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Home My WebLink AboutX2021-3378 - Permitso�aEWPo�r City of Newport Beach 4 ' Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 <� Inspection Requests Phone: (949) 644-3255 °9ciFOAN`P newportbeachca.gov/inspections COMB Permit : X2O21 -3378 Plan Check No : 2943-2021 Combination Type : MFP ELEC MECH PLUM Work Class: New Issued Date : 07/12/2Q22 Inspection Area : z 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: 1511 CLIFF DR Legal Desc : Description : NEW DUPLEX/GAR 6566/948 SF (A & B-3283/474 SF EACH) Owner: JUAN BATISTA Address: 1511 CLIFF DR NEWPORT BEACH, CA Phone: (949)975-0123 Applicant: TEALE MARK Address : 2900 BRISTOL CA 92626 Phone: (949)975-0123 Contractor Address : Phone: Con State Lie Lie Expire ST BLDG A203 COSTA MESA, Bus Lie: Code Edition: 2019 Type of Construction : V-B Occupancy Groups : R-3 Bldg Height: Building Setbacks Flood Zone Use Zone : Processed By: M Zoning Approval: lP luow Grading Approval: a% STONE CREEK BUILDERS 29300 MEANDERING CIR MENIFEE, CA 92584 (951) 296-8852 1038071 04/30/2024 BT30066622 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Sprinklers : YES Fire Hazard Zone : N No of Units : 2 No of Stories : 3 Architect : TEALE MARK Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 State Lie Engineer: YAGHI SHUCRI I Address : 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer: Address Phone: Construction Valuation : $800,000.00 Added/New sq. ft. Bldg : 6,566 Added/New sq. ft. Garage: 948 Public Works Approval: \ z Plan Check By: M 7"10 Approval To Issue: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I 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 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 licensers 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 (S500). ❑ I, 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 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). [] 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 ar�plply 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). — — �u I ant exempt from licensure under the Contractors' State 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 legallt 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 copy of the applicable law. Section 7044 of theBusiness and Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ea.gov/caiew.htmt. Signature of Property Owner or Authorized Agent,_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) qf Divi ion 3 of the Business and Professi n Co a ry tic hse k-Wrce and effect. License Class License No Dat Contractor Sgrlatur WORKERS' COMPENSATION DECLARATION ii WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTMS AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS t5100.000L LN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following 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 brmance of the work for which this permit is issued. Policy No. andwill 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 Date to of Agent iron a certify that, in the performance of the work for winch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calfforne, and agre If I should been(ryta jec o ihe'Worke s' mpensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tature of APPlican?� __.... � D2 12 6.- al AD AT1l1A1 DC/1AD. IA1 /�/lA1CTD111^-Itlf1 I CNM1 hereby affirm under pe404 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 Name, _ Lender's Address _ Iy my signature below', I cenify to each of the followings 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 la lating tG building construction. I authorize representatives of this city or county to'/gnt he a vet e e e er r Inspection purposes. I 1 tom, Iianature of PrODertv Owner or Authorized AgenL)k /. � _& _ Print Property Owner's or Authorized Agent's Name. rk ACTION DATE BY i9117CLARATION OFTOMPLIANCEWITII CODE OF FEDERAL FGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRE'0 ( L_J I SNBMITMED A59r$TO` NI)TIPoCATION TO PERMIT CANCELLED EPA P€RMITEXTENDED 3 O; to PERMIT FINAL, (ra /2 g323 OA5BE51 05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF '" PROPOSED DEMOLITION OCCUPANCYISSUED !!!, SIGNATURE: FOR OFFICE USE ONLY All required alarms, latchesgates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool.