The URL can be used to link to this page

Home My WebLink AboutXR2022-2054 - Permits�,eWPoRr City of Newport Beach II III IBI I III II I III I IIII II II COMB Permit : XR2022-2054 o� @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plats Check No : 2110-2021 U .Y Permit Counter Phone: (949) 644-3288 H7 Issued Date : 07/2912022 e� Inspection Requests Phone: (949) 644-3256 �9iiFoaN�P newportbeachca.govlinspections Inspection Area Combination Type - SFP 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: 21 HARCOURT Legal Desc : Description: **CHANGE OF CONTRACTOR** SFR REMOVE PART OF GARAGE TOCREATE,CA RM (NON CONDITIONED) 117 SF AND PATIO COVER 140 SF 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: .Phone: (714)331-7643 _ Phone: :Con State tic : 1043991 ;. State Lic Applicant : RAFAEL AHUEJOTE Lic Expire : 09/30/2022 Address : 32303 CARRIBEAN DR DANA POINT, CA Bus Lic : - BT30049920 Engineer: LACHER TODD 92629 Phone: Bus Lic Expire : 04/30/2023 Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 ''- Workers' CompensationInsurance Phone: (714) 630-6100 Owner/Builder : Carrier: Address : ` Policy No: .. EXEMPT Designer Phone: -:= W. C. Expire: Address ,..Phone: Code Edition : 2019 -Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : Fire Hazard Zone : Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 - - Alteration sq. ft. Bldg : Bldg Height: No of Stories ; .Added/New sq. ft. Garage: 0 aeon + Building Setbacks: + yJaa a Flood Zone: pOa+ a Use Zone: as 21T oo a o PROCESSED BY: SPECIAL CONDITIONS: CHHANGE PERMIT X2021-2448 (CHANGE OF CONTRACTOR) oa + a 0 + a ° va OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.b, 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 Ilia applicant for Ilia permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chaplar 9 (commencing with $action 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). - 0 I, as owner olthe property, or my employees with wages as their sole compensation, witi do (_) all of or (_) portions of the work, and the structure Is not intended oroffered for sale (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emplayees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comply€Ion, the Owner -Builder will have the burden of proving that It. was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectimi 7044, Business and Professions Code: The ContractorsState License Law does not apply 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). I am exempt from licensors under the. Contractors' State License Law for the following reason _ _ By 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 (his permit, I cannot legalh sell 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:htip:f/www.laginfo.ca.gov/caiaw.html. Signature of Property Owneror Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000�af oivis'an 3 of the Business and Professi tle, an ny license is in full farce and effect. License Class License No Date f Z? Z2 Contractor Signatureet�.�I WORKERS'COMPENSATiON'..DECLARATION WARNING: FAILURE TO SECURE WONRERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT" EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($190,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES., t herebby affirm under penalty of perjuryane of the foilawing declarations: I have and will maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of Industrial Relationsas 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: Policy Number Date Name of Agent rrnone n I certify that, in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and agre, that, if I should become subject to the /Vrw, rkers_' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant C- ,_,^ Dala,W1- F? /Z� DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 7 1 hereby affirm under penalty of perjury that there is a construction lending agency -for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code), Lenders Name Lender's Address By my signature. below, I certify to each of the following: I ary t"property owner ar authorized to act on the property owner's. behalf. ,`r • • •La Ti7Isar!•this application and the information I have provided is correct. • ;reeiComply with all applicable city and county Ordinances and slate Yaws reteling to building construction.authOnr arepresentativesfthis cityorounty io enter the a ve-identified property for Lnspea IpuMasss.turQofPro e Owner orAufhorizedA ent ,+' PontPTo a Owners orAuthorizetlA e,V,Name 4f^�C ,4,�T-r= Dete�� 921 • ACFIOfe re DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY e ••e• •••• • REGULATIONS PART 64. OF TITLE 40 AND AQM D RULE •ee•e 1403 ••ee•• PEROILTIMPfflec) _ i 5UBMITTED ASBESTOS NOTIFICATION TO •eeeee All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT cANOECLED EPA PER,Rfi.j')'T EXTENDED RMIT L1AOM0 be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the PEnigPTMN�1 CERTjFICATE OF .. �.._-..__ ASBESTOS NOTIFICATION IS N,PTAPPLICABLE TO PRO POSED DEMOt, B •eeeee • •See life of the pool.