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HomeMy WebLinkAboutXR2023-3199 - PermitsCommunity ityoDeeoporttBeament-BuildingDivision II II III IIIIIIIIIIIIIIIIIIIIII II IIIIIII II COMB Permit : XR2O23-3199 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 3 3 1 9 9 Plan Check No: PC2023-2741 Permit Counter Phone: (949) 718-1888 Issued Date : 11/2712023 urn S newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 2 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 : 1015 DOLPHIN TER Legal Desc : N TR 5130 BLK LOT 4 Description: SFR RETAINING WALL 3' x 24 LF AT REAR OF PROPERTY,w5oarr'rv+ir_7Pj- Owner: 1015 DOLPHIN TERRACE LLC Address : 1 PINEHURST LN NEWPORT BEACH, CA 92660 Phone Applicant: BLAKE RIELLY Address : 3990 WESTERLY PLACE, SUITE 150 NEWPORT BEACH, CA 92660 Phone: (949)679-7086 Owner/Builder : Address : Contractor: LEGACY CUSTOM HOMES INC Address : 3990 WESTERLY PLACE, SUITE 150 NEWPORT BEACH, CA 92660 Phone: (949)887-4750 Con State Lic : 986194 Lic Expire : 08/31/2025 Bus Lic: BT30045036 Bus Lic Expire : 10/3112024 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No : LEWC321951 W. C. Expire : 12/2/2023 Architect : KEN TOBLESKY Address : 1450 W 6TH ST, # 115 CORONA, CA 92882 Phone: (909) 217-1866 State Lic Engineer : DEIHIMI AMIR HOSSEIN - Address : 23172 PLAZA POINTE OP. SYE 145 , LAGUNA HILLS, CA 92653 Phone: (949)954-7244 •-•�� Designer: Address Phone: 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 : U 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: 6, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: REV2023-2252 $5,000.00 0 0 0 f 1"Al I 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 applicantfor 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 ticensure and the baste 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) 71 1, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or (_) 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 improvemanis 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). El 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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' State License Law for the following reason _ By my signature below I acknowledge that. except for my personal residence in Which I most have resided for at least one year prior to completion of the improvements covered bythis permit, I cannot legail! soli a structure that I have built as an owner-buildor if it has not bean constructed in its entirety 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'VVeb site.http:lmw Ny.leginfo.ca.gov/calawhtml. 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 (oommencng with SY=7 of 4ivisib 3 of the.B I ess and Professions G-"d my license is in full force and effect. License Class LicenseNo it fz�%z7 Cant/ or Signature a NORKERS' CONThErISATION DECLARATION NARN INC.: F'W LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDrrION TO THE oGnT OF COMPENSATION; DAI,:AGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under min,Jty of perjury one of the following declarations: , I h., e and will maintain a certificate of consent to selLinsure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th u rice of thfi work .or 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' compensatiol t,( a..0 ce car ane policy number arc: JalilaPolicy Number Expiration Date V emu ai Agent Phone # JI certify III inA a-formance, of She wor which this permit is issued. I shall not employ any person in any manner so as to become subject to the work rs' Compensation laws of Califorma, and agree hat, it I mould fist le subject to the w IS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w4th Ihose provisions.\� >fCITIMU e of ADkA-'ZiP t )reby affirm under penalty of perjury that there-K a construction lending agency for the performance of the work for which this permit is issued QSection 3097, Civil Code). Orrr s Name _ Lenders Address 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 corre. I agree to comply with all applicable city and county ordinances an ate laws relating m building construction. / I authorize representatives of this city oun,Wto enter theAb6ttedenfifled property for inspection purposes, of Prooertv Owner or DECLARATION OF DON'ANCE W17H CODE OF FEDERAL FOR OFFICE USE REGULATIONS PAt4 61OF TITLE 40 AND ACINID RULE PERMIT EXPIRED PERMIT EXTENDED i L-IAQMD PLRiMYT EINAl ��� ' L,J ASREST05 NOT If ICA I ION 15 NOTAPPLICABLE 10 CERTIFICATE OF _[/- I PROPOSE[) DEMOLITION ' OCCUPANCY i55UED SIGNATURE: