HomeMy WebLinkAboutXR2023-1110 - PermitsEWPO/;Q's,
City of Newport Beach
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Community Development Department - Building Division
>100
Civic Center Drive, Newport Beach, CA 92660
�SPermit
Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
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Combination Type - SFP PLUM
Work Class - Demolition
11IIIIIIIIIIII 1111111111111111111111111111111111111111I jj COMB Permit : XR2O23-111 O
Plan Check No : PC2022-2507
Issued Date : 04/28/2023
Inspection Area : 6
14 t6 it i. t
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 : 604 NARCISSUS AVE, 1/2 Legal Desc : A TR CORONA DEL MAR BLK 641 LOT 6
Description: SFR DEMO (E) 600 SF 2 BED. CAP SEWER.
Owner: ROBERTARTURA
Address : 130 N GLENDORA AVE
GLENDORA, CA 91741
Phone : (949) 573-4353
Applicant: MARK TEALE
Address: 2900 BRISTOL ST BLDG A203
COSTA MESA, CA 92626
Phone : (949) 975-0123
Owner/Builder: ROBERTARTURA
Address : 130 N GLENDORA AVE
GLENDORA, CA 91741
Phone : (949) 5734353
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier:
Policy No:
W. C. Expire
Architect :
MARK TEALE
Address :
2900 BRISTOL ST BLDG A203 COSTA
MESA, CA 92626
Phone:
(949)975-0123
State Lie
Engineer: FADYHAKIM
Address : 410 Goddard, 200
Irvine, CA 92618
Phone: (949)245-8000
Designer:
Address
Phone:
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuation :
$5,000.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
: 0
Occupancy Groups : U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
1
Added/New sq. ft. Garage
: 0
TOTAL sq. ft.
0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2-Two-Unit Residential
NO CONSTRUCTION`'p
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PROCESSED BY:
SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS
ON THE WEEKE!?' i,
HIGH DENSITY ZONE
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law Tor the reason($) indicated below by the checkmark(s) 1 have placed next to the applicable ftem(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 licensure and the basis for the alleged exemption. Any violation of Suction 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of 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
IRpr 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 or proving that it wes not built or
limp vod 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
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 licensors under the Contractors' State License Law for the following reason _ ------- _T,—...__ ------ — ----
By my signature below I acknowledge that, except for nh persa sldence in wh' q 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owno4builder iT Il ha of bee onstor 1 i rib ety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of ho Bus' oss and
Professions Cade, Is available upon request when this I is submi. or efa6owln Web site:http:/iwww.leginfo.ca.gov)cal0w.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 7000) of Division 3of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING 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 (St00,000r IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to serf insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in
performance of the work for which this permit is Issued. Policy No.
❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which Ibis permit is issued. My workers' compensatiol
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
artily that, in the performs o th - ork For i his permit is issued, I shall not amptay any person in any manner so as to become subject to the workers' comps. anon laws of California, and ogre
, if I should become sub ACONST
� is mpe a on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant-_ Dale
CLARATIGN REGARD. GG 10 LENDING AGENCY
Ireby affirm under penalty 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).
Ider's Name Lender's Address
my signature below, I carlify to each of the fallowing:
I am the propPriy owner or authorized to act on the property owner's behalf.
I have read this apo,ication and the information 1 have correct.
I acr.:e to comply with all applicable city and cou ordina to building construction.
I auViorize repre:,enmhves of this city or count o n r - lifted gr erty for inspects purposes.
nalLre of Proaettv Owner or Authorized Aga. .. Property_ Owner's or Authorized Agent's Name
ACTION
EXPIRED
, EA,o, r CANCELLED
PER,w!'r tXTEND,ED i
PERMIYFINAL
, hA,V,CATE OF
OCCL?ANCY ISSUZID ,
BY
DECLARATION Olt- 6MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS