HomeMy WebLinkAboutXR2023-1182 - Permits4 �gWPORT City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XRZO23-1182
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No: PC2023-1055
Permit Counter Phone: (949) 718-1888 Issued Date : 05108/2023
u newportbeachca.gov/civic Inspection Area : 6
Combination Type - PLUM
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 : 704 ORCHID AVE Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 6 CORONA DEL MAR LOT 6 BLK 7 42(AND NELY1/2 LOT 4
Description : DEMO DUPLEX 921 SF, (2) BEDROOMS, SEWER CAP (XR2023-0126)
Owner: LUND REVOCABLE LIVING TRUST
Address : 704 ORCHID AVE
NEWPORT BEACH, CA 92625
Phone :
Applicant: SILVERMAN CONSULTING INC.
Address : 212B Oak Crest
RIVERSIDE, CA 92506
Phone: (951)529-3738
Owner/Builder :
Address :
Contractor: SILVERMAN CONSULTING INC
Address : 2128 Oak Crest Dr f
RIVERSIDE, CA 92506
Phone:
(951)529-3738
Con State Lic
: 1035912
Lic Expire :
02/29/2024
Bus Lic :
BT30080342
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9332898
W. C. Expire : 2/15/2024
Architect
Address: of
4 F-
Phone:
State Lic : I
Engineer
Address
Phone:
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NeW/TI sq. ft. Bldg
Occupancy Groups :
R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X.
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH -DENSITY ZONE
HAULER: JD DEMOLITION
DEMO CERTS ATTACHED
$18,000.00
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0
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I�7� i+i�lEleSifel:l
t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I 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, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
io 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 oFthe Business and
'rofessions Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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' 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 -Budder will have the burden of proving that 4 was not built or
nproved for the purpose of sala).
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' State License Law does not
poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt horn ruensure under the Contractors' State License Law for the following reason:
ly 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 legali,.
all astructure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. j understand that a copy of the applicable law, Section 7044 o€the Business and
'rofesslons Code„ is available Upon request when this application is submitted or at the following Web site:htip:liwvw.leginfo.ca.gav/calaw.hfml.
signature of Property Owner or Authorized Agent . Date.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70. O) aJ., ' isi 3-of the Business and Pr ons , and tic full 101ce
nd effect License Class License. No Date S Contractor Signature'
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIAHNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS (S100,000), IN ADDITION TO THE
LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION Mir OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEE&
hereby affirm under penalty 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 Swipe 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No,
Iktayo 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' compensabol
Insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone N
I certify that, in the performance of the wo for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws f callfomia and agre
that, it I should becom subject to the 7s' compy satlgR,prov€sions of Seddon 3700 of the Labor Code, I shall forthwith Comply With those provisions.
Signature of T.c;icantm, Date J
DECLARATi0j4 REvAROlNG CO R.tfCW070N E NG AGENCY
11 hntehy affirm under penalty of p any that there is a construction tending agency for the performance of the work for wNch this permit is issued (Section 3097, Civil Code)..
Lent:w s Ns.nc Lender's Address
By my signature below, I Caitiff to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have man pros application and the information I have provided is correct.
[ I agree to comply with all applicable city and C unty ordinances and s e lay relating to building construction.
f I authorize representatives of this city or c n ter B to enove-i ntifi roperty for inspection purposes.
(Eir'nature of Propurty Owner Or Authorizedet A Print Property Owner's or Authorised to 'Fc�
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F.GULATIONS PART 61 OF TITLE 40 AND AWAD RULF.
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