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Home My WebLink AboutXR2023-3019 - PermitsRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-3019 D� `y4e Community Development Department -Building Division X R 2 0 2 3 3 0 1 9 F 3�" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 _ Issued Date : 1013012023 newportbeachca.gov/civic c "'R - - Final Date: Combination Type - SFP _ __ Permit Status: Issued Work Class - Other 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 : 2615 BUCKEYE ST Legal Desc : N TR 4892 ELK LOT 76 Description: SFR ADD 6' HIGH X 9.3 LF BLOCK WALL AT FRONT YARD Owner : 2615 PCDEV LLC Address : 2615 BUCKEYE NEWPORT BEACH, CA 92660 Phone Applicant: ART KENT Address : 619 16TH HUNTINGTON BEACH, CA 92648 Phone: (714)272-1624 Owner/Builder : Address : Contractor: BRYAN PACIFIC BUILDERS Address : 125 E AVENIDA SAN JUAN -. SAN CLEMENTE, CA 92672 Phone: (714)360-4488 Con State Lic : 585047 Lic Expire : 02/29/2024 Bus Lic: BT30066161 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY COMPANY Policy No : PSIC1212002 W. C. Expire : 12/18/2023 Architect Address Phone: State Lic Engineer: Address Phone: INSURANCE .Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone t NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 - Added/New sq. ft. Garage TOTAL sq. ft. 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: REV2023-2118 $4,859.00 ' 0 ; 0 0 OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that f 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 tire permit to Fite B signed statement thathe or she Is licensed pursuant to the provisions of the Contractors' Stale iLicenso 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (£50D). ❑ I, as owner of the property., or my employees with wages as their sole compensation will do L) all of or L) 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 propertywho, through employees' or personal Effort, builds or Improves the property, provided that the improvements are not intended or offered for sale. If, however, the bul€ding or lonprovennenl is sold within one year of completion, the Owner -Builder will have ilia 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to tine Contractors' State License Law). ❑ I am exempt from licensors under the Contractors' Slate 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, 1 cannot logall^ sell a structure that I have built as an owner builder If il. has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of lbe Business and Professions Code, Is available upon request when this application is submitted or at ilia following Web site:http:1.�www.lagi'.nie,ca.ggv(oelavthtml. 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 (comrencing with Section 7006), ' isio�ji of the Business and Profession a 5-krfdlI force and affect. License Class License No Date Gv �"r— Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAIL U RE 10 SECURE WORKERS'COMPENSAT ION COVERA68 Is UNLAWFUL, AI,d SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A140 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,a0e),]N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNeY'S FEES. I hereby affirm under penally 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ili performance of the work for whleh this pernif 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.` 'once carrier and policy number are: ter / Policy Number Ex;piratlon Date rlffy that, in the performance of the wr �!{or whldh`lh� oa,'6(nit Is issued, 1 shad( not employ any poison in any manner so as to become subject to the workers' compensation lours of California, and agra if I should become subject to thew rs- mpe I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. dure of Applicant_ _. -,�, Date— DECLARATION REGARDINL8ZMSTRUGTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance cf the workforwhich this permit is issued (Section 3097, Civil Code). Lenders Name Lenders Address By my signature below, I Certify to each of (he following: 1 a,n In,- property owner or authorized to actan the property owner's behalf. I have read this application and the information i have oroviolis correct. ' ajoe :o comply With aN applicable city and county Call r}� and la aws relating to building construction. ///yyy I authorize repwsenIbUves of this city or county' e Yn d proper( for inspection purposes. ✓/ Slar3tLe o Pro Der,\ Owner or Authorized Aaen / Print Property Owner's or Authorized Agent's Na ACTION I DATE PERMIT EXVIRED I PEPob4T CANCELIED PERf. 11T EXTf,VOED PERMIT FINAL CERTI FICAT E OF OCCUPANCY ISSUED .d Z DECLARATION OF COMPLIANCE VIIITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40A,ND AON4D RULE 1403 15Uf rAITT'ED ASREST05 NOTIFICATION TO NOTIFICATION ISrI V APPUCQRI 70