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HomeMy WebLinkAboutXR2023-1612 - Permits611 aP?City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit:XR2023-1612 0Community Development Department - Building Division X R 2 0 2 3 1 6 1 2 ` 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1478-2017 Permit Counter Phone: (949) 718-1888 Issued Date : 06/13/2023 Snewportbeachca.gov/civic Inspection Area?<„�,a.+`"Combination Type - tf Work Class - Other 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 : 602 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 4 Description: DUPLEX BLOCK WALL 36" HI X 39 LF INSIDE P/L (2") MARKERS ON SITE; USING FOOTING DETAIL 3B (WITH ENTIRE FOOTING INSIDE P/L) Owner: RICHARD WOLVERTON Address : 704 ACACIA AVE CORONA DEL MAR, CA 92625 Phone: (714)493-0434 Applicant : ALEX BRANA Address: 707 Acacia Ave Corona del Mar, CA 92625 Phone: (949)887-0477 Owner/Builder : Address : Contractor : JJJ BUILDERS Address : 1312 DOVER DRIVE NEWPORT BEACH, CA 92660 Phone: (949)307-9309 Con State Lic : 877052 Lic Expire : 04/30/2024 Bus Lic: BT30066129 Bus Lic Expire : 02/28/2024 Workers' Compensation Insurance Carrier: NATIONAL+LIABILITY+AND+FIRE+INSURAN CE+COMPANY Policy No: V9WC390293 W. C. Expire : 1/1/2024 Architect Address Phone : State Lic Engineer: Address : Phone Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 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: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: O CONSTRUCTION NOISE -,N THE WEEKEND $3,000.06 0 0 0 i hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State license Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) 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 to 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 hoansure 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 of more than five hundred dollars ($500). 3 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, lusiness 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 nproved for the purpose of sale). 1 I, as owner of the properly, am exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improvesthereon, 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' Slate License Law for the fallowing reason: ly 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 legalli ell a structure that I have built as an owner -builder it it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7W of the Business and 'rofessions Code, is available upon request when this application is submitted orst the following Web site:http:!lwww.leginfo.ca.govlcalaw,html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty ryf-perjury that. I am licensed under provisions f Cf;Optar 9 (�nyttenDing with Section 0 vi ion f the Business and Pro ss rls n �ry d my license Is In full force nd effect. License Class (j License No 4,% / S 6 Date Contractor signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIM PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,M01, IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under pe, salty of perjury one of the following declarations: (.Mev`A and *11 mx!ntain. 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, forth, ormVice of t', is .cork for which this permit is issued. Policy No. N hair; and will rralmain 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' compensatior P uranae carrier and policy number are: wider_ Policy Number Expiration Date sf�a7me of Agent Phone III JI certify that, ir, toe porformanoo of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre, hat, if I should became subject to the Is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Appicant Date f )ECL.ARATION RkuARUi G CO S RU TION LENDING AGENCY t-.amby 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 Code). -ender s Name I- Lender's Address 3y my signature below, I carlity 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances a.# state aws relating to building construction. I authorize representatives of this city or cou l y to nter the ab a -Id I led property for Inspection purposes. /� 3i nature of Property Owner or Authorized Agent ent Print Property Owner's or Authorized Agent's Name Z-V k VF'�� Date 3 ii,ACTION DATE BY DECLARK110N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED _ PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED �I(�Z.,� A .{�/L� T..y�(�,MD L7ASBESTOS NOTIFICATION 15,NOTAPPLICABLE TO PROPOSED i�EMQ1fT'0 SICNATItaE , /L