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XR2022-2303 - Permits
�EW,PoRr City of Newport Beach @ Community Development Department- Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 ` T s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °q«Fon r newportbeachca.gov/inspections Combination Type - MFP PLUM Work Class - Demolition IIII II COMB Permit : XR2022-2303 Plan Check No : PC2022-2157 Issued Date : 08/25/2022 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 : 1818 BALBOA BLVD W Legal Desc : A TR NEWPORT BEACH SEC B BLK 118 LOT 10 Description : DEMO DUPLEX 1428 SF (4 BEDROOMS) Owner: 1818 BALBOA LLC Contractor: BC HOME BUILDERS Architect Address : 1818 W BALBOA BLVD NEWPORT BEACH, CA Address: 3202 W WARNER AVE SANTA ANA, CA Address : NO CONSTRUCTION WORK 92663 92704 rife Phone: Phone: (714) 754-0709 Phone: .. Con State Lie : 940362 State Lie Applicant: BC HOME BUILDERS Lie Expire : 05/31/2023 i Address : 3202 W WARNER AVE SANTA ANA, CA 92704 Bus Lie: BT30072996 Engineer : ON SA I U R ©A 7 S Phone: (714) 754-0709 Bus Lie Expire : 09/30/2022 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: CYPRESS+INSURANCE+COMPANY Address : Policy No: BCWC229359 Designer Phone: W. C. Expire: 12/26/2022 Address Phone: Code Edition : 2019 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 : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: CERT MAIL RECEIPTS ATTACHED OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkrnark(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, or repair any structure, prior to Its Issuance, also requires the applicant for he pormR 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 Die 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 5 givil penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_J all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner Of property who, through employees' ar personal effort, builds or improves the property, provided that the mprovemanls 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 reproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to conslmcl the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not IP,ply 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), J I am exempt front licensure under the Contractors' Slate License Law for the following reason: iy 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 cove€ed by this permit, I cannot legally ;all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:flwww.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 5ectfo 7 00 of Division 3 of the Business and P essi ns Code, and my lice is In full force Ind effect. License Class License No Dat Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE !OST 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: 3 1 have and will maintain a certificate of consent to self -insure for workers' crinpensalion, issued by the Director of Industrial Relations as provided for by Section 370D of the Labor Code, for IN arformance of the work for 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' carrier and policy number are: of Agent Policy Number Expiration Date Phone N JI certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomie, and agre tat, if I should become s pi to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iif nature of Applicant __ Dal25r!2 IECLARATION REGAR IN �TRUCTEIIO�N DING/i ENChereby affirm under penaltyConstmction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address _ ly 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction.. (� I authorize representatives of this city or county to b1pr the above-ider)0kid property for Inspection purposes, ACTION PERt0711 EXPIRED DATE I BY 1403 OF COPLIANCE WITH CODE OF FEDEI PART 51 OF TITLE 40 ANO AOMD RULE PERAITEXTENDED iI l_lAGMC PERMITFINAL .s J l - gE57Q5 OTIPICATIUN IS NOt APPLICJBLE TU CERTIFICATE OF E RO UR Q�fAOLITIOf! OCCUPANCY153UEO 1 SIf-NAT�JR°- nn/L- FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place priorto approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.