HomeMy WebLinkAboutXR2023-2732 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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Combination Type - SFP PLUM
Work Class - Demolition
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COMB permit : XR2023-2732
Plan Check No : PC2023-0926
Issued Date : 09/28/2023
Final Date:
Permit Status: Issued
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 : 424 BAY AVE E
Description : DEMOLISH (E) SFR 540 SF. CAP SEWER.
Owner: PETER ZILVER VANDE
Address : 13951 CARROLL WAY STEE
TUSTIN, CA 92780
Phone : (949) 525-8817
Applicant: JOHN MORGAN JR
Address : 18682 BEACHMONT AVE
SANTA ANA, CA 92705
Phone: (714)730-2723
Owner/Builder :
Address :
Phone:
Legal Desc : A TR BALBOA BAYSIDE TR BLK 2 LOT 23 BALBOA BAYSIDE
Contractor: J W B CONSTRUCTION SERVICES
Address 18161 ESTES WAY
SANTA ANA, CA 92705
Phone:
(714)730-8464
Con State Lie
: 690352
Lie Expire :
05/31/2025
Bus Lie:
BT30071296
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1903645
W.C. Expire : 9/18/2024
Architect :
JOHN MORGAN JR
Address :
18682 BEACHMONT AVE SANTA ANA, CA
92705
Phone:
(714) 730-2723
State Lie:
Engineer: FORBES DALE L
Address : 1800 E 16TH ST #B
SANTA ANA, CA 92701
Phone : (714) 835-2800
Designer:
Address :
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 :
U,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: 3, Side: 3, Side: 3, Rear: 5
Flood Zone :
X; AO 1
Use Zone :
R-2 -
ttRResidential
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PROCESSED BY:
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SPECIAL CONDITIONS: HAULER: ROBERT'S WASTE
$6,500.00
0
0
0
NO CONSTRUCTIONAV'CR-K
ON SATURD YS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3eclion 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
ie permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from Ilcensure 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
at more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do 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 Contractors' State License taw does not apply to an owner of property who, through employees' or personal effort, huilds 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 -Sunder will have the burden of proving that it was not built or
nproved for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State. License Law does not
Daly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
I am exempt from licensure under the Contractors' Slate 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 legally
ell a structure that I have built as an owner -builder If ithas not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:nttp://www.leginfo.ca.gov/calaw.htmi.
ilgnature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivisjo 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date %a Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (S100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 the
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 workfor which this permit is issued. My workers'
ranee carrier and policy number are:
is of Agent
certify that. in the of
if I should become
nature of Applicant_
for
Policy Number Expiration Date
is issued, 1 shallnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and
lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 7/L4.J Z
3 CONSTRUCTION LENDING AGENCY
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 (Section 3097
enders Name /U Lenders Address
�By my signature below, I certify to each of the following:
I �r the property owner or authorized to act on the property owner's behalf.
I have reao this aPdlicalion and the information l have provided is correct.
I acme to Comply with all applicable city and county or ' n an late I we rel. '..g to building construction.
I authorize representatives of this city or county to -id ' e party for Inspection purposes.
!SIB_- nat1 Lre Ciwnar or Authorized Agent Print Property Owners or Authorized Ag
ACTION DATE BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
'. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERM T £XPtRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCLd 11 L) �Epp—A
PERA-ITEX_r NDED I�AOMD
UASBEST
CFRTI� FiCAE OF �V�ZT� -I " PROPOSED
OCCUPANCY r55UED SIGNATUR
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