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Home My WebLink AboutXR2022-2502 - PermitsaEWPoRT City of Newport Beach D� @ Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq/./FePN�� newportbeachca.gov/inspections Combination Type - Work Class - Other III I I I II I II I III II I II I I II COMB Permit : XR2022-2502 Plan Check No : 0829-2021 Issued Date : 09/21/2022 Inspection Area : 4 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 : 921 ALDER PL Legal Desc : N TR 4705 ELK LOT 6 Description: DELTA 6 ADDED SCOPE RETAINING WALLS 6' MAX x 94 SF INSIDE P/L *MARKERS ON SITE* Owner: PAULJONES Address: 921 ALDER PL NEWPORT BEACH. CA 92660 Phone Applicant: LEGACY CUSTOM HOMES INC Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660 Phone: (949) 887-4750 Owner/Builder : Address: Phone Contractor: LEGACY CUSTOM HOMES INC Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660 Phone: (949)887-4750 Con State Lie : 986194 Lie Expire : 08/31/2023 Bus Lie: BT30045036 Bus Lie Expire : 10/31/2022 Workers' Compensation Insurance Carrier: OAK RIVER INS CO Policy No: 219928 W. C. Expire : 12/2/2022 Architect: METODIEVTRIFON Address : 155 ROCHESTER COSTA MESA, CA 92627 Phone: (949)293-2176 State Lie Engineer: BURKE THOMAS Address : 151 KALMUS DR #140 COSTA MESA, CA 92626 Phone: (949)494-0776 Designer Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups: U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single-Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: $15,000.00, _ , 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law Tor 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 cityor 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 provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of (he Business and 'Ofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of tat 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, WSIneS5 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 mprovements 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 mproved 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' State License Law does not Ipply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: _T. must have ded at not }y my ell A struucturerthat low I I have built as agnaownarbui der if R has xcept for my not been constructed hsonal residence in which slentirely by licensed corntractors I st u dersar tand that a copy of he applirior to completion of the cablerlaw,tSection 7044this of the eBuism ss andlegall>a 'rofassions Code, is available upon request when this application is submitted or at the following Web site:hltp:/iv v.leginto.ca.gov/colaw.html. signature of Property Owner or Authorized Agent .___---- --Date .ICENSED CONTRACTOR'S DECLARATION '.. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio 00). f Division 3 of the Business and Pro ons 5LA n ense is In full force and effect. License Class License No Do Z �Z Contractor Signatur NORKERS' COtQIPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG HOVSANRS (6100,000), IN ADDITION TO THE :DST OF COMPERSATION, DAMAGES AS PROVIOEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will memlaht 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 hf e formance of the work for which this permit Is issued- Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Codo, for the performance of the work for which Ibis permit is issued, My workers' compensation lsuranc airier and policy number are: Carrier Polic mber Expiration Date Name of Agent Phone If ❑I certify that in the performance o ark f wh' 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 agree that, if I should becom subject t worke a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Appllcan D Z 1 Zd22� DECLARATION RI R ST GN LENDING AGENCY I hereby affirm under ty of pert that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, C R Code). Lender's Name Lender's Address By my signatute tielow, I certify o each of Ilia following: ' am the Property owner or authorized to act on the property owner's behalf. I have rose this application and the information I have provided Is cl, I agree to comply with all applicable city and county or nano sta relating to building construction. I authorize I epresnntatives of this city or county e r t ova-i d property for inspection purposes. ',innatl're of Prr.perty Owner or Authorized A ant ra arty Owner's or Authorized Agent's Nam es to [ L L ACTION DATE nY RATXO COMPLIANCE Ve'I7H CODE OF FEDERAL FOR OFFICE USE ONLY REUIL PART 61 OF TITLEG40 AND AQMD RULE 1403 Fd,44, f EXPIRED LJ URMITTED ASBESTOS NOTIFICATION TO HERMIT CANCELLED -_--- }� T 7 ✓ERMIT A7ENDEL I _ _ rIJACjMp_ __ _ _ _ __ PERMIT FINAL 0ASBESTOS NO11FlCA154N I5 NOT APPLICABLE TO CERTIFICATE OF /�Y PROP05EDDEMOUTION OCCUPANCY ISSUED I SIGNATURE: