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Home My WebLink AboutXR2023-2073 - PermitsWPoR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-2073 0 re Community Development Department -Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1703 �u Z. Permit Counter Phone: (949) 718-1888 Issued Date : 07/28/2023 r newportbeachca.gov/civic Final Date: 4i%FonN� Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 3 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 : 1521 KATHLEEN LN Legal Desc : N TR 1806 BLK LOT 4 Description: SFR - ADD'L SCOPE (REV2023-1446) RET WALL 20" X 80' Owner: JERRY/CARA WEICHMAN Contractor : Haven Development Group, Inc. Architect : NATHANIEL RIVERA Address : 1521 KATHLEEN Address : 14271 JEFFERY RD #502 Address : 470 WALD IRVINE, CA 9261E NEWPORT BEACH, CA 92660 IRVINE, CA 92620 Phone: (949)836-1854 Phone: (949)677-0322 Phone: (949)450-0093 Con State Lic : 827901 State Lic Applicant: HAVEN DEVELOPMENT GROUP, INC Lic Expire: 01/31/2024 Address : 14271 JEFFERY RD, 502 Bus Lic : ST30046360 Engineer: EOSAKUL DISSAKORN IRVINE, CA 92620 Bus Lic Expire : 02/28/2024 Address : 15 STUDEBAKER Phone: (949) 677-0322 IRVINE, CA 9261E Workers' Compensation Insurance Phone: (949) 752-1612 Carrier : Owner/Builder : Policy No : EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,500.00 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: 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: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 perrult 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 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.E by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1., 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 ContractorsState 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. I f 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). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply 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 ._,.,,, ------..... _ ....._.._ .._._... _.__. __.__-.... .......__ _ _. _._._. By my signaturo 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 soil 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 tho Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.Ieginfo.ca.gov/calaW.html. .Signature of Property Owner or 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 7000) f Divisi 3 of the Business and Profession eSdY:, and y4ic6msa is in full farce and effect. License Class License No Date Contractor Signature iWORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AMC SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AOOnION TO THE COST OF COMPENSATION, DAMAGES AS 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 for Workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of The Labor Code, for th planco of the work for which this permit is issued. Policy No. IVve 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' compensation insurance carrier and policy number are: Policy Number Date ITS of Agent _ rnone R 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 agre if I should became subje�NSTROUCTIOM mpensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .� nature of Applicant .._._w_ ___,_,__ Dale„_„ Z3/ CLARATPON REGARDINLENDING AGENCY vehy 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). ,der's Name Lorider's Address nny 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 ordinances and state lases relating to building construction. I authorize representatives of this Illy or county to enter the e-Idenilfl party for inspection purposes. nature of Property Owner or Authorized An _ * .r'7f Print Property Owner's or Autho ized Aoerv['s Name Date% ACTION I DATE I 15Y of CL7TfATVON OF COMPLIANCE WITH CODE OF FEDERAL RFGULA TIONS PART el OF TITI.E AD AND A4NID RULF. 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED A58CSTOS NOTIFICATION TO PERMIT CANCELEDix PEmwENDED y--rtPA L_IPOMD PER NRT FINAL T�I LJ ASBLSTOS NOTI E]CAI ION IS NOI APPLICABLE TO CERTIFICATE OF I/S �L'�/L� ROPOSED DEMOLITION Z OCCUPANCY ISSUED �" I SIGNATURE: _.— O to C W w Q T n..� a� � � *DTI •V O di � ® J M •O ^ Gs. 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