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Home My WebLink AboutXR2024-0228 - Permits�EWPORT City of Newport Beach 111 11111111111111111111111111111111111111111111111111111 II Q� @ Community Development Department- Building Division X R 2 0 2 4 0 2 2 8 COMB Perm It:XR2024-0228 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: QCZOZZ - Zg33 Permit Counter Phone: (949) 718-1888 Issued Date : 01/26/2024 newportbeachca.gov/civic Final Date: cggFoaN�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 : 124 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 6 LOT 18 Description: SFR- CURB WALL 76 LF X 8" HIGH WITH 54" FENCE ON TOP. PER CITY STANDARD (3B FOOTING) Owner: ARDR REALTY LLC Address : 318 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone : (949) 433-1424 Applicant: JACK LION Address: 219 MARINE AVE, A NEWPORT BEACH, CA 92662 Phone: (559)917-3155 Owner/Builder : Address : Phone: Contractor: WATERPOINTE CUSTOM BUILDERS Address : PO BOX 34B, A NEWPORT BEACH, CA 92662 Phone: (949)644-8900 Con State Lie : 947494 Lie Expire : 05/31/2024 Bus Lie: BT30036114 Bus Lie Expire : 05/31/2024 HOME Architect : Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1952335 W. C. Expire : 5/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: U No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: a ��3 n Address Phone: State Lie Engineer: Address Phone: Designer: Address Phone: Construction Valuation : $2,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmard s) I have placed next to the applicable items) (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 no or she is licensed pursuant to the provisions of the Contractors' State License LBW (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ilconsure 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contmclors' 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 provingthat it was not built or improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. ❑ 1 am exempt from Iicensureunder the Contractors' State 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 of the improvements Covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not boon Constructed in its entirety by licensed contractors.) 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://w .legififo.ca.gov/calaw.btml. 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) f D"svision 3 of the Business and Professions Code, anti m license is In full force and effect. License Class License No Date I/I I Contractor Signature � 1; -✓ 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 (E100,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm underpenalty of perjury one of the following declarations: El 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 th perffXrmance 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' ranee carder and policy number are: Policy Number of Agent Date -1I 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 hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. signature of Applicant G��`' Data 2- 6 ( Zy )ECLARATION REGARD G CONSTRUCTION LENDING AGENCY hereby affirm under penaty 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). .endar's Name Londers Address sy 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 1 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. Q--r�-vr 1 [ L simraiure of Prooerty Owner or Authorized Agent �-�.r�-- 7�3/I Print Property Owner's or Authorized Agent's Name _ _ U Date ACTION DATE RY DECLARATION Of COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF I ITLE 40 AND AC MD RULE i 1403 PERMITEXPIREC ) ? I SUBMITTED ASBESTOS NOTIFICATION TO .__..._MIT CANCEGLEU-. _ ._... �._. I. ____._ _. PER1Q--fEPA PERMIT EXTENDED uAitMD PERMITFlNAL ]..JASBESTOS NOTIFICATION IS NOTAPPUCABLE TO CERrIFICATEOF 1 P�--!`-- I PROPOSED DEMOLITION OCCUPANCYlSSUEA _ I SIGNATURE: _._