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Home My WebLink AboutXR2024-5879 - Permits¢'�waoRr City of Newport Beach p 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportheachca.gov/civic "<rconN` Combination Type - SFP ELEC MECH PLUM Work Class - ADDITION/ALTERATION 111��III��III 111111111111111111111111111111111111111111111COMB Permit : XR2024-5879 Plan Check No: XR2024-5879 Issued Date : 09/0512024 Final Date: 01/08/2025 Permit Status: Final 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: 2018 NAUTILUS LN Legal Desc : N TR 3763 BLK LOT 74 Description : SFR INTERIOR REMODEL OF OFFICE AND LAUNDRY 300 SF Owner: CHADWICKMANISTA Address : 4450 MACARTHUR BLVD, Suite 100 NEWPORT BEACH, CA 92660 Phone: Applicant: TOBIAS ULLMAN Address : 1935 W CLIPPER LN ANAHEIM, CA 92801 Phone: (949)350-6758 Owner/Builder : Address : Phone Contractor: TRUE HOME BUILDERS INC Address : 14 HUGHES, B204 IRVINE, CA 92618 Phone: (310) 465-4586 Con State Lic : 1073280 Lic Expire : 02/28/2025 Bus Lic : BT30074726 Bus Lic Expire : 03/31/2025 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9312844 W. C. Expire: 3/1/2025 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 1 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: Architect Address Phone: State Lic Engineer: Address Phone Designer: TOBIASULLMAN Address : 1935 W CLIPPER LN ANAHEIM, CA_92801- — Phone: (949)350-6758 Construction Valuation : $45,000.00 Added/New/TI sq. ft, Bldg : 0 Alteration sq. ft. Bldg : 300 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 Contractors' Stale 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 is 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 Irofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do Uontractors' State License Laall of or L) portions of the work, and the structure is not intendedP r offered fo r spale(Section viUed that the 3usiness and Professions Code: The Cw does not apply to an owner of property who, through employees' or personal effort, builds or improves the ro ert, p mprovemnare 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 mproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section Business and Professions Code: The Contractors' State License Law does no contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). apply to an owner of property who builds or improves thereon, and who 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: 3y 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 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 the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web sHe:http:flwww.leginfG.ca.gov/ralaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with SectionDate of Division 3 of theBusinessforce Contractor Signature Code, and my license is in full and effect. License Class License No WORKERS' COMPENSATION DECLARATION WARNING: 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 (E700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th performance of the work for which this permit is issued. Policy No. ❑1 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' compensatio Insurance carrier and policy number are: Expiration Date r,, k, _ Policy Number A ame of Agent 11 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, an lal, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Oaie_ ignature of Applicant IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the Addr ess ormance of the work for which this permit is issued (Section 3097, Civil Code). enders Name ly 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 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. Date _. nr Airthnri7ed Aaent's Name >i nature of Pro a Owner or Aumonzea A em _- ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 13 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL f ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF 1-5-ZJ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: FOR OFFICE USE ONLY