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Home My WebLink AboutXR2023-1026 - PermitsE`X'PO City of Newport Beach Community Development Department - Building Division X R 2 0 2 3 1 0 2 6 COMB Permit : XR2023-1 026 �. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0916 ,2 Permit Counter Phone: (949) 718-1888 Issued Date : e5/09/2023 � newportbeachca.gov/civic cq4 voa�`P Inspection Area : 8 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 : 1406 LINCOLN LN Legal Desc : N TR 3851 BLK LOT 7 Description: SFR -BLOCK WALL TO ENCLOSE POOL EQUIPMENT 6' H X 14 LF; FRONT YARD BLOCK WALL 34" H X 17 LF & (5) PILASTER "CITY STD METHOD 3A' Owner: MATTHEW LARSON Contractor: CARROLL J W CONSTRUCTION Architect Address : 1406 LINCOLN LN Address : 702 N MILFORD ST #100 Address NEWPORT BEACH, CA 92660 ORANGE, CA 92867 Phone : Phone: (714) 290-0382 Phone Can State Lie : 780323 State Lie Lie Expire : 06/30/2024 Applicant : CARROLL J W CONSTRUCTION Bus Lie: BT30075587 Engineer: Address : 702 N MILFORD ST #100 Bus Lie Expire : 06/30/2023 Address ORANGE, CA 92867 Phone: (714) 290-0382 Workers' Compensation Insurance Phone: Carrier: STATE COMP Owner/Builder : Policy No: 1977800 Designer Address : W. C. Expire: 10/8/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $51000400 , Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 • - Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 012 SPECIAL CONDITIONS: 7 ! ^ 1� " N� 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 Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not 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 (_) 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 -Builder will have the burden of proving that it was not built or Improved for thepurpose 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 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). I am exempt from licensure under 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 bull as an ownor-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 Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/lwww. eginfo.ce,gov/colaw.html. Signature. of Property Owner or Authorized Agent v, _ �„ Date _. LICENSED CONTRACTOR'S DECLARATION //II I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ision 3 of the Business and Professio da, and fyly license is In full force and effect. License Class License. No Date 5 <v contractor Signature Otq KC WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1D0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under ormalty of perjury one of the following declarations: ❑ f h6vL and wi:l roictain 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 thn work for which this permit is issued. Policy No. , hove rind 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' compensatiol iinsurance carrier and policy number are: Policy Number of Agent Date ,,,nify 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 taws of California, and agfe t it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appli..ant _ ___ Date_ 5�R12 ?i CLt.Rt.TIQN REGARDING CON RDCTI LENDING AGENCY D,ety afirm 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 Cade). ider's Name Lender's Address my signature below. I dertify to each of the following: I am the property owner or authorized to sot on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicablecity and county ordinances and state laws relating to building.. construction. I authorize representatives of this city or county to enller " abD -Identified property for inspection purposes. 1 IIry� .,f Rr.vr.arry n,..,,ar „r A,Hhnlivwl AnA:nt I1_,l ;imi Print Prooertv Owner's or Authorized ADent's Name JDU-d l.AfZ Wv- Data ACTION PERMIT EXPIRED PERMITOANCELLED PERMIT EXTENDED PEP'N T FINAL CERTIFrCATE OF OCCUPANCYISSUED OAT; BY DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE. AO AND ADMD RULE 1/0(43 SIGNATURE: ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO FCR OFFICE USE ONLY