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Home My WebLink AboutXR2023-0660 - Permits�6`x'PO City of Newport Beach .,jai d�Community Development Department- Building Division .:,, y100 R"', Civic Center Drive, Newport Beach, CA 92660 SPermit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 F00.�\P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other X R 2 0 2 3 0 6 6 0COMB Permit: XR2023-0660 Plan Check No : 0439-2019 Issued Date : 03/13/2023 Inspection Area : 5 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: 436 MENDOZA TER Legal Desc : N TR 1237 BILK LOT 135 Description: DELTA 13 FOR NEW THIGH RET WALL AND 4' HIGH RET WALL ON SINGLE CONTINUOUS SPREAD FOOTING (70If INSIDE PL; MARKERS ON SITE) Owner: 436 MENDOZA INVESTMENT LLC Address : 436 MENDOZA TER CORONA DEL MAR, CA 92625 Phone Applicant: 436 MENDOZA INVESTMENT LLC Address: 436 MENDOZA TER CORONA DEL MAR, CA 92625 Phone: Owner/Builder: 436 MENDOZA INVESTMENT LLC Address: 436 MENDOZA TER CORONA DEL MAR, CA 92625 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No; W. C. Expire: Architect: LARRYHALONEN Address: 26432 EL MAR DR MISSION VIEJO, CA, 92691 - _ -••- Phone : (949) 682-5960 State Lie : C008526 Engineer: TRAN PETER Address : 19771 LOS PINGS DR ' WALNUT, CA 91789 Phone: (626) 367-0258 Designer: Address Phone: 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: 5, Front: 15, Side: 6, Side: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: _?_V�_ SPECIAL CONDITIONS: $30,000.00 0 0 0 ltYYrYGR.'o YILVL•\ uwa. I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable ftem(s) 3eetion 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 or o 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 rofessions Code) 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiri 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 nprovements 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 n roved for thepurpose 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' Stale License Law does not pply 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 I am exempt from licensure under the Contractors' State License Caw for the following reason: y 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 legal' oil a structure that I have built as an owner -builder it It has t. an constructed' its entiroty by lice a ontractors. I understand that a copy of the applicable law, Section 7044 of the usin s and 'rofessions Code, is available upon request whe i. sap Ic on i bmi r t the f o n e:http:flwwwleginfo.ca.govlcalaw.html. 2 t •23 ,Ignature of Property Owner or Authorized Agent _ Dat .ICENS£D CONTRACTOR'S DECLARATI N hereby affirm under penalty of perjury that. I am licensed under previsions of Chapter 9 (commencing Section 7000) of Division 3 Of the Business and Professions Code, and my license is In full force nd effect. License Class License. No Date Contractor Signature VLkKERS' CCMP--N.SATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I6100DOn' IN ADDITION TO TH o5T or COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm u. Eder o+nalty of perjury one of the following declaratlons: I I have and will maintain a carli ficate 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, fort] erformance of the wor4 for which this permit is issued. Policy No. JI 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' compensati< isurance carrier and policy number are: ,at - le of Agent _ Policy Number 9rxa Pe't7fy that, ii- theperfennance of the work for 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 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 tinder's 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 pro ided is correct. I agree to comply with all applicable c't and coup n e' an tat laws im t u' In construction. 9 P fy � g g I authorize representatives of this city or dount. t n r th ewe -Id I d roperty T pectlon purposes, lionaturs of Procertv Owner or Authorized Agent _ /j/V dnt Property Owner's or Authorized Agent's Nam ACTION DATE BY • I DECARATfON OF COMPLIANCE WITH Ja0E OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE �1403 PFRMtT EXPIRED L'1 I SUBMITTED ASRE5T05 NOTIFICATION TO PEPrM'iT EXTENDED _t [JAQMD PERMIT FINAL El ASBESTOS NOTIFICATION IS NOI APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUEA SIGNATURET Civil Cade).