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Home My WebLink AboutXR2023-1862 - Permits�EwvoRT City of Newport Beach C�, e Community Development Department - Building Division X R 2 0 2III 111111111111111111111111 1 8 2 II COMB Permit : XR2U23-1862 F 1, n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: u s Permit Counter Phone: (949) 718-1888 Issued Date : 07/1012023 .ram newportbeachca.gov/civic Final Date: F00.N�P Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 5 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: 4521 ORRINGTON RD Legal Desc : N TR 3357 BLK LOT 75 Description: SFR -BLOCK WALL (INSIDE P/L) 6' HI X 9'4" L Owner: DE GENNARO GLORIA J TR JED FAMILY TR Contractor : Architect Address : 1000 E ALESSANDRO BLVD Address : Address RIVERSIDE, CA 92508 Phone: (951)323-8455 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: DE GENNARO GLORIA J TR JED FAMILY TR Bus Lic : Engineer Address : 1000 E ALESSANDRO BLVD Bus Lic Expire : Address RIVERSIDE, CA 92508 Phone : (951) 323-8455 Workers' Compensation Insurance Phone Carrier : Owner/Builder : DE GENNARO GLORIA J TR JED FAMILY Policy No: Designer: TR Address : 1000 E ALESSANDRO BLVD W. C. Expire: Address RIVERSIDE, CA 92508 Phone: (951)323-8455 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,000.00 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: —--.—` SPECIAL CONDITIONS: 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 lthe permit to file a signed statement that be 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 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). 11 I, 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 70", Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, binds 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 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 a ply\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). 2m exempt from licensure under the Contractors' State License Law for the wing reason: By m signature below I acknowledge that, except for my person esid ce l No I st have resided for at least one year prior to completion of the improvements covered by this permit, I cannot kegall soli structure that I have built as an owner -builder if It has not on cons ru d in i a iroty by licensed aantractors. I understand that a copy of the applicable taw, Section 7044 of the Business and esslons Code., is available upon request when this a plies' n is sub. i. d or h. ollowing Web site:http:liwww.leginfo.ce.govkalaw.htmi. J+7_ 7 _ Signature of Property Owner or Authorized Agent _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed and rovisions of Chapter 9 (Commending with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FATLURE 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 AODRION TO THE COST OF COMPENSATION, DAMAGES "PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: '.❑ I have and will maintain a Certificate of consent to self insure tot workers' compensation, Issued by the Director of mdustnal Relations as provided tot by Section 3700 of the Labor Code, for thil '.. performance o1 the work for which this permit is issued. Policy No. Eli 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' compensatio insurance carrier and policy number are: Mar Policy Number Expiration Date e of Agent Phone # rtify that, in the performenc of the work which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ogre Vat i I should m becoe subj t the worker comp ation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. / �7 ure of Applicant Date--,' DECLARATION REGARDI uIS TION LENDING AGENCY T_ I hereby affirm under pena Bury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner Or authorized to act on the prope neJteac lf. I have read this application and the information I have rovidetl . I agree to comply with all applicable city and county rdinances nlaws relating m building construction. I authorize representatives of this city or county i ter the a. veied property for inspection purposes. 1' _ Signature of Pro en Owner or Authorized A ant int Property Owner's or Authorized A ot's Name Date �U ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED __ __ 1 SUBMITTED ASBESTOS NOTIFICATION TO PERAMTCANCELLED _rTEPA PERMlT C EXTENIIEII QMD PERMA'PINAL 1p / r1iL .II ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTiflLATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: ___