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Home My WebLink AboutXR2023-1175 - Permitsk ?BFPO", City of Newport Beach p em Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ` ? ems. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C4<�FORN�P Combination Type - PLUM Work Class - Demolition 1111111111111111111111111111111111111111111111111111111111COMB Permit : XR2O23-1175 Plan Check No : PC2022-3113 Issued Date : 0510512023 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 : 205 28TH ST Legal Desc : A TR LAKE TR BLK 128 LOT 16 LAKE TR BLK 128 LOT 16 FOR ABAND STREET Description: DEMOLISH (E) 1136 SF DUPLEX W/ 5 BEDROOMS AND ATTACHED GARAGE. CAP SEWER. Owner: TIMOTHY BYK Contractor: MATTHEW MARSTON CONSTRUCTION Architect : ROD JEHEBER Address : 10828 VIA VERONA ST Address : 3510 SECOND AVE Address : 410 32ND ST NEWPORT BEACH, CA LOS ANGELES, CA 90077 NEWPORT BEACH, CA 92625 Phone: (310) 476-3012 Phone : (949) 233-3280 Phone : (949) 723-4393 Con State Lic : 942845 State Lic Lic Expire : 01/31/2024 Applicant : ROD JEHEBER Bus Lic: BT30079887 Engineer : RCE CONSULTANTS INC Address: 410 32ND ST Bus Lic Expire : 10/31/2023 Address : 18021 SKYPARK CIR #E2 NEWPORT BEACH, CA IRVINE, CA 92614 Phone: (949) 723-4393 Workers' Compensation Insurance Phone: (949) 466-9394 Carrier: NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer Address: W. C. Expire: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : . ° Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 - TOTAL sq. ft. 0 - Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential tR� PROCESSED BY: SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS HIGH DENSITY ZONE & LIQUEFACTION OWNER -BUILDER DECLARATION I hereby a0inn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(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 applicantfor the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will de 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 Contrectors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the Improvements are not Intended or offered for sale. It., 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 improved 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 Wide or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure 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 legall) sell a structure that l have built as an ownor-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:http:llwww.leginfo.ca.gov/calaw: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 Suction 7000) of Division 3 of the Business and Profe^s��r'pns Code, and my license is In full force and effect. License Class License No Date 5- S -Z3 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 (6100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE tAROR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintaina 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, forth 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 this permit. is Issued. My workers' compensatioi insurance carrier and policy number are: Policy Number Date ne of Agent rnone IT certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Suction 3700 of the Labor Code; I shall forthwith comply with those provisions. of Dated-e.- 2-5 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit Is issued (Section3097, Civil Code) enders Name Lender's Address ly my signature bela.v, ; Certify to each of the following: I am the property boner or authorized to act on the property owner's behalf. read th.s c.pp%caton and the information I have provided is correct. I agree to comply oi'h all applicable city and county ordinances and state laws retailing to building construction. I �uthrrize representatives of this city or county to enter the above -identified property for inspection purposes. iianature of Prooery O'vner or Authorized Aqent-y-VA I- Print Property Owner's or Authorized Agent's Name..5�9,L v+rA hFdilCt/Tlh _ Oale ALTIUN i DATE. BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f 1 REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE mCft CLNCELLED PERMIT EXTENOEO PLRIVIT PHAL CE13TIFICAT£OF OCCUPANCY ISSUED TO NOTIFICATIONI5NOTAPPLICABLE To