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Home My WebLink AboutXR2024-0339 - Permits�aEwPoRr City of Newport Beach D 9� Community Development Department - Building Division y T y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 tea+ newportbeachca.gov/civic Cq</FORN`P Combination Type - Work Class - Other II XIIIRIII I III III IIIII IIII III IIIII .I. n e _ �t COMB Permit : XR2024-0339 Plan Check No: PC20Z3-2g33 Issued Date : 0210912024 Final Dale: Permit Status: Issued 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 : 1836 PORT TIFFIN PL Legal Desc : N TR 7032 BILK LOT 50 Description: SFR DEMO (E) POOL PER CITY STANDARD PLAN (METHOD A) "REV2024-0249' Owner: BEN LEBOVITZ Address : 1836 PORT TIFFIN.PL NEWPORT BEACH, CA 92660 Phone: Applicant: YORBA RIDGE CONSTRUCTION Address : 20470 VIA TALAVERA YORBA LINDA, CA 92887 Phone: (714)420-7924 Owner/Builder : Address : Contractor: YORBA RIDGE CONSTRUCTION Address: - '20470 VIA TALAVERA YORBA LINDA, CA 92887 Phone: (714)420-7924 Con State Lie : 642515 Lie Expire : 04/30/2024 Bus Lie : BT30075335 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Architect Address Phone: State Lie Engineer: LACHERTODD Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI 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: 18, Side: 5, Side: 5, Rear: 10 Flood Zone : X. Use Zone : PC- I Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed nett to the applicable item(s) (Section 7031.5, Business and Professions Code: Arty city or county (hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie Gr 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 than five hundred dollars ($500). 171 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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 that it was not built or Improved for the purpose of sale). El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D441 Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly 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' Stale License Law for the following reason: By my signature below I acknowledge that, except for my personal residancc in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall sell a structure that I have built as an own er-hoil der if it has not been con atructod in its antire ty by I tensed contractors. I undorstano that a copy of the. applicable law, Section 7044 of tha Business and Professions Code., Is aye IIs ble upon request when this application is submitted cr at the following Web sits: blip: llww'w.Ieginto. ca,govlcaIaw.html. Signature of Property 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 Division 3 of the Business and Profess{o and m7 lice a is In full force and effect. License Class license No Date--`i�-fT- Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS ($100,000), tN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3TO5 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. l hereby affirm under penalty of perjury one of the following declarations: IJ 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 th performance of the work for which this permit is issued. Policy No. MI 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 permitis issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone H 01 certify that, inthe 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 that, if I should become subject to the orkers' compen Lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ L __ Date DECLARATION REOAR 'G CONSTRUCTION NbING AGENCY I 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). Lenders Name Lender's Address By 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 andthe information I have provided Is correct. I agree to co, npq with all applicable city and county ordinances and state laws relating to building construction. I authorize rep,esentatives of this city or county to enter t eye -Ida flied roperty for inspection purposes. l5ia�Property a of Pro erty Owner or Authorized Agent Print Pro e Owner's or Authorized A eot's Name Date ACTION DATE. BY I DECLARATION. OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS FART 61 OF TpTLE 40 AND AQMD RULE _ 1403 'ERVJT CXPWEo LJ I SUBMITTED ASRFSTOS NOTIFICATION TO .._ .....__.;.—may-_ __.___............._.__._ PFA,1,}IT CANCEL!,&U l.J[FA '.. _ 77----II� .... .._._..._ PERM7T EXTENDED LJAOMfJ _ _ ....... —�. __ _ f _ 7-� __. P[R,Lfij FFNAL _ iG 1_I ASBE5105 NOI IHCAI[ON 15 N01 APPLICABLE TO CER�YOCq FIE OF 5� Z f�lZ PROPOSED DEMOLITION OCCUPANCY ISSUED MS SIGNATURE: