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Home My WebLink AboutXR2023-2312 - Permits04'. City of Newport Beach jjiIIIIIIIIIII1111111111111111111111111111111111111111 iijj COMB Permit:XR2O23-2312 Community Development Department- Building Division X R 2 0 2 3 2 3 1 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1672-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 08/22/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 2 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 : 225 VIA LIDO NORD - Legal Desc : N TR 907 BLK LOT 1059 TR 907 LOT 1059(AND NELY 10 Description: DELTA 10 - *ADDTL SCOPE* ADD BLOCK WALL 18" HIGH 90 LF ZnSidR. PJf— Owner: STEPHEN VALDER Address : 5702 MOUNTAIN VIEW AVE YORBA LINDA, CA 92886 Phone: (714)348-5450 Applicant: TONY VALENTINE CONST INC Address : 567 SAN NICOLAS DR NEWPORT BEACH, CA 92660 Phone: (949)723-6449 Owner/Builder : Address : Phone Contractor: TONY VALENTINE CONST INC Address : 567 SAN NICOLAS DR NEWPORT BEACH, CA 92660 Phone: (949)723-6449 Con State Lic : 467553 Lic Expire : 04/30/2024 Bus Lic: BT30071132 Bus Lic Expire : 02/28/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 1794693 W. C. Expire: 7/1/2024 Architect Address Phone: State Lic Engineer: DEIHIMI AMIR HOSSEIN Address : 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS, CA 92653 Phone: (949)954-7244 Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Front: 1.5, Front: 4, Side: 4 ' Flood Zone : X Use Zone : R-1 - Single -Unit Residential BY: PROCESSED SPECIAL CONDITIONS: ��a�T0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkruark(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 statemont that he or she is licensed pursuarttto 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 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 not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 tha improvements 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 improved for the purpose of sale) - 11 I, 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 laaptply 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). 1J 1 am exempt from licensore under the Contractors' State License Law for the following reason By my signature below I acknowledge that. except for my personal residence in whlch I must have resided forat least one year prior to completion of the improvements Covered by this permit, I cannot legally sell a structure that I have built as an owner -builder it it has not been constructed in [is entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:httpaiwvv✓.leglnfo.ca.gov)calaw,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 700 of,(}iyy��'siogq3 i the Business and Prof si n Cod y f se is In full force and effect. License Class License No Date • QO • o� Contractor Signature lqli:o WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100I000), t AD )ION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers compensation. Issued by the Dir%(or of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: is of Agent _ certify that, in the p , if I should become Policy Number Date 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 agre the wprkes9l eompentten provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i� 44 lignature of Applicant k1-V!_VU.1, )ECLARATION REGARDING CONSTRUC N NG AGENCY Date—_...0-0Or- V J I hereby affirm under penalty of perjury that there is a Donal toon I ing agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Code). - L.ender s Name _ Landers Address By my signature below, I certify to earn of the Pollowllg: I am the property Owner or duthouzed to act on the properly 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 r final -I and state laws relating to building. construction. I authorize rapresenta!ve- of this city o- count. to to thee i entif roperty, for inspection purposes. ••�� Signatue of pro eCy Owner or Aulnonz=d Agent Print Pro arty Owner's or Authorized A enfs Name ___ Date 8' aa• p ACTION fT OATf f BY DECLARATION. OF COM PLIRNCE N±IT ODF OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAR751 OF TITLE A 0AON1DRULE 1403 PERMIT EXPW ED @. U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAA'CELLfD EPA _..... ...... .... __ ��--TT ....._ ....... .... 3....r_...�..rnQMO,_.__ _ _... -. ___ PER+PAITFINAL /� I I LJ ASBESTOS NOTI FICA' I' ION 15 NOT APPLICABLE 10 CERTIFICATE OF I//I/ UI� PROP05ED DEMOLITION OCCUPANCY ISSUED '/ SIGNATURE:.