HomeMy WebLinkAboutU2024-5039 - PermitsagWpORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : U2024-5039
0� @m Community Development Department- Building Division U 2 0 2 4 5 9 3 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 05130/2024
newportbeachca.gov/civic Final Date:
°9uroa"`P Combination Type- r-,�,y^^'."[�r�'4 "''j Permit Status: Issued
Work Class - Addition/Alteration d ., L:"a 1 t Inspection Area : 3
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: 1821 LEEWARD LN Legal Desc : N TR 4463 BILK LOT 16
Description: SFR ALT SITE DRAINAGE AND R/R BLOCK WALL V HIGH MAX BY 7' LONG *INSIDE P/L* PER CITY STANDARD PLAN
Owner:
LUIS & SUSAN PUNCEL
Address :
1821 LEEWARD LN
NEWPORT BEACH, CA 92660
Phone :
(194) 940-0616 x7
Applicant:
CODY STEVEN KLEEMANN
Address :
1968 S COAST HWY, 570
LAGUNA BEACH, CA 92651
Phone:
(949)919-0339
Owner/Builder :
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Contractor:
LIFETIME OUTDOOR LIVING
Architect:
Address :
1968 S COAST HWY, 570
Address:
LAGUNA BEACH, CA 92651
Phone :
(949) 919-0339
Phone:
Con State Lic
: 1116657
State Lie
Lie Expire :
02/28/2026
Bus Lie:
BT30084457
Engineer:
Bus Lie Expire : 05/30/2025
Address
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT -NO EMPLOYEES
Policy No:
EXEMPT
Designer:
W. C. Expire:
Address
Phone:
2022 Fire Sprinklers :
Fire Hazard Zone
U No of Units :
No of Stories
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Add/New sq. ft. Garage:
TOTAL sq. ft. :
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
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$12,000.00
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OWNER -BUILDER DECLARATION
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 checkrnark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Arty 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
ie permit to file 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
professions Code) or that he or she is exempt from hoansure 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
at mare than five hundred dollars (E500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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 bunt or
nproved 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' State License Law does not
pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 legalh
all 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 applicable law, Section 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted orat the following Web site:http:liwww.leginfo.ca.gov)calaw.htmi.
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Divi ion &of the Business and Profession Co e, a d'my license is in full force
nd effect. License Class License No Date .�i-ls Contractor Signature >
VORKERS' COMPENSATION DECLARATION
'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE LS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOU DOLLARS ($100,000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
erformance 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 permitis issued. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent Phone IN _
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 become subject to the workers' compensation laws of California, and agre
I, if I should become subject to the yvorke. 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant"�/ _ Date U /�
CLARATION RE CO STRUCTION LENDING AGENCY'
!reby affirm under penalty of pe iury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property nwner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agrea to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize reoreeentctives of this city or county to ente her abgve-idpitified property for inspection purposes. //yN P �� 7�
I,atura of Propenv Owner or Authorized Agent Print PropertypyOwner's or Authorized Agent's Name le—t Date 2
FOR OFFICE USE ONLY
i REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICATION TO
Pcl.ilii. :XP1RED
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