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Home My WebLink AboutXR2023-0376 - PermitsWPo�' City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 � = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq<rcoa''�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111�m11111111111111111111111111111111111 COMB Permit : XR2023-0376 Plan Check No : 1303-2018 Issued Date : 02/0812023 Inspection Area : 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 : 219 EVENING STAR LN Legal Desc : Description : SFR DELTA 7, BLOCK WALL @ POOL EQUIPMENT 6' x 21 LF (INSIDE P/L) *renew expired permit* Owner: JONES CLIFTON Contractor : Architect Address: 219 EVENING STAR LN Address : Address NEWPORT BEACH, CA 92660 Phone: Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: JONES CLIFTON Bus Lic: Engineer Address: 219 EVENING STAR LN Bus Lic Expire : Address NEWPORT BEACH, CA 92660 Phone : Workers' Compensation Insurance Phone Carrier : Owner/Builder : JONES CLIFTON Policy No: Designer Address: 219 EVENING STAR LN W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $55.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI 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 Flood Zone Use Zone: PROCESSED BYLA SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) otion 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 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 fossions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031:S by any applicant fora permit subjects the applicant to acivil penally 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, ;iness 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 rovements 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 rovedfor the purpose of sale), V�''g owner of the property, am exclusively contracting with licensed C or. to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not to an owner of property who builds or Improves thereon, a cont*ts f the projects with a licensed Contractor pursuant to the Contractors' State License Law), i Ilam exempt from "Censure under "Be Contractors' Stat c ty�/f' signature below I acknowledge that, except form ers - ellp structure that I have built as an owner -builder if IL as no `tbfessions Code., is available upon request who, th ppl' tic Signature of Properly Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under nd effect. License Class LICE wng reason: f must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal -whrety by licensed Contractors. I understand that a copy of the applicable law, Section 704A of the Business and g following Web siteihttp:ll w .leginfo.ca.gov/calaw.ntml. 9 (commencing with Section 7000) of Division 3of the Business and Professions Cade, and my license is In full force Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN WFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN AODITION TO THE''.. aOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: 1 have and wilt 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 the )errormance of the work for which this permit is Issued. Policy No.. -11 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' compensatior nsurance carrier and policy number are: zanier Policy Number Expiration Date 4bme of Agent Phone # ffy that in the parfonnanc wor w . h 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 agree !Orr, should become subje' th work provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. :o9nature of Applicant - DaI 2 �j 27- DECLARATION REGARDI CID UC AGENCY a hereby affirm under penalty o perju th t re is a construction lending agency for the performance of the work for which this permit Is issued (Section 097, Civil Code). _enders Name Lender's Address 3y my signature below, I certify to Sao the following: I am the property owner or authorized to act on the prop e r' alf. I have read this application and the information 1 have p ad is o ct. I agree to comply with all applicable city and county - d1 cos no I to I vs relating to building construction. I authorize representatives of this city or count to nt the ova d ' arty for inspection purposes. 3i nature of Property Owner or Authorized Agent Print PropertypOwner's or Authorized Agent's Name lv Date ACTION DATE BY \,L�01AATIO OF OM P LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j ftEGUL TI ART61OFTITLE40ANDAQMDRULE i �1�44r0r33 r.� PERMIT EXPIRED ( I—SLeMITTEOA,BESTCSNOTFICAT"ONTO PERMIT CANCELLED PERMIT EXTENDED LJ;tiOMD- PERMIT FINAL -5.23 ASBESTOS NOTIFICA(ION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATULE: