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HomeMy WebLinkAboutXR2023-0618 - PermitsCity of Newport Beach ��EWPORT Community Development Department- Building Division > ' 100 Civic Center Drive, Newport Beach, CA 92660 _ * S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C4��FORN�P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 11IIIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0618 Plan Check No: PC2022-2497 Issued Date : 03/06/2023 Inspection Area : 4 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 : 1927 PORT CARDIFF PL Legal Desc : N TR 6623 BILK LOT 40 Description: DEMO SFR 3009 SF (4 BEDROOMS) Owner: LETOURNEAU ERIC TR CAPITAL TR Address : 1927 PORT CARDIFF PL NEWPORT BEACH, CA 92660 Phone: BLUE WATER Contractor: JEREMYGRISSINGER Applicant: MY VU BOWENS Address: 13 CORPORATE PLAZA DR, STE 210 NEWPORT BEACH, CA 92660 Phone: (949)720-7022 Owner/Builder : Address : Phone Address : 11912 ARROYO AV SANTA ANA, CA 92705 Phone: (949)922-5755 Con State Lie : 807874 Lie Expire : 05/31/2024 Bus Lie : BT30043274 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier : Policy No: NONE W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: CERT MAIL RECEIPTS ATTACHED Architect: STOLZ FRANK Address: 13 CORPORATE PLZ STE 210 NEWPORT BEACH, CA 92660 Phone: (949)720-7022 State Lie : Engineer : ROSS SCOTT WILLIAM Address : 1800 E 16TH STREET #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address Phone: Construction Valuation : $8,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 o` -i DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 pemlft to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant fog ie permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofossions Code) or that he or she is exempt from iicensure 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 pr!nalty 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved for the purpose of sale). 1 1, as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pply 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). 1 am exempt from licensure under the Contractors' State 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 covered by this permit, I cannot legalli ell 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 'rofossions Code, is available upon request when this application is submitted or at the following Web site:http:llwmy.leginfo.ca.govicalaw.btmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penally of perjury that I am Ilcoused under provisions of Chapter 9 (commencing with Section ) of Ist In of the Business and Pr sions Co ey my license is In full force. nd effect. License Class License No Date yTi Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T D DOLLARS I$10D.0001. IN AD Da ION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm underpenalty of perjury one of the following declarations: I 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 erformance 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' rance carrier and policy number are'. of Agent rtiry that, in the performance of the work I should become s of to the worker: ire of ADDlieant Policy Number Date which this permit is issued, I shall not employ any person in any manner so as to become subject to the work"' compensation laws of California, and agre ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y Date7 LENDING AGENCY under penalty of perjtrffthat tfiere is a construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil ode). iders Name Lender's Address my signature below, I certify to each OJ_Uia following: I am the property owner or authorized to act on the property owner's I have read this application and the information I have provided is cc I agree to comply with all applicable city and cc n ordinance an� I authorize representatives of this city o€ courtly or the�}yRt is relating to building construction. property for inspection purposes. SI nature of ProperlyFroperly Uwnar or AUmonzed Agent Print F'ro p erty Uwner s Or AUtnorized Agents Name ACTION DATE By DE A F COMPLIANCE WITH CODF OF FEDERAL FOR OFFICE USE ONLY R LATI NS P T6I OF TITLE AO AND AQNID RULE -403 PERMIT EXPIRED PERMIT EXTENDED PER,, ITFINAL I CERTIFICATE OF OCCUPANCYISSUED Ln Ln t17 to 117 M1 M m O ru O O O E3 ra E3 O ru ru M1 a ru ttl ra M1 11 m M ru 0 O O O 7 0 M ru 0 [F Postal i ru 1 CERTIFIED o RECEIPT rr Ln Domestic • I L ul It- M 0-' CertlOetl Mall Fee— d m m C3 $ 33.1`: $BlVIC45u Pees(cbecx bax, etltllea 'epgrppate) - - ? y. 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Article Addressed to; rs D_ Tofel NP BeacR II'�I'I'I I"I I�IIIII (II'III'�I�II IIII IIII�I�II 9590 9402 7289 2028 6535 74 0410 0002 0397 1545 PS Form 3811, July 2020 PSN 7530-02-000-9053 If YES, er r� G. Date qf Delivery dam 17 Yes slow: ❑ No ❑ Priority Melt Express® D Reglslmed Mell*� Registered O Adult Rig ure Restricted Delivery El Re Mall Restricted ❑ Cemfied Mail® Delivery ❑ Certified Mall Restricted Delivery ❑ signature Conf rmatlorm ❑ Detect on Delivery ❑ Signature Donflnindon ❑ Collecton Delivery Restdeted Delivery Restricted Delivery ❑ Insured Merl - ❑ Insured Mel: Restricted Delivery (over $50 - - - Domestic Return Receipt •�l �, ,l �Y ■ Complete Items 1, 2, and 3. A• 13\� ■ Print your name and address on the reverse m so that we can return the card to you. ❑Addressee oI! Oa �J ■ Attach this card to the back of the mallplece, ed nied Name) C. Date of 9divery or on the front if space permits. 1. Article Addressed to: b? D. 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