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Home My WebLink AboutXR2023-0738 - Permits��WPoRT City of Newport Beach jji111111111111111111111 ll1�1111111111111111111111111111 COMB Permit: XR2023-0738 04 Community Development Department- Building Division X R 2 0 2 3 0 7 3 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 644-3288 Issued Date : 0312112023 s S Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 c9[/FOpN�P newportbeachca.gov/inspections 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: 441 FERNLEAF AVE, A Legal Desc : P BK 207 PG 23 PAR 1 UN 1 P M 207-23 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP Description: SFR HARDSCAPE/DRAINAGE AT PATIO PER CITY STANDARD PLANS Owner: PULINO TRUST Address : 441 FERNLEAF AVE #1 CORONA DEL MAR, CA 92625 Phone: (925)963-4247 Applicant: CHISELED STONE MASONRY Address : 7573 SLATER AVE #G HUNTINGTON BEACH, CA 92647 Phone: (949)228-5822 Owner/Builder : Address : Contractor: CHISELED STONE MASONRY Address: 7573 SLATER AVE #G HUNTINGTON BEACH, CA 92647 Phone: (949)228-5822 Con State Lic : 1009130 Lic Expire : 11/30/2023 Bus Lic : BT30081028 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: AMERICAN CONTRACTORS INDEMNITY COMPANY. Policy No: SAWC374352 W. C. Expire: 10/1/2023 Architect Address Phone: State Lic Engineer: Address : Phone Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 -Two-Unit Residential PROCESSED BY: ( Nic) GONSYRU �a flO� �� 0 0 0 SPECIAL CONDITIONS: HIGH DENSITY ZONE ��p �yy� kF' +� yr �, 9 �,—n�,-7-r, o i.Jl�F Ti ie!-. 5111 .[�E�1C, a `i .,..:�I` 9.® 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 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 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 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). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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-Bullderwili have the burden of proving that it was not built or improved for the purpose of sale). I0 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), [l I am exempt from licensors under the Contractors' State License Law for the fallowing 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 legall, sell a structure that I have built as an ownor-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Vdeb site:http:l/www.leginfo.ca,govlcalaw.html. Signature of Property Owner or Authorized Agent Date _ (LICENSED CONTRACTOR'S DECLARATION II hereby affirm under penalty of perjury ,had am licensed under provisions of Chapter 9 (commencing with Section 7000) f O{vi ion 3 of the Business and Profess;Ion ode. herd. my jGense is In full force and effect. License Class License No Date Z I ' 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, UAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �I hereby affirm under penalty, of perjury one of the following declarations: �[ I have and wil: rcoinlLm 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 th (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' iancc carrier and pDlicy number are: na C Agent certify that, in the, performance of the work for , it I snould become subjectJ!%Ifhe woofors' Cg Policy Number Date 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 agre alter provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Date -S! Z /,Z 3 CLARATION RSG)Irli CONSTRUCTION LENDING AGENCY =reoy affirm once, penalty of perjury that there Is a construction tending agency for the performance of the work for which this permit Is issued QSectlon 3097, Civil Cade). 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 behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin y ces and state laws relating to building construction. I authorize representatives of this city or county to ant a Bogus identiI roperty for inspection purposes. mature of Property Owner or Authonzed APrint Property Owner's or Authorized Aeeot's Name —6 1, of FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I l_.I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED —EIEPA CERTIFICATE OF h.(I -[%� ! YGiA5BESD DE Or1FdCA ION IS N TAVPIICABLE 'r0 CERTIFICATE OF l /41 ✓� PROPOSED DEMOLIT N OCCUPANCYISSUED SIGNATU A