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Home My WebLink AboutXR2023-1996 - PermitsgWPO City of Newport Beach IIII IIIIIIII 1111111111111111111111111111111111111111111 III II R@ Community Development Department Division COMB Permit: XR2023-1996 Y P P 9 X R 2 0 2 3 1 9 9 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0379-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 07/20/2023 newportbeachca.gov/civic Final Date: Cq</FO0.��P Combination Type - SFP Permit Status: Issued Work Class - Other _ Inspection Area : 2 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: 941 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 323 C t Cv �� Cl r +t ✓t }o Description: DELTA 2 & 6 SITE BLOCK WALLS. US' X 150'. MARKERS ON SITE. PER CITY STANDARD — ,r}7ee- Cif S{r.n fiq r pl . Owner: ANDREW GABRIEL Address: 419 EVENING STAR LN NEWPORT BEACH, CA 92660 Phone: Applicant: D'ARCY CHARLES Address : 18 TECHNOLOGY DR, 161 IRVINE, CA 92618 Phone : (949) 407-7760 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY Contractor: LEGACY CUSTOM HOMES INC Address : 3990 WESTERLY PL, 150 NEWPORT BEACH, CA 92660 Phone: (949)887-4750 Con State Lie : 986194 Lie Expire : 08/31/2025 Bus Lie : BT30045036 Bus Lie Expire : 10131/2023 Workers' Compensation Insurance Carrier: CYPRESS INS CO Policy No: LEWC321951 W. C. Expire: 12/2/2023 2022 Fire Sprinklers : NO V-B Fire Hazard Zone : NO U No of Units: 1 No of Stories: 2 Front: 4, Front: 10, Side: 4, Side: 4 AE, 8 FT; X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Architect : D'ARCY CHARLES Address : 18 TECHNOLOGY DR, 161 IRVINE, CA 92618 Phone: (949)407-7760 State Lie Engineer: LARSON HAROLD EUGENE Address : 1437 GLENNEYRE ST LAGUNA BEACH, CA 92651 Phone: (949)497-5203 Designer: Address Phone: Construction Valuation : $30,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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 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, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that lie or she is liconscd pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 701 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). ❑ 1, 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. If, however, the building or improvement Is sold within one year of completion, the Owner-Bullder 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 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), ❑ I are exempt from Iicersure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prim t0 completion of the Improvements covered by this permit, I cannot legal 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 thG applicable law, Section 7044 of Iho Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:!(www.leginfo.ca,goy/colaw,biml, 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 Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE -DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'9 FEES_ hereby affirm under penalty of perjury one of the following declarations: 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 the erfOrntanCe 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 permit is issued. My workers' nonce carrier and policy number are: Policy Number of Agent Date certify dial, 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 Califomla, and L if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wild those provisions. nature of Applicant __...___..'__......._..__.... —� Dale___,_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY lreby affirm under penalty of perjury that there is a construction lending agency for the performance of the workfor 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 owner or authorized to art 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 relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. of Property Owner or Authorized ACTION DATE ` BY i DECLARATION OECOMPLIANCE WITHAQMEFEDERAL FOR OFHCE USE ONLY { `REGULATIONS PART 610E TITLE 40 AND NDAQMD RULE I ! 14oa PERMIT EXPIRED I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIFCANCELLED ..._i._.._ LJEPA ....... ...... ___ t ..._..... .. .. PERMIT EXTENDED ❑AQMD.._ .._........... ..._ ....__. ._. .1. PERMiPHNAL � jLA18E5TQ5 N017NCAfIUN I5 NOI APPLICABLE TO CERTIFICATE OF -'%-1 "j ,�/L—�_ PROP05ED DEMOLITION OCCUPANCY 155UE0 SIGNATURE. Name Dale