HomeMy WebLinkAboutXR2023-0587 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
COMB Permit : XR2023-0587
Plan Check No : PC2022-1756
Issued Date : 04/27/2023
Inspection Area : 5
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 : 303 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BILK 236 LOT 3 CORONA DEL MAR LOT 3 BLK 2 36 NELY 20 FT(AND
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Description: DEMO 2 BEDROOM SFR/GARAGE 1100 SF; CAP OFF SEWER
Owner: PARMJIT GREWAL
Address : 16576 S FOWLER AVE
SELMA, CA 93662
Phone: (949)975-0123
Applicant: MARKTEALE
Address : 2900 BRISTOL ST BLDG A203
COSTA MESA, CA 92626
Phone : (949) 975-0123
Owner/Builder:
Address :
Contractor: ROBLES CONTRACTORS INC
Address : 715 E GRAND BLVD
CORONA, CA 92879
Phone: (714)448-8163
Con State Lic :
914397
Lic Expire :
04/30/2024
Bus Lic:
BT30081396
Bus Lic Expire :
04/30/2024
Workers' Compensation Insurance
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Policy No: CWC01621800
W. C. Expire : 2/1/2024
Architect :
MARK TEALE
Address :
2900 BRISTOL ST BLDG A203 COSTA
MESA, CA 92626
Phone:
(949)975-0123
State Lic
Engineer: PATELSHARAD
Address : 9283 RESEARCH DR
IRVINE, CA 92618
Phone: (949)943-8080
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
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: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
3
NO CONSTRUCTION NOISE
PROCESSED BY
SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS
HIGH DENSITY ZONE ON THE WEEKEND
$25,000.00
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I hereby affirm 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 t0 the applicable item(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 applicant for
ie 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
'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 a civil penalty of
of more than five hundred. dollars ($500).
1 [,as owner of the property, or my employees with swages as their sole compensation, will do j_} all of or L) 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, 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
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).
I I am exempt front I}censure 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 legally
oil a structure that I have built as an owner -builder if it has notbeen constructed in its antiroty 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:/Avww.leginfo.pa.gov/calaw.html,
tignaturo 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 Section 7000) of Division 3of the Business and Professions Code, and my license is In full force
rid effect. License Class License No Date I Contractor Signature �A-D 13 C:1_ o
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), rN ADDITION TO THE
DST OFCCMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TILS 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 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`
ranee carder and policy number are:
Policy Number
Date
Te of Agent Phone #
certify that, in the performance of the work for which this permit is issued.. I shall notemploy any person in any manner so Be to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date_ U 4( 27 1 Z 7
Cf_ARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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
tdePs Name Lender's Address
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 andthe information I have provided is correct.
I agree to „cmply with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
SignatLre of Propel,y Owner or Authorized Agent •-F« A - Print Property Owner's or Autlmrizad A
::.CTICN
I DATE.
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE. 40 AND AQMD RULE
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PE'RCR'r EXPfRED
I SUBMITTED A5BESTOS NOTIFICATION TO
RE77BT CANCEL. Efi
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F i.f T EMENDED
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, LpaASBE5T05 NOTIFICATION 15 NOT APPUCA8LE TO^
CERTIFICATE
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PROPOSED EMO�xNa n
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l 'I'ANDY SUED
SIGNATURE:
Civil
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