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Home My WebLink AboutXR2023-2180 - Permits��EWPoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _ s Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - ' Work Class - Other 111��III��111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-2180 Plan Check No : 2223-2021 Issued Date : 08108/2023 1 Final Date: Permit Status: Issued Inspection Area : 4 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: 4 RUE SAINT CLOUD Legal Desc : N TR 7519 BLK LOT 52 Description: DELTA 1 REVISION & ADD'L SCOPE FOR DRAINAGE PER CITY STANDARD PLAN. (REV2023-1540) Owner: BETTY B BARMAN Address: 4 RUE SAINT CLOUD NEWPORT BEACH. CA 92660 Phone Applicant: W A M CONSTRUCTION Address: 11240 MOUNTAIN AVE RIVERSIDE, CA 92505 Phone : (949) 290-1842 Owner/Builder : Address : Phone Contractor: W A M CONSTRUCTION Address : 11240 MOUNTAIN AVE RIVERSIDE, CA 92505 Phone : (949) 290-1842 Can State Lie : 781538 Lie Expire : 07/31/2024 Bus Lie: BT30024689 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: NORGUARD INSURANCE COMPANY Policy No : WIWC326396 W. C. Expire : 6/11/2024 Architect Address Phone: State Lie Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: TIMOTHY J FRANCIS Address : 15761 HUMMINGBIRD LANE HUNTINGTON BEACH, CA 92649 Phone : (714) 230-6416 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon BY: PROCESSED SPECIAL CONDITIONS: REV2023-1540 DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 'action 7031.5, Business and Professions Code: Arry 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 re permit to file a signed statement that he or she is liconsed pursuant to lire provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Tofessions 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, ,usinass 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 nprovemenls are not intended or offered for sale. If, however, ilia 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). 3 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 poly to an owner of properly who builds or improvesthereon, 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' Slate License Law for the following reason: Iy 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) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslobs Code, is available upon request when this application is submitted or at the following Web site:http:flwww.leginfo.ca.govdcalaw.htmL signature of Property Owner or Authorized Agent._.___,�__,_,.,_,_,„,_„_„„,,,__,,,� .ICEN'.SED CONTRACTOR'S DECLARATION '.. hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of D'visiS}n f the Business and Profs si sad. license is In full farce Ad effect. License Class License No Date ZBZS Contractor Signature VORKERS' COM'.PENSATION DECLARATION rARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND OOLLARB (5100,0001. IN ADORION TO TWE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain 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 the erformance of the work for which this permit is issued. Policy No. 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' carder and policy number are: of Agent certify that, in the performal , If I should become subject lature of Applicant Policy Number Date the we k 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 worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. S Dale , 03 1 ]rT DECLARATION REGARDING CO U ON 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 ender's Name Lender's Address y my signature below, I certify to each of ilia following: I am the property owner or authorized to act on the property owner's ahalf. I have read thi FFIcation and the information I have pro ' d is c rrect. I ogres to cam n'th all applicable city and county ordin ncsand ate laws rotating to building construction. 1 a a`hcrize rep s,rlalives of this city or county to enter t ov -Ide tifed property for inspection purposes. t p I ionature of Prooe tv 7 vner or Authorized AGent 1 A /� �n Print Property Owner's or Authorized Agent's Name ACTIUN PERNiT EXPIRED PERMri C1h'CELlEO PERMIT EXTENDED F, .RMv T F NAL CERTIFICATE OF CCCUPAr'CY 153U 9 zy DECLARAnON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACiMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO 1401 10 Civil Cade). Date