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Home My WebLink AboutXR2023-1172 - Permits�EWPORr City of Newport Beach 111111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-1172 Community Development Department - Building Division X R 2 0 2 3 1 1 7 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1041 Permit Counter Phone: (949) 718-1888 Issued Date : 05/05/2023 u r .�,.., newportbeachca.govlcivic Inspection Area : 6 CqC/FD0.N�P Combination Type - SFP ELEC PLUM 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: 2701 HARBOR VIEW DR Legal Desc : N TR 2202 BLK LOT 53 Description: SFR EXTEND POOL ENCLOSURE BLOCK WALL 5' HI X 2' L, NEW POOL ENCLOSURE BLOCK WALL 5' X 30' CITY STANDARD. GAS/ELEC FOR BBO Owner: DURHAM JENNIFER E TR J E Address: 2701 HARBOR VIEW DR CORONA DEL MAR, CA 92625 Phone: Applicant: HUNTER James ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone : (949) 315-1511 Owner/Builder : Address : Phone Contractor: URBAN LANDSCAPE MAINTENANCE Architect INC Address : 895 DOVE ST 3RD FLR Address NEWPORT BEACH, CA 92660 Phone : (949) 637-8767 Phone Con State Lie : 962251 State Lie Lie Expire : 06/30/2023 Bus Lie: BT30079582 Engineer: Bus Lie Expire : 08/31/2023 Address Workers' Compensation Insurance Phone Carrier: TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4105863 Designer W. C. Expire : 6/3/2023 Address Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : 0 Building Setbacks : Front: 21, 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: Phone: LACHERTODD 1201 N TUSTIN AVE ANAHEIM, CA 92807 (714)630-6100 Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg: Added/New sq. ft. Garage TOTAL sq. ft. : $10,000.00 0 0 0 I hereby affirm under penally 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 the permit to file a signed statement that lie or she is licensed pursuant to the provisions of theContractors' State License Law (Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code) or that he or she is exempt from licensureand the basis for the alleged exemption_ Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with swages as their sole compensation, will do (—) all of or C_) 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 properly 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 the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code; The Contractors' Stale 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), ❑ 1 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 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 undorstand 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:(1www.leginfo.ca.gov/colaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 a ision 3 of the Business and P of s' IS, and my license is In full force and effect. License Class License No Date Contractor Slgnat NORKERS' COMPENSATION DECLARATION 1 jm NARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP To ONE HUNDRED THOUSAND DOLLARS [51 OBA00), oOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOB OF THE LABOR CODE, )NTEREST, AND ATTORNers FEES, IN AODn'ION TO THE hereby affirm under penalty of perjury one of the following declarations: B,�J I have and wili 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 th mancaof the work for which this permit is issued. Policy No. 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' carrier and policy number are: is of Agent _ certify that, in. the If I should bacon Policy Number Expiration Date 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 Its orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Z,D 3 CLARATEON REGA D� 1�0 STR.UCTIGN LENDING AGENCY 'r�— !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, Civil Code). ides s Name Lender's Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the Information I have provided its correct. I agree to comply with all applicable city and county ordi ances and state laws relating to building construction. I authorize representatives of this City or count to a ove-identified property for inspection purposes. )� kn l I, i. P ,� / Jh 1 nature of ProDelty Owner Or Aulhnn,eri Ananf/ Y �(� o.:.,, ..,__......,. _ __ ...- _... .. .. DATE: BY I/ \1ISECLARATION'. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULF. PERMIT PERMIT EXTENDED 1 O PERMIT FINAL ESTO5 O TION I5 NOTAPPLICAeLE TO lCATf OF OPOS£drE OCCUPANCYISSUEA 41VI pP/