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HomeMy WebLinkAboutXR2023-0591 - Permits�EwaoRr City of Newport Beach II III III I II I III IIIIIIIIIII IIII III II COMB Permit : XR2023-0591 0� Community Development Department- Building Division X R 2 0 2 3 0 5 9 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0475 W i Permit Counter Phone: (949) 644-3288 Issued Date : 03/03/2023 « Inspection Requests Phone: (949) 644-3255 cq(/FOPN`P newportheachca.gov/inspections Inspection Area:6 Combination Type - SFP 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 : 702 ST JAMES PL Legal Desc : N TR 1218 BLK LOT 24 Description: DEMO SFR/GARAGE 3018 SF, 5 BEDROOMS. SEWER CAP INCLUDED Owner: MARINE LAYER PROPERTIES LLC Contractor: WILLHOIT CONSTRUCTION INC Address: 751 WILDOMAR Address : 1278 GLENNEYRE ST, STE 203 PACIFIC PALISADES, CA 90272 LAGUNA BEACH, CA 92651 Phone Applicant: DAWSON ROSENBERG Address : 1278 GLENNEYRE ST #213 LAGUNA BEACH, CA 92651 Phone: (949)285-5444 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-B U,R-3 Front: 10, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: JD DEMO TO HAUL DEBRIS Phone: (949)677-9685 Con State Lie: 941138 Lie Expire : 11/30/2024 Bus Lie: BT30040606 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No : C51303362 W. C. Expire : 2/1/2024 Architect Address Phone: State Lie Engineer Address Phone: Designer: Address Phone: Fire Sprinklers : NO Construction Valuation : $32,500.00 Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Adc1AUw sq. arage : 0 I-, 1 r'"^7CTP.L's . R, a y 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasan(s) indicated below by the checkmark(s) I have placed next to the applicable fteri (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 the 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 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sale 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 Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements 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 improved for the purpose of sale). 0 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 appty 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 am exempt from licensure under the Contractors' State 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 legaliy sell 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 Professions Code„ is available upon request when this application is submitted prat the following Web sitehttp://Www.leginfo.ca.gavIca law. limit. Signature of Property Owner or Authorized Agent _,_ Date LICENSED CONTRACTOR'S DECLARATION 'iI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profegsio s, t(` Code�an n licens is In full force and effect. License Class License No Da IA/22)Contractor Signalur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROV IOED FOR IN SECTION 3T06OF THE LASOR CODE:INTEREST, AND ATTORNE)"S FEES. 11 hereby affirm under penalty of perjury one of the following declarations: S+a'ctl have and will maintain a certificate of consent to .self -insure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the. Labor Code, forth, ormance of the work for which this permit is issued. Policy No, 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' carrier and policy number are: Policy Number Date Tie of Agent Phone # certify that, in the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should became ubject to the workers' c, ppereatfon rovlsfons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� 2, nature of Applicants `^��_ lwf%r ---6—Ai�/J� DSt r_ CLARATtGN REG RDING CONSTRUCTION LENDING AGENT(. ,/1 ±reby affirm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ides s 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 and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state faws relating to building construction. I authorize representatives of this city or county to. entgr the above -identified property for inspection purposes. y�,., �,6S�!r Z 1. ��... 3 nahu'R of Pronrxriv Owner or Authorized Aaant I G✓IM'/ 00 044i �J/Prinl Prooerty Owner's or Authorized Agent's Name �) gatow �. Da[eJ - 2 DATEDECLARATION OF CMPLIACE I BY f REGULATIONS PART06.1 OF TITLE 40 AND AQMD RULE AL J FOR OFITH CODE OF FICE USE ONLY PERMIT EXPIRED L_I I SUBMITTFD A5 BcSTOS i40TI FICATION TO PERM(TCANCELLED T�,yyyyyrEPA PERMITEXTENDED QMD _ PERMITFINAL 2 23 i ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERT(FtCArE OF J PROPOSED 0EMSLLkBON � OCCUPANCY ISSUED l eh rJAil� SIGNATURE:\A-I __