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Home My WebLink AboutXR2022-3183 - PermitsNc z City of Newport Beach <1 Community Development Department - Building Division F h 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c5r,1w" newportbeachca.gov/inspections Combination Type - Work Class - Other 111��III��111111111111111111111111111111111111111111111111COMB Permit : XR2022-3183 Plan Check No Issued Inspection onArea/: 4/2022 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 : 5 CHERRY HILLS LN Legal Desc : N TR 7638 BILK LOT 8 Description : SFR DEMO (E) POOL PER CITY STANDARD, M,0+6c1 1, Owner: BENJAMIN & KELLITRACHTMAN Address : 5 CHERRY HILLS LN NEWPORT BEACH, CA 92660 Phone: (949)463-0720 Applicant: FLUEGGE CONSTRUCTION INC Address: 27762 ANTONIO PKWY 1 #422 LAD ERA RANCH, CA 92694 Phone: (949)275-7311 Owner/Builder : Address: Phone: Contractor: FLUEGGE CONSTRUCTION INC Address: 27762 ANTONIO PKWY L-1 #422 LADERA RANCH, CA 92694 Phone: (949)275-7311 Con State Lie : 844285 Lie Expire : 0813112024 Bus Lie: BT30080202 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: Address Phone Designer: FLUEGGE CONSTRUCTION INC Address: 27762 ANTONIO PKWY L-1 #422 LADERA RANCH, CA 92694 Phone: (949)275-7311 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 0 Added/New sq. ft. Garage: 0 _ - TOTAL sq. ft.: 0 - Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone: X - Use Zone: PC - Big Canyon PROCESSED BY: ► ? .. SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item($) ;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 applicent for the 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 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 then five hundred dollars ($500). ❑ 1, 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 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 'mtprovemonts 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 'mproved for the purpose of sale).. ❑ 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 anpply 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). u I am exempt from licensure under the Contractors' Slate License Law for the following reason ,,._._.. .............. _ —.—..__ _—_—..- .�_v------------- By my signature belay 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 legall7 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:http://"Ny.leginfo.ca.govicatew.html. Signature of Property Owner or Authorized Agent T _ Date u LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) pf Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date , _ Contractor Signature WORKERS' COMPENSATION DECLARATION I NARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED TNOUSAND DOLLARS ($100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION V06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to seiNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. 131 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' compensatiol insurance carrier and policy number are: is of Agent _ certify that, in the p if I should become nature of Applicant Policy Number Date ice f 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 tot a New comp Mellon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date,/'' I hereby affirm under pen p�rj)Iry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name 11 Lender's Address By my signature below, I certify to each of the following: I am the In oparty owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comp'? with all applicable city and county ordinances and state laws relating to building construction. I authorize repreFentatives of this city or county t nter the abope identified property for inspection purposes, Signature of Pronertrized Owner or AuthoA enl n Print PropertyOwners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY it REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE f 1403 VAMIT EXPIfi O �I Su-H'MITTED ASBESTOS NOTIFICATION TO ;'J,,YPIT CANCELLED ,' Pot, IT EXTENDED JACIMD PCRfvdT FINAL�/}3 ASBESTOS NOTIFICATION ISNOTAPPLICABLE TO LRTFICATEOF OPOSED DEM UTION O�FUPANCYI'SUEP SIGNATURE: Date