HomeMy WebLinkAboutU2024-5217 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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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
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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
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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
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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/
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