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Home My WebLink AboutXR2023-2071 - PermitsE pp City of Newport Beach Ifl�I�IIDI��gl�l��Il�lll(I��II��I COMB Permit : XR2®23-2®71 C& <p d Community Development Department -Building Division y 3 p 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1887 Permit Counter Phone: (949) 718-1888 Issued Date R newportbeachca.govlcivic Final Date: 1eri=ofL Combination Type - SFP Permit Status Applied Work Class - Other 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: 2507 LIGHTHOUSE LN Legal Desc : N TR 6385 BLK LOT 17 Description: SFR POOL DEMO- METHOD B Owner: TRAN TUE VAN TR THE 1998 Contractor : RDMS INC Architect Address : 398 N CLARIDGE DR Address ; 250 E BAKER ST, 300 Address: ORANGE, CA 92869 COSTA MESA, CA 92626 Phone : Phone: (71;4) 546-1130 Phone: Con StateLie: 815872 State Lie Lie Expire: 12/31/2024 Applicant: RDMS INC Bus Lie: BT30008726 Engineer: Address : 250 E BAKER ST, 300 Bus Lie Expire: 01/31/2024 Address COSTA MESA, CA 92626 Phone: (714) 546-1130 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INS CO Owner/Builder : Policy No:: 7600015443221 ;; Designer: Address : W. C. Expire: 9/112023:11. Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg Bldg Height: No of Stories 0 '' Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks: Front: 20, Front: 6, Side: 6, Side: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: � o o �, � o 0 0 0 0 Q O O O O O O O O O O O O O O SPECIAL CONDITIONS: U 3 a 0 0 Ci O D O O U O U O O O O O O O i) O G _> J t hereby affirm under penalty of pequry that, i am exempt from the Contractore State License Law forthe reason(s) indicated below bythe checkmark(s) t have placed next to the :applicable item(s) Section 7031. , gusiness and Professions Code: Any city or county that requires a permit to construct, alter, improve, .dernortsh, or repair any structure, pricer tot its isstaancp, also retires the applicant for �e permit to file a signed statement that h e or she is licensed pur st rrt to th e praVislons of the Contradtors' State License Law (Chapter 9 (commencing with Section 7000) f Divisio6,3 of the S-usiness and 'r€afessions, Code) or that he or she is exempt f rn licansure and the basis; for the allegBd exemption. ny'a, illation of Section 7 31.5 by gray appli nt for a permit subjectthe applicant to 6 Cavil penalty of cat more than five hurad d d=tses ( OI. 1, as owner of the property, or my employees witFr wages as their sole compensation, will do L) all ofor U portions of the work1 and the structure is not intended or offered for sale (Section 7044, lushess and Professions (�ode`.,The Contractors' Stake License Laid does not apply to an owner of property who, thorough eTrpfayees' or personal effort., builds or improves the property, provided that the -aprovernents are not intended dr of Bred fear sale. If, I"Ir7va+.ever, the building or improvement is sold Within one year atcerrrapletion, theOwner-Sunder wig have the burden of proving that It was not stains or unproved for the puMose of Sale). I, as owner of the property, ami exclusively contracting uAtth licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Lahr dry not spply to an Garner of properf who, builds or iar proves thereon, and who contracts for the projects with a licc-need Contractor pursuant to the CUntracibrs' State License Law), I am exempt from 1lcensure [ruder the Contractors` State License Law for the following reasorr ly my signature below- t ackn aid ; e ffa t except fror my ,personal residence to which I roust ha+m resided for at least one year prior to completion of the improvements ouvered by this permit, 1 cannot legally all a structure that I have built as alp mmerwbuilder if it has not been Constructed in its entirely by licensed contractors, I understand thata copy of the applicable law, Section 7044.vf the Business and 1�tafessions Code, is ama lable upon request when this application is Submitted or at the following Wleb ;gate:http fiwAvf.leginfo. .d oNa °f° 1a-rr.html. 0grrature of Properly Oumeror'r'tuthorized Agent Date .ICENSED CONTRACTOR'S IDECt ARATI[ON hereby affirm tinder penattybf Oe4ury that I am licensed antler prox islt�rrs �sf chap"ter g {ctsrma�enc r€ti u@€ih Seri bA 7000 f DiVi ` star€ 3,of the Business and. ProfessioF-44401. f v ficensais in full force tnd effect.. Ucense Class. License.Nu lr7ate Contractor Signature �1i r MRNING; FATLVRE TO SECURE VIOR ERV COMPENSATION COVERAGE ES UNLAWFUL —AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL Pa;NALTMS AND CVAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si 70 000)t IN ADDITION To THE :Osr' OF MPENSATi N, r�AVAGIE S s s air rraN arils L F THEi � cox COOF_ €raT t r, AND a C st�rzaa s s hereby affirm under penalty of penury one of the following declarations I have and will malntaln a 6ertilica.te of cansent to 'self ure for workers' compensation, Issued by the Director of Ind strFai Relations as provided for by Section 3700 of the Labor Crone: for tha4 rt�nce of the work for which this permit is Issued, Policy eta, I hay end will malntaiq workers' compensation insurance, as required by Section 370of the Labor Cam, for the perfrorrnance of the work for which this, permit is Issue[., fly workers` compensatior asurance carrier and policy number ar - carrier Policy Number Expiration Date tarns of Agent Rhone 31 certify that, to the performadoe' of the work W 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 agfer gat, it I should laacarrte su> I t tote woLk _ers compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ilgnatu€e of ;applicant tD.ate T^I't9 .Te.tlM ax+Y`id'S8@ hT^.Mfi4^Y!'Yt&t !h:!'R !&C+5"'Y £1R3k@i"e. h!`d C^1:YigLR 1 hereby afFwm under penalty of penury that there is a construction lending agency for the performance,of the work for.vdhich this permit is issued (Section 3097, Civil Code) Lender's Name Lendees'Address. By my signature below, I arliky t each of the following: f art€ the property veer or authorize to ant on to property ovinees behalf; I have read this appli ton aired the infor mallon l have provided is correct. I agree to comply with all atpplicable city and county ordinances and state laws relating to building on-struction. I authorize representatives of this city Or county to e a rider tifled propaaty for inspection purposes. jr�' ;i Nature of Property Owner or Authorized Agent M l Prins Pro2erty Owner`s pr Authoeized A € nt's ranee t, h!�/rYU26 >�i' Bate 7 2-7 Z ACTION SATE.. By DECL AfC0TV1PL4ANCE WITH CODE OF EFDERAL FOR OFFICE USE;CIIL ' REGULATIONS PART 161 OF TITLE 40 AND AQMIC RULE f 1403 tPE,RMM IFXPiRE 01 Stl MITT`txi'r.A BE'S ' S NOTIFICATION TO -T-F)7?W1TCA.N10ELL% EPA &T�Sr�iiP3f[J r ; FER,��frfi IFrAL r ASBESTOS NOTIFICAnON 6 NOT APPL"1C:3L:E TO r