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Home My WebLink AboutXR2022-2579 - Permits09'. City of Newport BeachCommunity Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 nenewportbeachca.gov/inspections � � Combination Type - L T M D Work Class - Other ao COMB Permit : XR2022-2579 Plan Check No : Issued Date : 0912712022 Inspection Area : 4 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 : 2449 BAMBOO ST Legal Desc : N TR:4893 BILK LOT 54 Description: SFR (N) 82' LONG BY U HIGH (MAX) BLOCK WALL BUILT PER CITY STANDARD PLANS,(3B FTG) INSIDE P/L Owner: OSULLIVAN THOMAS E TR T E & H V Contractor: VALLEY MASONRY Architect OSULLIVAN FAMILY T Address : 2449 BAMBOO ST Address': 264 NORTH.. SHAFFER Address NEWPORT BEACH, CA 92660 ORANGE, CA 92866 Phone : Phone: (714):488-6393 Phone: '- Con State Lie : 390882 <.; State Lie Lie Expire : 01/31/2023 Applicant: VALLEY MASONRY Bus Lies BT30052400 : Engineer: Address : 264 NORTH SHAFFER Bus Lie. Expire : 09/30/2023 Address: ORANGE, CA 92866 Phone: (714) 488-6393 ° Workers'- Compensation Insurance Phone: Owner/Builder . Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: -: Carrier:: EMPLOYERS COMPENSATION INSURANCE COMPANY No: EIG1.57791610 Designer: Expire : 10/1/2022 Address Phone: VALLEY MASONRY 264 NORTH SHAFFER ORANGE, CA 92866 (714)488-6393 2019 Fire Sprinklers : NO Construction Valuation : V-B Fire Hazard Zone : " NO Added/New/TI sq. ft. Bldg U No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage: Front: 10, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: CITY STANDARD PLANS INSIDE P/L Pit- n urke/s c.,;A $10,000.00 0 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 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 is permit to fife 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 arty applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usiness 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 sate. 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 n roved for the purpose of sale). 1, 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 �Iply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legalll 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 taw, Section 7044 of the Business and professions Coda, isavailable uponrequest when this application issubmitted or at the following Web site:http:llw .leginfo.ca.govicalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION p� hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000 us of Division 3 of the Business and Professi�i�"T nse is in full force nd effect License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION TANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO OOLLARS M100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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, forth erformance of the workfor which this permit is issued. Policy No. 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' carder and policy number are: ne of Agent certify that, in the performance if I should become subject tq.l tature o€Aaolicard i Policy Number Expiration Date work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensationlaws of California, and agre kern' compensation provisions of Section 3700 of the tabor Code, I shall forthwith comply with those provisions. . 9�7 _----- Date 1;? 7 !reby 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) ider's Name Lenders 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 or ' Cos and state laws relating to building construction. I authorrze representatives of this oily or county to = er a abgveddengfiqd property for inspection purposes. ACTION .... •a aa• • • • �r MIT FXPIFED • PtRMiT CANCiELL-LEE-C-.� PLf+fR(7 EXT tint ED • lbfRMIT FINAL ... • • EMTIFICA7EiiF re• co � c a a 0 c •cea•• ee c BY REGULATIONS PART 51 OF TITLE AG AND AOMD RULE TO TO FOR