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Home My WebLink AboutF2023-0513 - PermitsaEWPoRT City of Newport Beach II II I I IIIIIIIII IIII II III I I III I �I COMB Permit: F2023-0513 D� 6 Community Development Department - Building Division F 2 0 2 3 0 5 1 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2556 Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023 S newportbeachca.gov/civic Final Date: C9�IFORN`¢ Combination Type - SFP Permit Status: Issued Work Class - A/r W 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 : 2012 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BILK LOT 297 NEWPORT HEIGHTS L Description: SFR FIRE SPRINKLER SYSTEM 44 HEADS (XR2022-3053) Owner: LA21A LLC Address: 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Applicant: MANUEL DE JESUS LOPEZ Address : 38753 E 26TH PALMDALE, CA 93550 Phone: (818)575-0643 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: Bldg Height: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: &■ Contractor: MANUEL DE JESUS LOPEZ Address : 38753 E 26TH PALMDALE, CA 93550 Phone: (818)575-0643 Con State Lie : 1026078 Lie Expire : 09/30/2024 Bus Lie: BT30067611 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9239514 W. C. Expire : 10/4/2023 Fire Sprinklers : E5 Fire Hazard Zone : NO No of Units : 1 No of Stories SPECIAL CONDITIONS: ! Architect Address Phone : State Lie Engineer: Address Phone Designer: MANUEL DE JESUS LOPEZ Address : 38753 E 26TH PALMDALE, CA 93550 Phone : (818) 575-0643 Construction Valuation : $3,800.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARA 1 hereby affirm under penalty of perjury that t am exempt from the Contractors' State 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 :he permit to file a signed statement that he or she is licensed pursuant to the previsions 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 not more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The GontrMc;ors' 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). 71 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 pursuant to the Contractors' State License Law), LJ I am exempt from licensure under the Contractors' Slate 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 legall) 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 tho Business and Professions Code., is available upon request when this application is submitted orat the following Web site:http:liwwm'.leginfo.ca,govlcalaw.btml. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of ertu hat I am licensed under provisions of Chop or 9 co nSooing with Section 700q) of Division 3 od the Business and Proffer ion Code, and my license i In f I f rce and effect. License Class — I k License No Date //._�./.-7 Contractor Signature WORKERS' COM'.PENSATI V N DECLARATION 7 NARNING: 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 ($i000001,1N ADDTTION TO THE COST OF COMPENSATION; DAMAGES As PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing 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 priiiformanca of the work for which this permit Is issued. Policy No. 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` carrier and policy number are: Policy Number is of Agent certify that, in the performance of the work for which , if I should become sUbieltt to the workers' corri of Applicant Date permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � P� � __ Date, M1 hereby affirm under penalty of perjury that there is a coristruction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name _ Lenders Address ly my signature below, 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 with all applicable city and county ordinances and state lee relating to building construction. I authorize representatives of this city or County l/gyp a er the above- i lift property for inspection purposes. ;ionature of Prooertv Owner or Authorized Anent /L/(Oi! Print Prooertv Owner's or Authorized Aaent's Name ACTION DATE BY DECLARATION ONS OF COa1DFT{TFWTH CODE OF REtD F,RAL FOR OFFICE USE ONLY Date // — PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO P€RM[TCANCEIIED 1 I EPA _._. .... .._ 1 F€KNIT €XT£ND€C ____...... .._ —._ 1 PCRNITFINAL _ Tom', L^ ASBESTOS NOT IHCA riON 15 N01APPLICABLE 1'0u CERTfFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE:.