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Home My WebLink AboutXR2023-2945 - Permits�EWPO�T City of Newport Beach IIIII IIIII II IIIIIIIIIIIIIII IIIII III II IIIII II COMB Permit: XR2023-2945 Community Development Department- Building Division 4° 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 3 2 9 4 5 Plan Check No : PC2022-3218 U >* Z Permit Counter Phone: (949) 718-1888 Issued Date : 10/18/2023 newportheachca.gov/civic Final Date: C'f/Fp0.N`P Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition 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 : 7 HERMITAGE LN Legal Desc : N TR 7223 BLK LOT 88 Description : DEMO 5 BEDROOM, 4825 SF SFR, INCLDS SEWER CAP Owner: KHOURY ABDO H TR KHOURY LIVING TR Address : 18 CHERRY HILLS LN NEWPORT BEACH, CA 92660 Phone: Applicant: TERRY CHANG Address : 22 CORPORATE PARK, SUITE 200 IRVINE, CA 92606 Phone: (949)955-3282 Owner/Builder Address : Phone Contractor: RDMS INC Address : 250 BAKER ST E, 300 COSTA MESA, CA 92626 Phone: (714)546-1130 Con State Lic : 815872 Lic Expire : 12/31/2024 Bus Lic: BT30008726 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600015443221 W. C. Expire : 9/1/2024 Architect: TAJUDIN AMAT K Address: 22 CORPORATE PARK, 2b0,IRA/,INE, CA 92606 Phone: (949)955-3282•• ..,, State Lic : • • ' Engineer : XIAO QIANG Address : 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714)662-0510•• Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: GREENLEAF TO HAUL DEBRIS $8,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) 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 '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 fora permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($50D}. 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that 11 was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' Stale License Low for the following reason! By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements Covered by this permit, I Cannot legally sell a structure that I have builtas an owner -builder if it has not been constructed in [is ontiroty by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:htfp:/AwN .leginfo.ca,govlcalaw:html. Signature of Property Owner or Authorized Agent -v_ _„_,_,�„- v______ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 7 0Tus of Div' 'on 3 of the Bn. s and Professions Cpde, and m$ license is In full force and effect. License Class License No Qi anus Signature WORKERS' COMPENSATION DECLARATION A An:ILIC: FAILURE 13 ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUE,IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.00V), IN ADDITION TO THE COST Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]108 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_ I ,iereiv affirm unller penalty of perjury one of the following declarations: El I have and rill mz.lntain 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 lh oerformance of the work for which this permit is issuad. Policy No. ave and will n,b,ntain 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' compensatiol triguran-e carrier an.i policy number are: Policy Number Date Isms c' Agent _ _ mono 9If certify tire[, in the performance of the work for which this permit is issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of CRlifomia, and let, if 1 should ueconie subject to thhe_workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignature of nt rECLARAT�GARDING CONSTRUCTION LENDING AGENCY hereby affirm u der penalty of penury that there is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3D9A, Civil Code). tinder'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 slate laws relating to building construction. I authorize represenialives oft Is oil r county to enter h9 above -identified property for inspection purposes.� 17� iignature of Propeft Owner or Au zed ADeni Print Property Owner's or Authorized e ' Nama�.Jz- : ACTION j DATE I By j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL REGULATIONS PART 51 OF TITLE 40 AND AQM0 RULE. EXPIRED I I A'LNI I SUBMITTED ASBESTOS PERNRTEXTENDED ___ PERNNT FINAL �/ % ; LJ 5T0 NOtIFICAfION IS NOT APPLICABLE TO CERTIFICATE OF /// �//Jr// i PROPOSED EMOL OCCUPANCVISSUED //Z3'. /"ter `_ SIGNAT7�v✓