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Home My WebLink AboutS2022-0164 - PermitsCity of Newport Beach ¢`°EWPoRr o @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 �griFna`'�p newportbeachca.gov/inspections Combination Type - Work Class - Other tl�''tit s�ti a ,9 it COMB Permit : S2022-0164 Plan Check No : 2110-2021 Issued Date : 07/29/2022 Inspection Area : & 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 TO CREATECA 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) $31-7643 Phone: <Con State Lie : 1043991 ;, State Lie Applicant : RAFAEL AHUEJOTE Lie Expire : 09/30/2022 Address: 32303 CARRIBEAN DR DANA POINT, CA:: Bus Lie : - BT30049920 '.:Engineer: LACHERTODD 92629 - Phone: Bus Lie Expire : 04/30/2023 Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807 Workers' Compensation Insurance I: 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 Type of Construction : Fire Hazard Zone : - : Added/New/Tl 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 Building Setbacks: ••OO Flood Zone: •°•° •• Use Zone: - o • o� o n o tJ� PROCESSED BY: v o SPECIAL CONDITIONS: e• °• o 0 •• ° • • • •see. c••e• �s•sse ••s•c 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 checkmark(s) I have placed next to the applicable Items) ;Secdbn TuM.5. Business and Professions Code: Any city or county that requires a permit to construct, oiler, improve, demolish, or repair any structure, prior to Its issuance, also requires the aopflcanf for the permit to file a signed statement that he or she is ]!Ganged pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code) or that he or she is exempt from lieonsure 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 not more than five hundred dollars ($500). 71 I, as owner of the properly, or my employees with wages as their sole compensation, will do I_) all of or (_) portions of the work, and the structure is not intended oroffeied 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 the 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 dial It was not built or Ilmroved for the purpose of sale). LJ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State 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 pursuantto the Contractors' Slate License Law). 11 1 am exempt from licensure under the. Contractors' Slate License Lawfor 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 this permit, I cannot legally, sell a structure that I have built as an owner -builder If it has not been constructed In Its entirely by licensed contractors. I understand that a copy of the applies his law, Section 7044 of the Business and Professions Code, is available upon request wben this application is submitted or at the following Web sits:http.*IA v .taginfo.ca.gov/mlaw.html. Signature of Pro party 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 7000) of ivisi 3 of the Business and Professions C d m license is in full force and effect. License Class License No Date n 2`f ZZ Contractor Signature T WORKERS' COMPENSATION'. DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN.. EMPLOYER TO CRIMINAL PENALTIES AND GWIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS ($100,0001, IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El 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 Cade, for IN 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. Myworkers* carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to became subject to the workers' compensation laws of Califom]a, and agral , if I should become subject to the wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ]alure of Applicant %` Date e rll ;LARATION REGARDING CONSTR CTION LENDING AGENCY -I !reby 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). ider's Name Ai Lender's Address my signature below, I codify to each of the following: 1 aro litIm•perty owner or authorized to act on the property owner's behalf. I have, t9atl this application and the Information I have provided is correct. I alres, toleomply with all applicable city and county ordinances and state laws relating to building construction. I aillhorize representatives of this city or county to en�the�W a e-ldendhed property for inspecdon purposes. A X� e��./l,._�� Oa..,a.....e.n..ru.,..o��... e..rhhen e,.n..V.nte,,.a \, �h c�-:'e1-•t't /IGJ're- ^O' r •• BY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE. FOR OFFICE USE ONLY PUAMW.;PJIAEO 1-11 SUBMITTED ASBESTOS NOTIFICATION TO PERMlTfiiA'CEtLED LIEPA All required alarms, latches gates and fences which serve as part of d pool/spa barrier, Shall -" - --I J be in lace prior to approval to fill pool/spa & shall remain in place & be maintained for the PERA9iT EXjFJVOED ____LiAQMD p -- ' life of the pool. PCRMlT�Nsjt ASBESTOS NOTIFICATION IS NOT APPLICABLE 70 LijFICA"OE r 2-l2 Azz.. E)!'-'A-, PROPOSE DDy '��2.2'L ��