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Home My WebLink AboutXR2024-0145 - PermitsCity of Newport Beach aa�WPoRr Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 a. newportbeachca.gov/civic C9<Ipp0.��P Combination Type - Work Class - Other COMB Permit : XR2024-0145 Plan Check No : PC2022-2933 Issued Date : 01/17/2024 Final Date: Permit Status: Issued 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 CONSTRUCT STEM WALL 24" HIGH BY 38' LONG AT FRONT INSIDE P./L (XR2022-3062) 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: IAN HARRISON Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 1952335 W. C. Expire: 5/1/2024 Address: 220 NEWPORT CENTER DR, #11-342 NEWPORT BEACH, CA 92660 Phone : (949) 887-4534 State Lie : C006947 Engineer: ALI REZAEI Address: 18021 SKYPARK CIR #E2 IRVINE, CA 92614 Phone: (949)466-9394 Designer: Address : Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $3,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units: 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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 OWNER -BUILDER DECLARATION thereby of under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checenark(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 to permit to file a signed statement that he Or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapterg (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale#Section 7044, lusness 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 nprovements 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 ntproved for the purpose of sale). .,t 1, 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 �1ply 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 licensure under the Contractors' Stale License Law for the following reason: __,... ...... iy 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, all 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 tha applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hOp:/tvrvw,leginfo. a.govtcalaw.html. lignalure of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affml under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700D) of Division 3 of the Business and Professi ns Cade and m Icpnse is In full force Hal effect. License Class License NO Date � / f 7 n Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5100.000).114 ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I hhave 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 arfp/rmance of the work for which this permit is Issued. Policy No. have end will maintain workers' compensation insurance, asrequired by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number of Agent Date 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 , if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. of Date 10 � /'Z T— 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 _eater's Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty 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. iianature of PrODb(tV Owner or Authorized Agent � —/— __-M Print Prooedv Owner's or Authorized Anent's Name ArTION DATE I BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGUTATIONS PART61 OF TITLE 46 AND AQMD RULE 1401 PE'MIT EXPIR60 L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANt cp PE7 MIT EXTENDED 4MD PER,MI7 FINPL -l�j�'z`I EgASBESTOS NOTIFICATION. 15 NO1 APPLICABLE TO ��' CEFTIFICATf OF PROPOSED DEMOLITION OCCUPANCY 155JED SIGNATORE:.., Civil Code), k ba5li Date V/ 7