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HomeMy WebLinkAboutU2024-5217 - PermitsCity of Newport Beach '^ Community Development Department- Building Division 'r 9 100 Civic Center Drive, Newport Beach, CA 92660 =.._., Y� Permit Counter Phone: (949) 718-1888 ta �\�°"11,7 newportbeachca.gov/civic Combination Type- Work Class - New 6 COMB Permit : U2024-5217 Plan Check No : PC2022-1707 Issued Date : 08108/2024 Final Date: Permit Status: Issued 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 : 708 LARKSPUR AVE Legal Desc : A TR CORONA DEL MAR BILK 738 LOT 10 Description: DUPLEX BLOCK WALLS AT FRONT OF PROPERTY 3'6" HIGH X 55 LF INSIDE P/L *MARKERS ON SITE* Owner: LA2IG LLC Address : 26880 ALISO VIEJO PKWY, STE100 ALISO VIEJO, CA 92656 Phone: (949)894-8034 Applicant : NELLIE MONTEJANO Address : 26880 ALSO VIEJO PKWY, 200 ALSO 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: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: K5 r_ SPECIAL CONDITIONS: Contractor: THOMAS JAMES HOMES Address : 26880 ALISO VIEJO PKWY, 100 ALISO VIEJO, CA 92629 Phone: (949)354-8181 Con State Lic : 1025507 Lic Expire : 04/30/2025 Bus Lic: BT30059037 Bus Lic Expire: 05/31/2025 Workers' Compensation Insurance Carrier: NATIONAL FIRE & MARINE INSURANCE Policy No: 42HBL15046602 W. C. Expire : 3/1/2025 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : No of Stories Architect : FALESE DEBRA S Address : 2943 PULLMAN ST STE A SANTA ANA, CA 92705 Phone: (949)553-8919 State Lic : CO24900 Engineer: NGUYEN HUAN Address : 15 STUDEBAKER IRVINE, CA 92618 Phone: (949)752-1612 Designer Address Phone Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Add/New sq. ft. Garage TOTAL sq. ft. : $15,000.00 0 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt tram the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) iecuon 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). 7 I, as owner of the property, or my employees with wages as their sole Compensation, will do (, all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044. usiness and Professions Code: The Contractors' Slate 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). 11. 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 poly 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 am exempt from licensure under the Contractors' Stale License Law for the following reason: _ _ ,y 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 legal) 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lvnvw.leginfo.ca.govlcalow.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affrn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section is' f the Business and Proles s o an y li e i n fl Ii f e nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($IN.000). IN ADDRIOMTo lHE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, AND ATTORNEY'S FEES. �J 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 rran once of the work for which this permit is issued- PolicyNo. e 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' componsatior ce Cartier and policy number are: amer Policy Number Expiration Date lame of Agent Phone 0 ]I certify thet. in the pertor once D e w for whit this pe is is ued, shall not employ any person in any manner so as to become subject to the workers' compensation laws gq¢ff California, and agre, W, if I should become sub tot o e 'Car f n p 'si 1 Section 3700 of the Labor Code, I shall forthwith comply with those provisionss. y� /�12-4 ignature of Applicant _-__ Dale Crr wownnu oCn wont r r nu 1 F tun rc CV hereby affirm under penally of perjury that there is a constructio ten g agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lenders Address y my signature below, I certify to each of the following: I am the nroveny owner or authorized to act on the pro y owner's"behall.I have reaC ;:tis application and the informati I have r vid d is cI agree to -omrly with all applicable city and un o i an es andilding construction.I authorize representatives of this city or co ty a n th above-ipection purposes.Rmiture of Prooertv Owner or Authorized Age riot Property Owner's or Authorized Agents Name DATE BY DECLARATION OF COMPLIANCE WITH COE�)90F FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXP:AEC LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED _ E_PA_ PERMIT EXTENDED IIAOMD _ PEHMli FlNal �i (( /M/j�� �A"SBESTOS NOTIf TION NOT AP/¢/SIC%�'JyrE TO LEr7TIFICATE OF �1,ti7•� /IU P DSED DEMOLI �� ,/ //' CCCUPANCY 15S(,ED ,I SIGNATURE: AAAA \\ ��// I/ W \— -