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Home My WebLink AboutU2025-0047 - Permitso EWP{oRT0 City mmof unity Development BPament- BuildingDivision II COMB Permit : U2O2S-0047 y'( r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: C.. r�► ♦` n Permit Counter Phone: (949) 718-1888 Issued Date newportbeachca.gov/civic cq<�ro a�P Final Date: Combination Type - Permit Status: Applied Work Class - Addition/Alteration Inspection Area 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 : 206 34TH ST Legal Desc Description: MISC - (N) BLOCK WALL 30 LF X 6' HIGH. INSIDE P/L Owner: TROY HICKERSON Contractor: OWNER/BUILDER Architect Address : 206 34TH ST Address : Address NEWPORT BEACH, CA 92663 Phone : (949) 413-8088 Phone : Phone Con State Lic : OWNERIBUILDER State Lic Lic Expire Applicant : TROY HICKERSON Bus Lic : Engineer Address : 206 34TH ST Bus Lic Expire : Address NEWPORT BEACH, CA 92663 Phone : (949) 413-8088 Workers' Compensation Insurance Phone Carrier: EXEMPT Owner/Builder : TROY HICKERSON Policy No : 0000 Designer Address : 206 34TH ST W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone : (949) 413-8088 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg Occupancy Groups : U No of Units : Alteration sq. ft. Bldg : Bldg Height : No of Stories : Add/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone Use Zone : n PROCESSED BY: SPECIAL CONDITIONS: $5,000.00 0 0 0 I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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 3e 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 rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nproved 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' State License Law does not pply 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 licensure under the Contractors State License Law for the following reason: ly 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, 1 cannot legally ell 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 the applicable law, Section 7044 of the Bu iness and 'rofessions Code, is available upon request when this a atio is ubmittad or at the following Web site:http://www.leginto.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed underl5rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature tKERS' COMPENSATION DECLARATION ING: 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 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 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 ormance 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' Compensa Trance Carrier and policy number are: Policy Number Date le of Agent Phone III 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 it I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dale IECLARATION REGARDING CONSTRUCTION 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). enter Name Lenders Address y 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 ordinance and state laws relating to building construction. I authorize representatives of this city or county to�entry tV ove-identified property for inspection purposes. �i•r•. I I .. •� Print Property Owner's or Authorized Aaent's Name ACTION DATE BY `DVCJftI3ATION OF COMFUT17=1TH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AGMD RULE 1403 PERMIT EXPIRED ED VLKMII LAI tNUfU PERMIT FINAL ,t < CERTIFICATE OF �• 5• ✓/ OCCUPANCYISSUED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: