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Home My WebLink AboutU2024-5271 - PermitseWPO City of Newport Beach pCommunity Development Department- Building Division 4,4, 100 CivicCenterDrive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ewportbeachca.gov/civict Combination Type - Work Class - Addition/Alteration II IIII0 2I III III IIIII�2I IIIIIIII COMB Permit : U2024-5271 Plan Check No : PC2022-2502 Issued Date : 09/1012024 Final Date: Permit Status: Issued Inspection Area : 5 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 : 603 ACACIA AVE Legal Desc : N TR 682 BLK LOT 64 Description: DUPLEX BLOCK WALLS AT FRONT 3.5' H BY 50' LF INSIDE P/L'MARKERS ONSITE' PER CITY STANDARD PLAN. (XR2022-2667) Owner: LA21G LLC Address : 26880 ALSO VIEJO PKWY, 200 ALSO VIEJO, CA 92656 Phone : (949) 463-1328 Applicant: NELLIE MONTEJANO Address : 26880 ALSO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone : (949) 669-5118 Owner/Builder : Address : Phone : Code Edition: 2022 Type of Construction : Occupancy Groups: U Bldg Height: Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: �s44 ft? I Contractor: THOMAS JAMES HOMES Address : 26880 ALISO VIEJO PKWY, 200 ALSO VIEJO, CA 92629 Phone: (949)354-8181 Con State Lie : 1025507 Lie Expire : 04/30/2025 Bus Lie: BT30059037 Bus Lie Expire : 05/31/2025 Workers' Compensation Insurance Carrier: TECHNOLOGY INSURANCE COMPANY INC Policy No: TWC4396303 W. C. Expire: 3/1/2025 Architect: FALESE DEBRAS Address: 2943 PULLMAN ST STE A SANTA ANA, CA 92705 Phone: (949)553-8919 State Lie : CO24900 Engineer: NGUYENHUAN Address : 15 STUDEBAKER IRVINE, CA 92618 Phone: (949)752-1612 Designer: Address : Phone: Fire Sprinklers: NO Construction Valuation : $15,000.00 Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 No of Units : Alteration sq. ft. Bldg: 0 No of Stories : Add/New sq. ft. Garage : 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Convectors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) !action 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 le 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 rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The ContractorsState 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 built or nproved for the purpose of sale). 1 I, as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code. The Contractors' Slate 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: — — — 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 ell 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 the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web sde:http:)/www.leginfo.ca.govlcalaw.html. tignature 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 � I of the Business and Prof on o e. nd I fy 1 ense is i ull torte ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAwFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTMS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 00LLARS (5100.0001• IN DITION TO THE :DST OF COMPENSATION, OAhU GES 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- 1 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 Ih .l�Ae}"�dorman�ce of the work for which this permit is issued. Policy No. ,I`hav�and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pen -nit is issued. My workers' compensaiol rance carrier and policy number are: ter Policy Number Expiration Date le of Agent Phone N certify that. in the performaPlh) f e work f r which this permit is sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agre if I should b s becl orkers' nsali0 v ons ofSection 3700 of the Labor Code. I shall forthwith comply with (hose provisions. pItature ofADale, u�xlv+.r{wr n/n ny�a,+�v,.ti v�.��...vv,• .. I hereby affirm under penalty of perjury that there is a c structio le ing agency for the performance of the work for which this permit is issued (Section 3097, ivil ode). Lenders Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is cone I agree to comply with all applicable city and c my or nc an t e la1 relating to building construction. I authorize repr�seniatives of this city or court e t r he ov lifted p any for inspection purposes. Signature of Propert Owner or Authorized A enl Pnnt Property Owners or Authorized Agent s Nam Date AC70N DATE BY V DECLARAT N OF COMPLIA C WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF T E 40 AND AQMD RULE 1403 PERMIT EXPIRcD I SUBMITTED ASBESTOS NOTIFICATION TO —PER,vfIT CANCELLED PERMIT EXTENDED QMD PEPodIT FINAL Ii(p ASBESTOS NfT1,F11CfON I OT APP ABLE TO CERTIFICATE OF I] ) -PROPOSEDDEI ULOIPANCYIS.'UED SIGNATURE: