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HomeMy WebLinkAboutXR2024-0304 - Permits��EwPoRr City of Newport Beach II� III I IIII IIII IIIII IIIIIIIIIII III II II COMB Permit : XR2024-0304 d Community Development Department- Building Division X R 2 0 2 4 0 3 0 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0248 Permit Counter Phone: (949) 718-1888 Issued Date : 0210712024 newportbeachca.gov/civic Final Date: , Combination Type- Permit Statu-:lssued 1 - �" Work Class - Other Inspection Area : 6 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 : 545 HAZEL DR Legal Desc : N TR 673 BLK BLOT 15 Description: SFR ALT (E) CMU WALLS, RAISE HEIGHT TO 42" MAX BY 122' LONG AT FRONT. ALT (E) HARDSCAPE/DRAINAGE. *STOP WORK 123-4369* (XR2023-2192) Owner: SHOBHAL PATEL Address : 545 HAZEL DR NEWPORT BEACH, CA 92625 Phone: (714)403-9419 Applicant: ALEXANDERORDORICA Address : 250 BAKER STREET, STE 300 COSTA MESA, CA 29626 Phone: (562)331-6014 Owner/Builder : Address : Phone Contractor: R D M S INC Address : 250 BAKER ST E, 300 COSTA MESA, CA 92626 Phone: (714)546-1130 Con State Lic : 815872 Lie Expire : 12/31/2024 Bus Lie: BT30008726 Bus Lie Expire : 02/28/2025 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No : 7600015443221 W. C. Expire : 9/1/2024 Architect Address Phone: State Lie Engineer: JOHN DINH TRAN Address : 11251 GARDENAIRE LN GARDEN GROVE, CA 92841 Phone: (714)815-2356 Designer Address 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 : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Front: 5, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential I D NO CONSTRUCTION NOISE atazaaY.ya.111yA SPECIAL CONDITIONS: ON SATURDAYS OWNER -BUILDER DZCLAR�,ATkON _ € hereby affirm under pe0alty of periL= y lnat t am exempt -from the Contractors' StateLicenseLaw for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prier to i% issuance, also requires the applicant for In 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 'rafessions Cods) or that he or she is exempt from licensure and the basis for the alleged exemption Any violation of Section 7031.3 by any applicant for a permit subjects the applicant to a civil penalty of at mere than five hundred dailcrs 1$500, _ I I, as owner of the proael.y, o. my emp oyens wilt wigas as t Heir sole compensation, will do U all of or (-) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Profession, Cod-. 1 he Comr {cilxs' State Licen 9e '_aw 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, hurtcver, the building or improvement is sold within one year of completion, the Owner-Suilder will have the burden of proving that it was not built or nprovedfor 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 ly to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors Slate License Law). i am exempt from licensure under the Contractors' State License Law for the following reasow ..___,...__ ly 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 all a structure that I have built as an owner -builder if it has not been constricted in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofasslOns Code, is available upon request when this application is submitted or at the following Web site:http O",w.leginfo.ca.gov/caiaw.htmt. lignatum of Property Owner or Authorized Agent Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commending with Section 70(30) of Division 3 of the Business and Professions Code, and my license is In full force md effect. License Class License No Date 7-1-7 j'=- ! Contractor Signature.1/—'— YORKERS' COM:PENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. ANO SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNOREO THOUSAND DGLLAAS Hu00,D0H, iN AOOrrION TO THE OST OF COMPENSATION U"AGES AS PROVIDED FOR IN SECTION VIS OF THE LIBOR COPE, 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 sethinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, For IN erformance of the work for which [his permit is issued. Policy No. _ Ei 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' componsabo Insurance carder and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ©1 certify that, in the performance of the work for which this permit is issued, I shali not employ any persona any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should become su act to the workers' compensation provisions of Section 3700 of the Labor Code, I shelf forthwith comply with those provisions. Signature of. ApplicantDate, �? n-`1 DECLARATION REGA,RLII G CbTNSTRUCT10N LDNBtNG 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 Cade), 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 and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relat[ng to building construction. I authorize representatives of this city or county to enter the above -identified property for Inspection purposes. �,,�y'`'`�➢c f Si nature of Property Owner or Authorized A ant �— Print Prn ert Owner's or Authorized Agent's Name L6Kp. iL otDate 2 ? ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR. OFFICE USE ONLY j RFGULATIONS PART 61 OF TITLE 44 AND AQMD RULE 14tl3 PERMIT EXPIRED ! I SURMITTEh ASRESTO$ NOTIFICATION TO PERMIT FINAL CERttFrGATE @F OCCUPANCY 15SUED RL u• E U4A.S&ESTOS NOTIF[CAI [ON IS NOT APPLICAPLE TQ 00 LO co N O U J~ s N y � # L � U d a a u � co m J N U U i! 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