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Home My WebLink AboutU2024-5003 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : U2024-5003 o� A Community Development Department- Building Division U 2 0 2 4 5 0 0 3 •j' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1887 > ? Permit Counter Phone: (949) 718-1888 Issued Date : 05/1612024 newportbeachca.gov/civic Final Date: Cq��F00.N�P Combination Type - Permit Status: Issued Work Class - New 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: 2507 LIGHTHOUSE LN Legal Desc : N TR 6385 BLK LOT 17 Description: SFR BLOCK WALL 6' HIGH X 180 LF ON P/L *MARKERS ON SITE* Owi u, .TRAN Address : TUE VAN TR TI IE 1998 398 N CLARIDGE DR Contractor: R D M S INC Address : 250 BAKER ST E, 300 Architect Address ORANGE, CA 92869 COSTA MESA, CA 92626 Phone: Phone: (714) 546-1130 Phone Con State Lic : 815872 State Lic : _ - _ _ _ •-� Lic Expire : 12/31/2024 _ Applicant: R D M S INC Bus Lic: BT30008726 Engineer Address : 250 BAKER ST E, 300 Bus Lic Expire : 02/28/2025 Address COSTA MESA, CA 92626 Phone: (714) 546-1130 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INSURANCE COMPANY Owner/Builder : Policy No: 7600015443221 Designer: Address : W. C. Expire: 9/1/2024 Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: 2022 Fire Sprinklers : Fire Hazard Zone U No of Units : No of Stories Phone: NO Construction Valuation : NO Added/New/T1 sq. ft. Bldg Alteration sq. ft. Bldg : Add/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 20, Front: 6, Side: 6, Side: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit esid ntial 0 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: $38,600.00 0 0 0 0 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 checkmark(s) I have placed next to the applicable item(s) (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 applicant 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 Iicensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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. IL 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)_ ❑ 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 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), J I are exempt from Iicensure under the Contractors' State License Law for the following reason: sy, 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 all 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 th 'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpliwww.leginfo.ca,gov/calaw.html. signature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION law, Section 70" of the Business and Date hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o 3 the Business and Prof C , and m license is in tuft force nd effect. License Class License. No Dat 476ntractor Signatu€e COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: AND CIVIL FINES UP TO ONE HUNDRED LUSAND DOLLARS ($100,000), IN ADDITION TO THE 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 orrnance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Agent Date I 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 atiforma nd agree 1, if I should beckne subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applic t _ Dot z CLARATION RE ART CtlNSTRUC'TION LENDING AGENCY zreby 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). Ider's Name Lenders Address my signature below, I certify to each of the following: I am .he property owner or authorized to act on the property owner's behalf. I have read tits application and the information I have pravided is correct. I agree to comply with all applicable city and corn rdfnances and state laws relating to building construction, I ; Lthorize representatives of this city of couny t it er�pe-agWoontifled property for inspection purposes. ACTIDN DATE By YJ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR omu USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE ?,LAS"XPIRED j LJ I SUBMITTED ASBESTOS NOTIFICATION TO PEAM1T:a4NCEFE, _ {i—OEPA Pcn,ba T EXTENDED II�� -t �nQMD PENMr rFINAl O91IO1714 DL 4, ASBESTOS NpTiPtCA'fIpN IS N01"APPLICABLE tO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED RL t SIGNATURE: