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Home My WebLink AboutXR2023-3316 - PermitsPoR, City of Newport Beach 111111p111111111111111111p11111p1111111111111111111111 jjCOMB Permit : XR2023-3316 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2837 Permit Counter Phone: (949) 718-1888 Issued Date : 03/05/2024 - newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued _- - Work Class - Other Inspection Area : 6 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: 9 CARMEL BAY DR Legal Desc : N TR 7510 BILK LOT 19 Description: SFR - BLOCK WALL 54 LF X 6 HIGH. INSIDE P/L & 21 LF X 6 HIGH, ON P/L. Owner: RUTLEDGE JOHN TR J & P Address : 9 CARMEL BAY DR CORONA DEL MAR, CA 92625 Phone Applicant: PETER ANSELMO Address: 18 AVENIDA JUNIPERO W SAN CLEMENTE, CA 92672 Phone: (631)495-5588 Owner/Builder : Address : Contractor: JESUS B BRISENO Address : PO BOX 2748 LA HABRA, CA 90632 Phone: (714)720-7268 Con State Lie : 1003661 Lie Expire : 05/31/2025 Bus Lie: BT30083777 Bus Lie Expire : 03/31/2025 Workers' Compensation Insurance Carrier: ENDURANCE ASSURANCE CORP Policy No: EAW00000128 W. C. Expire: 1/7/2025 Architect: PETERANSELMO Address: 18 AVENIDA JUNIPERO W SAN CLEMENTE, CA 92672 Phone: (631)495-5588 State Lie: Engineer: LACHERTODD Address : 1201 N TUSTIN AVE ANAHEI M, CA 92807 Phone: (714)630-6100 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/Newril sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 0 Add/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Front: 10, Side: 5, Side: 5 Flood Zone : X Use Zone: PC - Harbor View Hills 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 item(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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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 I am exempt from licensure under the Contractors' Slate License Law for the following reason: 1y 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 legally ell 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 rofessions Code, is available upon request when this application is submitted or at the following Web sfte:http://www.leginfo.ca.gov/calaw.htmi, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' compensa Trance carrier and policy number are: Policy Number Date 1e of Agent Phone # 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 if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant DE IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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 ender's Name Lender's Address ,y my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners 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 laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. licnature of PrODertv Owner or Authorized Anent Print Pronertv Owner's nr Authnri7ed Annnt'c Name Civil Code). Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 501 SU-eWITED ASBESTOS NOTIFICATION TO PERMITCANCELLED nETEPA PERMIT EXTENDED UAQMD PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ' PROPOSED DEMOLITION OCCUPANCY ISSUFD I SIGNATURE: