 1 Description: SFR BLOCKWALL 6' HIGH X 36' LF P/L Address : 1612 Irvine Ave Address : 14212 AGAVE ST Address Newport Beach, CA 92660 MORENO VALLEY, CA 92553 Phone: (951)415-2232 Phone: (951)534-8184 Phone: Con State Lic : 1045754 State Lic Lic Expire : 10/31/2024 Applicant: E H MASONRY Bus Lic : BT30075571 Engineer Address : 14212 AGAVE ST Bus Lic Expire : 07/31/2024 Address MORENO VALLEY, CA 92553 Phone: (951) 534-8184 Workers' Compensation Insurance Phone: Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY Owner/Builder : Policy No: WC9297201 Designer: Address : W. C. Expire: 2/25/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups: 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: 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: yL SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm 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 pemlit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file 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 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 not 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 of 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 tile. improvements are not Intended or offered for sale. I L however, the building of 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). El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to en owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law), ❑ I Am exempt from licensure under the Contractors' State License Law fur 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 Iegall, sell a structure that I have built as an awnor-builder if it has not roan constructed in its entirely 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://www.leginfo.ca,govlcolaw.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 7000) of Division 3 of the Business and Professions Co and my license is In full force and effect. License Class License No Date :%/ 2 R/ Z 2. Contractor Signature_�.✓� WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - I hereby affirm under penalty of perjury one of the fallowing declarations: ❑ I have and will maintain 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 in performance of the work for which this permit is issued. Policy No. 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' Fence carrier and policy number are: Policy Number Expiration Dale of Agent It certify that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre rat, if I should become subject totheworkers compensation provisions of Section 3700 of (he Labor Code, I shall forthwith comply with (hose provisions. A O ignatura of Applicant f� G aU% 3 C% ECILARATION REGARDING CON TRUCTION LENDING AGENCY 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. y my signature below, I Certify to each of the following: i am the properly 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. I authorize representatives of this city or county to enter the Above -identified property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Pro ertOwner's or Authorized A ent's Nama l7 Ve'V Date :Liv L7 z ACTION DATE j BY i DECLARATION OF COMPLIANCE WITH CODE OF I'MER.AL FOR OFFICE USE ONLY REGULATIONS PART 61, OF TITLE 40 AND AONID RULE 1403 PERMIT EXPIRED Us,jaivii rFD ASBESTOS NOTIFICATION TO PERMl7 CANCELLED LPA .. ..... .__. ..._.._ PERMIT EXTENDED OAQMD _ PERMIT FINAL CERTIFICATE of X/0-3 AZ3 'VL Tbi^ ❑ASBESTOS NOI IFIC0.TION IS NOT APPLICABLE T9 PROPOSED DEMOLITION OCCUPANCYISSUED CMS SIGNAXI,E:.