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Home My WebLink AboutXR2022-3208 - Permitse`�yaoR' City of Newport Beach Community IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit:XR2022-3208 CommunityDevelopment Department- Building Division vy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2505 Permit Counter Phone: (949) 644-3288 Issued Date : 12/14/2022 u Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 cg4coaa`" newportbeachca.gov/inspections Combination Type - SFP 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 : 4639 ORRINGTON RD Legal Desc : N TR 3357 BLK LOT 64 Description: SFR -BLOCK WALL W/ GLASS PANELS ON TOP (T HI BLOCK, 2' HI GLASS). 29 LF (INSIDE P/L) Owner: KEITH BUCKLEY Address : 4639 ORRINGTON RD NEWPORT BEACH, CA Phone : (714) 231-0443 Applicant: STEELE BRET/STEELE POOLS Address : 4921 E LEEDS ORANGE, CA 92867 Phone : (714) 496-1427 Owner/Builder : Address : Contractor : STEELE BRET/STEELE POOLS Address : 4921 E LEEDS ORANGE, CA 92867 Phone : (714) 496-1427 Con State Lie : 923975 Lie Expire : 10/31/2024 Bus Lie: BT30042152 Bus Lie Expire : 02/2812023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire: Architect : d Address Phone : State Lie Engineer: KOLODZIEJ KENNETH J Address : 400 E ESTHER PLACE PLACENTIA, CA 92870 Phone : (714) 996-1219 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unfit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: $5,000.00 0 0 0 t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penally of not more than five hundred dollars IS500). El 1, 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, 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 notinlended 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 the purpose of sale). El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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 hoensure 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 forat least one year prior to completion of the improvements covered by this permit, I cannot legal sell 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 Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca,gov/calaw.html. Signature, of Property Owner ar Authorized Agent � Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70� f Division 3 of the Business and Prof e�ienp'C de. In r 'cane is In full force and effect. License Class License Note / � tractor Signature WORKERS' COMPENSATION DECLARATION MARNWG: 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 f51D0,000L iN ADDITION TO THI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of perjury one of the following declarations: I 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 ti performance 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 carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ i certify that, inthe 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 agre t, if I should becume Sabi t ce ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Data CL.ARATION REG ONSTRUCTION LENDING AGENCY ?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, Cwii Code). tder's Name Lender's Address my signature below. I certify to each of ilia following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the information I have provided is correct, I agree to comply with all applicable city and countyatSfinances and state laws relating to building construction. I authorize representatives of this city or c jo PIA r a. ntifled property for inspection purposes. �'''�t/� 1 /�� n_n// /� nature of Property Owner or Authorized Ad i Print Property Owner's or Authorized Aoerl Named" ` r'"'h Tr (96A / A -J(Date ACTION DATE BY ---3-DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PEAIY1tTCAf'dCFFD EPA PERIN7T EXTENOf^ I mO.MD _` --- tON I5 NOT APPLICAtlIE 10 CERTIFICATE OF� 11 PROPOSED DEMOLITION OCCUPANCY ISSUED ! II IV III. SIGNATURE: