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Home My WebLink AboutXR2023-1466 - PermitsCity of Newport Beach o� R Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ` Permit Counter Phone: (949) 718-1888 > S newportbeachca. gov/civic `,,11 11,1" Combination Type - Work Class - Other COMB Permit : XR2023-1466 Plan Check No: 21;89239699 Issued Date : 06/01/2023 Inspection Area : 3 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 : 20341 CYPRESS ST Legal Desc : N TR 706 BLK LOT 157 TR 706 LOT 157 NELY1/2 Description: SFR CONSTRUCT BLOCK WALL 23'6" LONG BY 6' MAX HIGH PER CITY STANDARD PLAN (DETAIL 3A FTG)-XR2023-0783" Owner: JARVIS JONATHAN M TR Address : 3400 IRVINE AVE STE212 NEWPORT BEACH, CA 92660 Phone: Applicant : Michael john Lofgren Address : 3095 Ginger Ave unit B Costa Mesa, CA 92626 Phone: (949)439-8053 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height: Contractor: LOFGREN CONSTRUCTION Address : 3095 GINGER AVE #B COSTA MESA, CA 92626 Phone: (949)439-8053 Con State Lic : 962889 Lic Expire : 07/31/2023 Bus Lic : BT30060150 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: NORGUARD INSURANCE COMPANY Policy No: MIWC326602 W. C. Expire : 11/9/2023 Fire Sprinklers ; NO Fire Hazard Zone : NO No of Units : 0 No of Stories : 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone: X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: _ n -3 SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address : Phone Designer: LOFGREN CONSTRUCTION Address : 3095 GINGER AVE #B COSTA MESA, CA 92626 Phone: (949)439-8053 Construction Valuation : $2,400.00 Added/NewlTI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 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 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 Professions Code) or that he or she is exempt from licensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 property 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 im 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 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' Stale 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 most have resided for at least one year prior to completion of the improvements covered by this —permitJ cannot le -gall sell a structure that 1 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 7000}o iv io 3 of the Business and Professiy e, my 86 �is in full force and effect. License Class License No Date ( Contractor Signature WORKERS' COMPENSATION DECLARATION D 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 t�t$100,000), 1N DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE. INTEREST, Me ATTORNEYS FEES. �/ hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-insuria for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ortpance 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 rance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance o work to 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 agre 1, if I should become subject k ompe b provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant .... _ _ �— . _ _ _. _ Date CLARATION REGAR G CON UCTIO - �Y - "- areby affirm under penalty of perjury that e' struction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). ART s Name Lender's Address my signature below, I certify to each o the ollowing; I am the property owner or authorized to act on the property owner's behalf. I have read tl Its application and the information I have provided is correct. I 23-ee to cornay with all applicable city and county or anc and Late laws relating to building construction. 1 authorize : ps, ty O atives of this city or county t bov d miffed property for inspection purposes. z%J��>/, / {/�� natur, of Props, ty Owner or Authorized AoeM eC Print Property Owner's s or Authorized Agent's Name o0� ! Date // ACTION k1q,00 FXPIRED DATE , BY j- PERMfT CANCELLED PART 61 OF TITLF 40 AND AOMD RLI I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL i SBESTO. CSRTIFICFTE OF (�./7 ��j PROPOSED C OCCUPANCY/SSUCC [� / SIGNATURE: TO FOR OFFICE USE ONLY