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XR2024-0590 - Permits
a WPORr City of Newport Beach IIIIIIIIIIII��IIIIIIIIIIIII II COMB Permit : XR2024-0590 Dk i I Community Development Department- Building Division X R 2 0 2 4 0 5 9 0 �". 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0479 Permit Counter Phone: (949) 718-1888 _ Issued Date : 03/08/2024 u newportbeachca.gov/civic ,,.<,. .-•^�""6 '"' ? Final Date: o4uFoaN"r Combination Type - PLUM( g 2 b,a,: m Permit Status: Issued Work Class -Demolition Inspection Area : 2 - D REED 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 : 209 CORAL AVE Legal Desc : 050 121 17 Description: DEMO (E) DUPLEX/GARAGE 1785/350 SF WITH 4 BEDROOMS. CAP SEWER. (XR2023-2482) Owner: RICHARD STEVEN DELLAR Address : 209 CORAL AVE NEWPORT BEACH, CA 92662 Phone : (805) 750-0042 Applicant: MIKE JOHNSON Address : 31352 VIA COLINAS STE 101 WESTLAKE VILLAGE, CA 91362 Phone : (949) 662-4443 Owner/Builder : Address : Contractor: EAGLE DEVELOPMENT CONSTRUCTION INC Address : 23679 CALABASAS ROAD #724 CALABASAS, CA 91302 Phone : (81 B) 597-1326 Con State Lic : 800756 Lic Expire : 10131/2025 Bus Lic : BT30073754 Bus Lic Expire : 12/31/2024 AND Architect: Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9328312 W. C. Expire: 11/28/2024 Address : Phone: State Lic Engineer: WILLIAM DAVID ROLPH Address : 28052 CAMINO CAPISTRANO, 213 LAGUNA NIGUEL, CA 92677 Phone: (949) 464-8115 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $18,000.01' , Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 .. TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: NO CONSTRUCTION WORK PROCESSED BY: U7ol c+ SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS ON SATURDA l�/S ON S THRUAYS I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 'indicated below by the checkmark(s) I have placed next to the applicable items) (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 the 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 Professions Code) or that he or she is exempt from licensure and the basis famine alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicantto a civil penalty of riot more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with omegas as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale), © 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not wa�wpl y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I am exempt from licensors under the Contractors' Stale License Law for the following reason By my signature below I'. acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements. Covered by this permit, I cannot legally sell a structure that I have bdihas an ownar-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application issubmitted or at the following Website:hltp:liw w.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions,$bde, nd my tic Is In f force and effect. License Class License No Date 03. 08. 'Lodi Contractor Signature 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 (6]00,000), 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 cerliNcate 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 IN MI of the work for which this permit is issued. Policy No. tall 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' compereador 'linsurance carrier and policy number are: Policy Number Dale Is of Agent Phone J{ certify that, in the performance of She 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 , if I should become subject to o workers' mpensation o ec n 3700 of the Labor Code, I shall forthwith complywith those provisions. of 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). .enders NEnI Lender's Address 3y my signature be'OY.', I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I nave re;id III application and the information I have provided is correct,. I agree to comply with all applicable city and county ordinance a e o building construction. I authorize representatives of this city or county to an the trove-i entiti d prop ny r inspection purposes. _ ;In: Sturm of CmrarfN Owner nr Aulhnri7ed Anent _ Print Pronerty Owner's or Autlwri>ed AOent:s Noma lb'I I J`C J CF//JSZN A.', ION ( DATE I By RFC DECLARATION OF COM FIIANCE WITH CODE OF lATIONS PART61 OF ITI.E40A DAQMD RULE RFlL I FOR OFFICE USE ONLY PERMIT EXPIREO PEAINITGANG°LLEC °FRM'T EXTENDED _ CERTIFICATE OF OCCUPANCY ISSUED Zy