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Home My WebLink AboutXR2023-0806 - Permits�EavoRT City of Newport Beach D� Community Development Department- Building Division X R 2 0 2 3 8 g 0 g 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 q��voaN� newportbeachca.gov/inspections Combination Type - MFP Work Class - Other COMB Permit:XR2023-0806 Plan Check No : 1403-2020 Issued Date : 03/28/2023 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 : 1005 GRANVILLE DR Legal Desc : N TR 14839 BLK LOT 2 UN HOLD Description: MFR REMOVE EXIST'G CMU BLOCK WALL AND CONCRETE SLAB OUTSIDE PROPERTY LINE (REV2023-0558) Owner: KATHLEEN MCINTOSH Contractor : Architect Address : 1005 GRANVILLE DR Address : Address NEWPORT BEACH, CA 92660 Phone: Phone: Phone: �. Con State Lic : State Lic Lic Expire Applicant: KATHLEEN MCINTOSH Bus Lic: Engineer Address : 1005 GRANVILLE DR Bus Lic Expire : Address NEWPORT BEACH, CA 92660 Phone : Workers' Compensation Insurance Phone Carrier Owner/Builder: KATHLEEN MCINTOSH Policy No: Designer Address : 1005 GRANVILLE DR W. C. Expire : Address NEWPORT BEACH, CA 92660 Phone: Phone: ' Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,750.09.'..' Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Front: 3 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: T I SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori indicated below by the cheGkmark(s) I have placed next to the applicable iteirl '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 Ie 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), I, 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, usleess 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 nprovemartts 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 oved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not poly 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 licensors under the Contractors' State License Law 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 all a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu mess and 'rofesslons Code, is available upon request when this ap at n Is su mi or a th ollowing Web sitethtip:hwww.leginfo.ca.gov/Qalaw.html. 1 % let L j ignahure of Property Owneror Authorized Agent -�J �� Date r .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with 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 WORKERS' COMPENSATION DECLARATION ARNING; FAILURE C CE_URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS L$I D0,000), IN ADDITION TO THE DST OF COMPENSATION. LAMADES 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 AT nTintain 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 erform,^nce of the work for which this permit is issued. Policy No. 11 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' compensation lenience carrier aid pnlicy number are: :artier Policy Number Expiration Date area oS Agent Phone # It certify that, in ins performance 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 la,, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Igre.l,rca of Applicant_ Date- 19;'_'ARATION 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 Code). Goner's Name Lender's Address M 1y 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 ordinances and slate laws relating to building construction. i authorize representatives of this city or count. to enl the above -identified property for inspection purposes. ' I li nature of Property Owner or Authorized Agen Print Pro ere Owner's or Authorized Agent's Nam uG� 3 Date / ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED L 1 I SURMITTED ASBESTOS NOTIFICATION TO PEAM17C4NCELIED I EPA _ -_._ .TENDS.--_ ._ .. 11111177T777'''�� _ PERMIT FNTENDED �OMD PERIvI1T E AL ASBESTOS NOTIFICATION 15 Nor APPLICABLE TO CERTIFICATE Of q PROPOS_?EMOLIjkON OCCUPANCY ISSUED 7I ,W i $iGNA'lSRQ'14a li /� L