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Home My WebLink AboutXR2023-0572 - PermitsagWPORr City of Newport Beach 4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 Requests Phone: 644-3255 oq(/roR��P Inspection (949) newportbeachca.gov/inspections Combination Type - SFP Work Class - Other ��1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0572 Plan Check No : 2295-2019 Issued Date : 0311612023 Inspection Area : 8 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 : 1113 KINGS RD Legal Desc : N TR 1219 BLK E LOT 31 Description: SFR `ADDITIONAL SCOPE` BLOCK WALL ON TOP OF EXISTING RETAINING ALL 42" HIGH X 53 LF (REV2023-0393) Owner: REED GREGORY IRA TR CMGI TR Address : PO Box 1245 NEWPORT BEACH, CA 92659 Phone: Applicant: RYAN BURRESS INC Address : 246 CATALINA DR NEWPORT BEACH, CA 92660 Phone: (714)975-1434 Owner/Builder : Address : Phone Contractor: RYAN BURRESS INC Address : 246 CATALINA DR NEWPORT BEACH, CA 92660 Phone: (714)975-1434 Con State Lic : 946479 Lic Expire: 12/31/2024 Bus Lic: BT30053605 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: WESCO+INSURANCE+COMPANY Policy No: WWC3575983 W. C. Expire : 3/24/2023 Architect : Address Phone: State Lic Engineer: FORBES DALE L Address : 1800 E 16TH ST #B ' SANTA ANA, CA 92701,' Phone: (714)835-2800 ' Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : 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 : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: �� Ci - $15,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors* Slate License Law for the resson(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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or J 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. 11, however, the building or improvement is sold within one year of completion, the Owner -guilder will have the burden of proving that It was not built. or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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, Icannot legali) sell a structure that I have builtas an owner -builder if it has not been constructed in its antiroty 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:/iwww.legiofo.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 Section 000}a j Isio of the Business and ProfessionC de, Icense is In full force and effect. License Clars License No Date — I Contractor Signature WORKERS' COMPENSATION DECLARATION NI RNING: F 41LURE TO! SCUFF WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTOONE HUNDRED THOUSAND DOLLARS (6100p00), IN ADDITION TO THE COST OF COMPENSArON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ' ha -e and w'il mil -rein 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 th' mance of the work or which this permit is issued. Policy No. 'Cand will maintain workers' compensation insurance, as required by Section 37CO of the. Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior InFcmre, carrier and policy number are: Policy Number of f.gent Date Gen iffy, that, in the performance of the work for which this Ipermit Is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and , it : „hould bs=D ie subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply whin those provisions. Tature of Applicant N-710 Data tBCLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade). enders Name Lender's 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 and the information I have provided is correct. I agree to comply with all applicable city and county crd" j state laws relating to building construction. /T I authorize representatives of this city or coun to nth a v -I led .open), for inspection purposes. ' �i ! 't/�, is lature of PrODerty Owner or Authorized Auent Print Property Owner s or Authorized Anents Nam�'I'jn/ w6 \ `L I 'ram` ACTION DATE. BY / I DELCARATf OF CO IANCE WITit CODE OF FEDERAL FOR OFFICE USE ONLY s REGULATI N5 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EkTENOEO PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ON TO NOTIFICATION 15 NOT APPLICABLE TO