HomeMy WebLinkAboutXR2023-0899 - PermitsCity of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
111111111111111111111111111111111111111111111111111111 � �� COMB Permit: XR2023-0899
Plan Check No : 1101-2022
Issued Date : 04/07/2023
Inspection Area : 1
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: 1207 W BAY AVE Legal Desc : N TR 626 BLK 8 LOT 11
Description: DEMO SFR/GARAGE 1140 SF. 2 BEDROOMS. SEWER CAP INCLUDED
Owner: BOULTINGHOUSE BOULTINGHOUSE
Address : 1200 W BALBOA BLVD APTB
NEWPORT BEACH, CA 92661
Phone:
(310)7BO-7042
Applicant:
MORGAN BOULTINGHOUSE
Address :
1207 BAY AVE W
NEWPORT BEACH, CA 92661
Phone :
(310) 801-1397
Owner/Builder: MORGAN BOULTINGHOUSE
Address: 1207 BAY AVE W
NEWPORT BEACH, CA 92661
Phone: (310)801-1397
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
{'ryS tE10
t,40
Ci Architect
Address
Q t 9ta a Lie
Engineer:
Address
Phone:
Designer
Address
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $15,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq: ft. : 0
Building Setbacks :
Front: 6, Side: 3, Side: 3, Rear: 0
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterri
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
3a permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
rosiness 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
niKo.vements 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
p
d (or the purpose of sale).
owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
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).
exempt from licensers under the Contractors' State License Law for the following reason:
ty my signature below I acknowledge that, except for my pars naI residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
all a structure that I have built as an Dvmer-owldor d'it has n been constr4lbled in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
rofessions Code„ is available upon request when spplic on' sub mi or a the following Web site:hlipalww'w.leginfo.ca.gov/calaw.html. ��._ _� 3
,Ignature of Property Owner or Authorized Agent O
.ICENSED CONTRACTOR'S DECLARA N
hereby affirm under penalty of perjury that I am licensed -nder previsions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Cade, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000i, IN ADDITION TO THE
DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 379E 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
ormance of the Work for which this permit is issued. Policy No.
have 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
Date
i Unify that, in the performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
i If I should become subject tD he workers' c pensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applici�''4.�1 D �— 7 �G S
CLARATION REG ON9TRUC'TION LENDING AGENCY
areby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lenders Address
my signature below, I certify to each of the fallowing:
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 ordina4 es and state laws relating to building construction.
I authorize representatives of this city or county to enter t hove-identifi d property for inspection purposes. Yv�-� L _
Inafure of Property- Owner or Authorized Agent Print Pro e Owner's or Authorized A ent's Na r • v✓' r, n e
'TION DATE BY j DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
A i.LATIONS PART 61 OF TITLE 40AND AQMD RULE
PERMIT CANCELLED
PERMITEkTENDED
PERM7FFINAL V�
CERPFICATE OF
OCCUPANCYISSUEO
'; L..I SUB POTTED AS^,FSTOF QnTIFkATIOh TO
PROPOSED
ISNOTAB$UCASLE TO
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