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HomeMy WebLinkAboutXR2023-0967 - Permits<WF�?T, City of Newport Beach IIIIIIIilllllllllllllllllllllllllllllllllllllllllllll COMB Permit : xR2o23-0967 Community Development Department - Building Division Plan Check No : PC2023-0858 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Issued Date : 04/25/2023 Inspection Requests Phone' (949) 644-3255 Inspection Area : 2 �gcrcoa,: ° newportbeachca.gov/inspections Combination Type - Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED NOISE Job Address : 1416 DOLPHIN TER Legal Desc : N TR 1700 BILK LOT,24. SFR REMOVE (E) WALL AND STEPS TO CONSTRUCT (N) FRONT YARD RETAINING WALL 42" MAX HAX BY 72' LONG WITH STEPS INSIDE P/L Description: Owner: DAVID & JANA EWLES Contractor : Architect : Address Address : 1416 DOLPHIN TER Address : �' 4'`, ✓ `" NEWPORT BEACH, CA 92625 Phone: Phone: (714)270-7605 Phone: State Lie Con State Lie : Applicant: DAVID & JANA EWLES Lie Expire Bus Lie : Engineer : ASKARIAN KYLE Address: 17595 HARVARD AVE #C-734 Address : 1416 DOLPHIN TER Bus Lie Expire : IRVINE, CA 92614 NEWPORT BEACH, CA 92625 Phone (714) 270-7605 Workers' Compensation Insurance Phone : (310) 404-1834 : Owner/Builder : DAVID & JANA EWLES Carrier Policy No : Designer : DANIEL GARRISON MAC BETH Address : 1416 DOLPHIN TER W. C. Expire: Address : 37 PARKCREST NEWPORT COAST, CA 92657 NEWPORT BEACH, CA 92625 Phone: (949)584-4999 Phone: (714)270-7605 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25,000.00 0 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY : - SPECIAL CONDITIONS: O/B FORM ATTACHED ; Is +:zaY&-N :�.i. I hereby affirtn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate (Section 7031.5, Business and Professions Code, Any city or county that requires a permit to construct, alter, improve, demolh the permit to file a signed statement that lie ar she is licensed pursuant to the provisions of the Contractors' State License Lari Professions Code) or that he or she Is exempt from licensors and the basis for the alleged exemption. Any violation of Section no;: more than five hundred dollars ($500), IYQ'��1, as owner of the property, or my employees with wages as their sole compensation, will do all of or L) portions of. the Burr ass and Professions Code: The Contractors' State License Law does not apply to an scone argperiy who, through Drat improvements are not intended or offered for sale. If, however, the building or improvement is sold within gria year of camplDU rm�{ysroved for the purpose of sale). Ib[.1 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Bu. Sly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pu 1 am exempt from licansure 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 soli a structure that I have built as an owner -builder if it ins nstructed in its entirety by licensed contractors. I under ?rofesslons Code, is available upon request when I ap.. ca i braked or at the following Web site:hftp•/fwww.leginfo.c Signature of Property Owner or Authorized Agant _ LICENSED CONTRACTOR'S DECLARATI _____ hereby affirm under penalty of perjury that I am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Di and effect. License Class License No Date WORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a certificate of consent to sel Ansure for workers' compensation, Issued by the Director of he )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 patter nsurance carrier and policy number are: Lanier policy Number Jams of Agent certify that, Inthe performance the A a h' this permit is issued, I shall not employ any person in any manner so if I should becomes b' of to t a wo ation provisions of Section 3700 of the Labor Code, I shall forthwith c refute of Applicant neby affirm under penalty of perjury that there Is a construction lending agency for The performance of the work ider s Name Lenders Address my signature below, 1 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 proEtb'� fs QQQQQQor ct. I agree to comply with at applicable city and e nt ordins of taws relating to building construction. I authorize representatives of this city or county ente�e t1 n4ified property for inspection purposes. DATE BY ' i OFRLARATION (5F COMPLIANCE WITH CODF.OF FEDERAL FOR ouia ( REGULATIONS PART Si OF TITLE 40 AND AQMD RULE NOTIFICATION TO PERMI7EXTENDED _ _ _ ' �� 1 r�{LL1Ari—MD �_ _ PEReLf7Y FINAL j AyL..I STOSS f4C)T r1CAI I'ON IS NOT APPLICA8Lt TO CERTIFICAl"t Of 1 PROPOSED DEMOLITION 2 7V7 1 OCCUPANCY ISSUED e� _mn4v se. below by the checkmark(s) I have pieced next to the applicable items) _ or repair any structure, prior to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division of the Beams Is and )31.5 by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is not intended or offered for sale (Section 7044, ees'or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Coder The Contractors' State License Law does net to the Contractors' State License Law). to completion Of the improvements covered by this permit, I Gar that a copyof the applicable law, Sectio 7044 of the Business 'calaw.htmi. Date L 3of the Business and Professions Contractor Signature my license is in full force FINES UP TO ONE HUNDRED THOUSAND DOLLARS B400.000j., IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date IS to become subject to the workers' compeAns;ation laws of California, and ogre ply with those provisions. Dat///I ` ^ �I Z 3 � G permit is issued (Section 3097, Civil Code). ONLY