HomeMy WebLinkAboutXR2023-0069 - PermitsaE�waoR.*
City of Newport Beach '
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 6443288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
X R 2 0 2 3 0 0 6 9COMB Permit : XR2023-0069
Plan Check No:
Issued Date : 01/11/2023
Inspection Area : 2
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 : 813 VIA LIDO SOUD
Legal Desc : N TR 907 BILK LOT 302
Description: SFR BLOCK WALL 6' HI X 6 LF (INSIDE P/L)
Owner: ROBERT HALL
Contractor : MASONRY PLUS
Architect
Address : 813 VIA LIDO SOLID
' Address :. 1079 CORONA LANE
.:Address
NEWPORT BEACH, CA
COSTA MESA, CA 92626
Phone: (714)292-0419 .;:Pheme:
(714)381-5997
;- Phone:
Con StateLie: 553711
State Lie
Lie Expire: 01/31/2025
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Applicant: MASONRY PLUS
Bus Lie: BT00016674
Engineer:
Address : 1079 CORONA LANE
Bus Lie Expire : 11/30/2023
Address : o
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COSTA MESA, CA 92626
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Phone: (714) 381-5997
Workers' Compensation Insurance
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'' Phone:
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Carrier: CLEAR SPRING PROPERTY
AND CASUALTY
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Owner/Builder :
Policy No: CWC01297800 '.
Designer:
Address :
. W. C. Ex i.re : ,11/10/2023
Address:
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Phone:
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Phone: ° °
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Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation°:40 °
$1,2tt.dd
Type of Construction ; V-B
Fire Hazard Zone : NO
` Added/NewITI sq. ft. Bldg :
0
Occupancy Groups : U,R-3
No of Units : '`1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : >0 ,
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3
Flood Zone: AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
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PROCESSED BY:
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SPECIAL CONDITIONS:
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OWNER BUILDER, DECLARATION
I hereby affirm under penalty of perjury that I am examptfrom the Contractors" State LicenseJaw for thereason(s) indicated below by the chedkmark(s) I have placed nextto the applicable items)
cdon 7031.5, Business, and Professions Code: Any city or county thot requites;a:permit to construct, after,. improve, demolish, or repair any, structure, prior to lts,issuance,:also requires: the applicant for
permit to file a: signed statement that heorshe is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Dtufsion $of the Business an
fessions Code) or that he or she is exempt from licensors and tha basis for the alleged exemption. Any violation of'Section 7031.6 by any applicant for a permit subjects theapplicantto: a civil penalty o
more than five hundred dollars ($Sfiu .
I, as owner of the property, or my employees with wages as their sole compensation, will do :(_) all of or fJ portions of {the work, and the structure is not intended or offered for sale%(Section 7044„
dress 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
vovements 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
roved 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
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dy to an owner of property who builds or improves,tflereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors''State License Law).
I am exempt from licensors under the Comractors' Stale License taw for the following reason:
etreCL LICEnSe L,IaSS License No UaLB- / SOmrauivr: DWdwre
RKERS' COMPENSATION DECLARATION 7
KING: FAILURE TO SECURE WCRKERW COMPENSATION COVERAGE IS UNLAWFUL;: AND -SHALL sURJECT AN. EMPLOYER TO CRIMINAL PERAITIES AND LIWLF NES LIP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
rOF COMPENSATION, DAMAGES AS PROVIDER FOR IN SECTION 3706 OF THELAeOR COM WTEREST.AND ATTORNFrs FEES
eby affir under pen y_ of p�Et�'t ry�ar§e of the following declarations:
h and will matntatn a Cffflificafe of Consent to sell -insure for workers' Compensation, Issued by the Director . f Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ance, of the vllhiarowhkc i this pe rmA is issued. Policy No.
ave,and will mainjain worofts' ettmponsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensatiol
rance carderand golicy�r a mbec are;... _.
tar. ""': : .. Policy Number Expiration Date
is of Agent . ..... — Phone
certify f I soutd bedo e%ubject toe ,W<V fco Pensatia prov€s o aor which this permit is £ issued,
I� 700.of not the Labor Codeerson, I shall orthwith comply Withmannsilso as to htthose provisions makers' compensation laws of California. and Agra
whirs ofApplita �•• J p f
'LARATION Re DING. C V TION LENDING AGENCY I
reby affirm under'Wiii0of perjury tMt there is a construction lending agency for the performance of the work for wh ch this permit is issued (Section 3097, Civil Code),
rifles rdhm. - - i andoeq Addraaa
I am the
I have is
I agree t
DATE
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