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Home My WebLink AboutXR2023-2114 - Permits�gWPORr City of Newport Beach IIIIIIIIIII III IIIII IIIII IIII IIIIIIIIIIIIIIIIIIII III II COMB Permit: XR2U2" -21 14 D4 Community Development Department - Building Division x R 2 0 2 3 2 1 1 4 > y 100 Civic Center Drive, Newport Beach,'CA 92660 Plan Check No : 115 ;-202; , v M ? Permit Counter Phone: (949) 718-1888 Issued Date : 07/3112023 newportbeachca.gov/civic Final Date: °9<,FoaN`P Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSU'ANCE'DATP NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 108 27TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 8 - Description: SFR BLOCK WALL (INSIDE P/L) 40" X 21' (MARKERS ON SITE) I Owner: CHRIS PETROSSIAN Contractor: MASONRY PLUS Architect : 1. Address : 108 27th ST Address : 1079 CORONA LANE Address NEWPORT BEACH, CA 92663 COSTA MESA, CA 92626 I Phone: (213)283-3703 Phone: (714)381-5997 Phone: Con State Lic : 553711 State Lic Lic Expire : 01/31/2025 Applicant: MASONRY PLUS Bus Lic: BT00016674 Engineer: Address : 1079 CORONA LANE Bus Lic Expire : 11/30/2023 Address COSTA MESA, CA 92626 Phone: (714) 381-5997 Workers' Compensation Insurance Phone: l Carrier: CLEAR SPRING PROPERTY AND CASUALTY CO Owner/Builder : Policy No: CWC01297800 Designer : T Address: W. C. Expire: 11/10/2023 Address : P` Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $6,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units: 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 1 Added/New sq. ft. Garage : 0 P1 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 e Flood Zone : X r. fid Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWN E R-B U I L P ER; t, E t: LAR A TI O N I hereby affirm under penafry of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next te, the applicable iterrl(sI (Section 7031.5, E usmess 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 sigaaJ 3taterant that he x shs L licensed pursuant to the provisions of the Contractors' State License Low (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). 1, as owner o*' the property, or my enrpioyees with wpges as their sole compensation, will do (_) all of or U portions of the work; and the structure Is not intended or offered for sale (Section 7044, Business and Pmiassit,ns Code: he Contactors' St..te -[Canso Law does not apply to an owner of property who, through employees' nr personal effort, builds or improves the property, provided thRt the improvements ar3 rut intended or oli for sale. Ir, ho.vever, file 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 improved for the purpose of sale)- ' ❑ 1, 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 Forst least one year prior to completion Of the improvements covered by this permit, I.Cannot legal'. sell a structure that I have built as an owner-buildor 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:llw .leginfo.ca,govlcalaw,html. 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 SeCtf6ir 700 ofqv' io 3 f the Business and Professions C and my license is In full force and effect. License Class License No a r' Contractor Sionalurerl ) 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 HUNOREO THOUSAND DONLARS (E100,0001, IN AUCTION TO THE :DST OF COMPENSATION, eAMAGES AS PROVIDED FOR IN SECTION 3TQS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby Irm under penalty of pertury one of the following declarations: VI v11 e and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for th rmance of the Work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date is of Agent Phone It certify that, in the performance 0 e work for which this permit is Issuad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and come , if I should besubject to orkers' comp Iteatloa provisions of Spyztion 3700 of the Labor Code, I shall forthwith comply with those provisions. iynalure of ApplicantDat,BL„G 2-1 [r ,2 ECLARATION R,,Pti CONSTRUCTION CV61NG Y hereby affirm under penalty of perjury that' is a cons!. n lending gency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Printer's Name Lenders Address y 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 andthe 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 above -identified property for>pection purposes. signature of Property Owner or Authorized Age: ACTION I DATE. I By OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AWAD RULE FOR OFFICE USE ONLY 7, PERMITEXPIPED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERM17CANCEl.LED CPA _ PER,YfiT EXTENDED —_.._ ___..___._�._-.rT1. OMD PERMri FIAJAL , /7 0ASBESTO5 N01"IF1CAI ION 15 NOT APPLICABLE TO JI CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: