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Home My WebLink AboutXR2022-2055 - Permits�aWPoRr City of Newport Beach o`r @ Community Development Department -Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq«roxN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2022-2055 Plan Check No: 2110-2021 Issued Date : 07/29r/2_022 Inspection Area : (o 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: 21 HARCOURT Legal. Desc Description: **CHANGE OF CONTRACTOR** SFR RETAINING WALL 18 HIGH 16 LF, BLOCK WALLS 6' HIGH MAX X 24 LF (INSIDE P/L) & ELEC FOR PREFAB SAUNA, GAS FOR FIRE PIT Owner: SUCHARD TALMOR TR Contractor: CALIFORNIA GENERAL BUILDER Architect: Address: 21 HARCOURT NEWPORT COAST, CA 92657 Address: 806 GREENWOOD AVE E LA HABRA, CA Address: 90631 Phone: Applicant Address Phone: Phone:` (714)331-7643 Phone: ' Con State. Lie : 1043991 State Lie RAFAEL AHUEJOTE : Lie Expire.: 09/30/2022 32303 CARRIBEAN DR DANA POINT, CA Bus Lie: 'BT30049920 92629 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Owner/Builder : C Address Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: art at . Policy No: EXEMPT W. C. Expire: 2019 Fire Sprinklers : NO Fire Hazard Zone : U No of Units : 1 No of Stories • SPECIAL CONDITIONS: **CHANGE PERMIT X2021-2447 (CHANGE OF CONTRACTOR)** Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone : (714) 630-6100 Designer: Address Phone: Construction Valuation : $0.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg Added/New sq. ft. Garage : 0 > > V q 3 > ° . > .. ° . ° °. • ••ese ••eee •es•e, •es•s• ••ss• I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placednext t0 the applicable item(s) iecdon 7031.5, Business and Professions Coda: 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 1e permit to IRS a signed statement that he or she is licensed pursuant to the previsions 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 licensure 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 li :it more than five hundred dollars ($500). 11, 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 7D44, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the provements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner•Bullder will have the burden of proving that It was not built or oproved for the purpose of sale). 1, 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 py°fir 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: - y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to Completion of the improvements Covered by this permit, I cannot legally all a structure that I have Will as an owner-buRder 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!/www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am lcereed under provisions of Chapter (Commencing with Seon 7000) f viyion 3 f the Business and Professil a license is in full force nd effect. License Class License No Date Contractor Signature )c I ORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S%iM OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES, 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for (h erformance of the work for which this permit is 'issued. Policy No. ]I have and wits 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 Compensator Issrance carrier and policy number are: Policy Number Date is of Agent rnone n certify that, in the performance of the work for which this permit is issued, I shall not am ploy any person in any manner so as to become subject to the workers' compensation laws of California, and Agra if I should become subject to the works compensation provisions of Section 3700 of the Labor Code. I shall forthwith Comply with those provisions. Iature of Applicant Date,-)„C areby 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). Lder's Name Lender's Address my signoUge below, I oertify to each of the following: I am3.he Wi prty owner or authorized to act on the property owner's behalf. I ha)hr9ad this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws retailing to building construction. I authorize representatives of this city or County to egjvz abov ntified property for inspection purposes. _ _ .i _ Kati a h _.._ -. .. ..___..___.,_.,____ Y�.... DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • • • • R€GULA11ONS PART 61 OF TITLE 40ANO AOMD RULE •••e ietn PTRM-- CAatl:LED EPA All required alarms, latches gates and fences which serve as part of a poollspa barrier, shall --- ENDED OMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMIPEAMITFIOh- ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool. CERTIFTC•A7E &F PROPOSED OF LI O OCCUPANCYUSU€D SIGNATURE: