HomeMy WebLinkAboutXR2023-0803 - PermitsW6o._
City of Newport Beach
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COMB Permit : XR2U23-U8U3
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-0692
U41.
Permit Counter Phone: (949) 644-3288
Issued Date : 0312812023
Inspection Requests Phone: (949) 644-3255
Inspection Area : 2
newportbeachca.govlinspections
Combination Type - SFP PLUM ! v, r•, r-• •-- s.-,,.-e. ,..�,
Work Class - Demolition
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: 748 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 40
Description: SFR DEMOLISH (E) 4376 SF/ 4 BEDROOM RESIDENCE. CAP (E) SEWER.
Owner: GATES TRUST
Address : 1144 N EASLEY CANYON RD
GLENDORA, CA 91741
Phone: (626)695-2556
Applicant: LONGMAN CONSTRUCTION CO INC
Address : 2782 CIRCLE DR
NEWPORT BEACH, CA 92663
Phone: (949)722-7711
Owner/Builder :
Address :
Phone :
Contractor: LONGMAN CONSTRUCTION CO INC
Address: 2782 CIRCLE DR
NEWPORT BEACH, CA 92663
Phone:
(949)722-7711
Con State Lie:
393881
Lie Expire :
08/31/2023
Bus Lie:
BT00001921
Bus Lie Expire: 03/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9062475
W. C. Expire : 7/1/2023
Architect: CHRIS BRANDON
Address: 151 KALMUS DR, G-1 COSTA MESA, CA
92626
Phone:
(714)754-4040
State Lie:
Engineer :
CRAFT PAUL DOMINICK
Address :
8512 OXLEY CIR
HUNTINGTON BEACH, CA 92646
Phone:
(714)270-3311
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $6,100.00
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 :
2
Added/New sq. ft. Garage: 0 "
TOTAL sq. ft. 0
Building Setbacks :
Front: 4, Front: 10, Side: 3, Side: 3
-
Flood Zone :
AE, 8 FT; X
Use Zone:
R-1 - Single -Unit Residential
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PROCESSED BY:
NO CONS I RUCTION NOISE
SPECIAL CONDITIONS:
HIGH DENSITY ZONE; AE8 FLOOD ZONE; LIQUEFACTION
HAULER: JD DEMOLITION
& GRADING INC
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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. Pr 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 Iicensura andthe 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 ($500).
❑ I, as owner of the property, army employees with wages as their sole compensation, will do U 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
Im roved for the purpose of sale).
ff 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).
D 1 am exempt from )!sensors under the Contractors' Stale 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 legal)
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 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:htip:/,'" v .leg€nfo.ca.govrcalaw.html.
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 7 ) @W, I o(the Business and Profess 0 !:O yJrEen k is in full force
and effect. License Class License No Date d 3 Contractor Signature �%
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AODRION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, INTEREST, AND ATTORNEY'S FEES.
f hereby affirm under penalty of perjury one of the following declarations:
D 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 th
Fp 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 Cade, for the performance of the work for which this permit is Issued. My workers' compensatio
nsurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
DI Certify that. in the performance of the work for which this permit is issued, I shall not employ any person in any mannor so as to become subject to the workers' Compensation laws of California, and agre
that, if I should become subject t workers' comps . n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant _ Dale Z� Z3
DECLARATION REGARGINGXDNATRl ICTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit 1s issued (Section 3097, Civil Code).
lenders Name Lender's Address
By my signature below, I certify to each of the following:
I am the proper.y owner or authorized to act on the property owner's behalf.
I have read :h;s &pplication and the information I have provided is correct.
I agree to :oni with all applicable city and county or as ands a laws relating to building construction. ,,... //
I authorize r^prmrentatives of this city or county to er to Ified roperty, for inspection purposes. —� 3 2.-YZ.3
S� �r nal,!re of Pro ^rt. Owner ar or Authzed A en / Print Property Owner's or Authorized Agent's Name V ��T .✓1 Date //
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 4D AND AQMD RULE
1403
P -i h➢T EXPIRED MITTED I SUBASBESTOS NOTIFICATION TO
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PWlf EXTENDED _ I AQMD_ _
j P MFFINAL / �I� ASBESWSNOTIFICATI NIS NOT APPLICABLE TO
C ,4hF,CATEOf �2 PROPOSED DEMQL N
C L4'PANCY fS,`UE.7 JJ I SIGNATURE: