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HomeMy WebLinkAboutXR2023-0586 - PermitsCity of Newport Beach �":"WPoRT D d Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °qcr Fr�r,a`' newportbeachca.gov/inspections Combination Type - SFP Work Class - Other jjiI��III��III 1111111111111111111111111111111111111111111jjCOMB Permit: XR2023-0586 Plan Check No : 1756-2021 Issued Date: 03/15/2023 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 : 63 CAMBRIA DR Legal Desc : N TR 7844 BLK LOT 122 Description: DELTA 3 - RETAINING WALLS 3' - 6' MAX x 75' (REV2023-0405) Owner: SIRE II LLC Contractor: MONTESANTOS BUILDERS INC Architect Address : 7642 W IRVING PARK RD Address : 17 TIBURON BAY DR Address NORRIDGE, IL 60706 CDM, CA 92625 Phone : Phone : (949) 239-2022 Phone Con State Lic : 1077463 State Lic Lic Expire : 06/30/2023 Applicant : ROD JEHEBER Bus Lic : BT30076141 Engineer : REZAEI ALI Address : 410 32ND ST Bus Lic Expire : 08/31/2023 Address : 18021 SKYPARK CIR #E2 NEWPORT BEACH, CA IRVINE, CA 92614 Phone: (949) 723-4393 Workers' Compensation Insurance Phone: (949) 466-9394 Carrier: Owner/Builder : Policy No: EXEMPT- NO EMPLOYEES Designer : ROD JEHEBER Address : W. C. Expire: Address : 410 32ND ST NEWPORT BEACH, CA Phone: Phone: (949) 723-4393 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 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 : Front: 6, Side: 5, Rear: 30 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: o SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that t am exempt from the Contractors' State. License Law for the reason(s) Indicated below by the checkmarles) 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 To 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 of the Business and professions Cade) or that he or she is exempt from licensors 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 tot more than five hundred dollars ($500).. 1 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 forsale(Section 7044, Business 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 mprovements are not intended or offered for sale. It, 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 mproved 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 the Contractors State License Law). I 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 legaily ,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 copy of the applicable law, Section 7044 of the Business and professions Code, is available upon request when this application is submitted prat the following Web site:htip://www.leginfo.oa.goWcalaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLA.RATtON hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000).0' Dr "sio»3,of the Business and P ate s C rt a fs in full force and effect. License Class License No Date .i Contractor Signal r NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CHMNAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,0001, IN ADDITION TO THE :DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION aT0$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I 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 the )erformance 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' compensation nsurence carrier and policy number are: nor Policy Number Expiration Date q of Agent Phone i6 i c rtify that, in the performancethis permit is issued, !shall oat. amplay any parsonin any manner so as to become subjBCt to ihaworkars' Compensation taws of California, and agra5 hat, if I should become subject tIon provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions>i lure of Applicant Dat )ECLAttATfGN REGARD GNG AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for they performance of the work forwhich this permit is issued (Section 3097, Civi Code), _enders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the. property owner's behalf,' I have read this application and the information I.have provided is Correct. I agree to comply with all applicable city and county or s and st a S relating to building construction.✓ I authorize representatives of this city or coup j o I nt roperty for inspection purposes. �.S l 23 ii nature of Property Omer or Authorized Agent Print Pra ert. Owner's or Authorized Agent s Name C371E.�" G Date ACTION t DATF. 9773 DFC OF eOMPLIANCE WITH CODE OF FEOERAL FOR OFFICE USE ONLY ? RFGULAION5. PART 61 OF TtTLF 40 AND AQMD RULE 1403 PERMIT FXPIREil _ ISURMITTED ASBESTOS NOTIFICATION TO PERMIT I'AACFiI ED___ ci'A PERMIT EXTENDED OCCUPANCY ISSUED /S-a3 SIGNATURE: QUAOLI'1ON 10N'S NDT APFLtCA9'.E TJ O