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Home My WebLink AboutP2024-0187 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Jivic Center Drive, Newport Beach, CA 92660 ,- Permit Counter Phone: (949) 718-1888 oq�; F—aN�P newportbeachca.gov/civic ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� PlumWag Pi lint',: 020,24-0187 P 2 0 2 4 0 1 8 7 Plan Check No Work Class. Other Issued Date : 05/0812024 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 : 613 JASMINE AVE Description : DUPLEX R/R GASLINE Legal Desc : P BK 242 PG 18 PAR 1 UN 1 PM 242-18,PARCEL 1 OF PR Owner: HOWARD FISHBEIN Address : 613 JASMINE AVE APTA CORONA DEL MAR, CA 92625 Phone : (714) 310-5567 Applicant: CECILIAGUTIERREZ Address : 26111 YNEZ RD, C3 TEMECULA, CA 92591 Phone: (877) 600-0123 owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: Contractor : NEXGEN A/C INC Address : 5472 EAST LA PALMA AVENUE ANAHEIM, CA 92807 Phone : (657) 208-1987 Con State Lic : 1011173 Lic Expire : 07/31/2025 Bus Lic: BT30055503 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier : AMERISURE MUTUAL INSURANCE COMPANY Policy No: WC21148830402 W. C. Expire: 10/1/2024 Fire Hazard Zone : NO Occupancy Groups: I 3 � I hereby affirm under penalty of perjury th. t I ern exempt frorn,ihe Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable,6)'ni (Section 7031.5, Business and Professions Code: Ar.y cityor cou,ity, that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also rei the applicant for the permit to file a signed statement that ho 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 Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7C31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($3X).. ❑ 1, as owner of the property, or my drnploynes who wagas a ; ih6r sile compensation, will do (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: Thu Contractors' EW3 License 1-6w JOBS 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, howeve,, the pudding or improvement is sold within one year of completion, the Owner -Builder wilt have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, 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 pursuantto the Contractors' State License Law). ❑ 1 am exempt from licensors 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 prior to completion of the improvements covered by this permit, I cannot legally self a structure that I have built asan 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 site:http://www.leginfo.ce.gov/calaw.html,. 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 700 of Divisio 3 of the Business and Prole e� ode end my license is in full force and effect. License Class L h l License No /OUl7,J Date Contractor Signature /`�- /r' , e ��r NORKERS' COMPENSATION DECLARATION MARRING; FAILURE TO SECURE WORRERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100A00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANOATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: hUa a 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 r5man`c of fha work for whidh this permit is issued. Policy No. have Od 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' compensaiio ranc carrier and, policy number are: ,,{{ n rPolicy Number 7i//Y2006,i Expiration Date. d'�,��7 is of Agent Phone # JI 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, and agre Tat, if I should become sublet o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant, ' ��,,(C��7�,/(/�� '_'d_._...___�_____ Date_ L tECLARATION REGA DIN CON9 UCTION LENDING AGENCY '—""" - j"2- hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Binders Name Lender's Address ly my signalurebelew, I certify to each of the following; I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply withall applicable city and county ordinances and state laws relating to building construction. I authorize represer iatives of this city or county to ter the bove-Identified property for inspection purposes. ignature of Property Owner or Authorized. Agent 0 .re /✓ Print Prooenv owner's or Authorized Anent', Name X✓/ ��if ,L><PPr.�7 n,� 5��i GL DATE DECLARATION OF COMPLIANCE WIT14 CODE OF FEDE' REGULATIONS PART 51. OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMiTEXTENDEDAQMD PERMIT FINAL EIASBESTOSNOI IFICAtION 15 NOT APPLICABLE TO CERTIFICATE OF pp.17 PROPOSED DEMOLITION OCCUPANCY ISSUEDIcir_uen,oc. FOR OFFICE USE ONLY ",-Bbq Pit Cs i 18#t 201000 B i