HomeMy WebLinkAboutXR2023-0663 - Permits�EWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2023-0663
D� Community Development Department - Building Division
F �y 100 Civic Center Drive, Newport Beach, CA 92BBO Plan Check No : PC2022-2582
Z. Permit Counter Phone: (949) 644-3288 Issued Date :
«y„ Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
°q<�tone`P newportbeachca.gov/inspections
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: 501 ACACIA AVE Legal Desc : N TR 682 BLK LOT 52
Description: DEMO SFR 1278 SF (3 BEDROOMS) INCLUDES SEWER CAP
Owner: JOHNMCBRIDE
Address : 50B CARNATION AVE
CORONA DEL MAR, CA 92625
Phone : (415) 990-4663
Applicant:
CHRIS BRANDON
Address :
151 KALMUS DR, G-1
COSTA MESA, CA 92626
Phone:
(714)754-4040
Owner/Builder
:
Address :
Contractor: GONTERMAN CONSTRUCTION
Address : 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone: (949)697-0746
Con State Lic :
858073
Lic Expire :
04/30/2023
Bus Lic :
BT30048414
Bus Lic Expire :
09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9259518
W. C. Expire: 8/22/2023
Architect: CHRISBRANDON
Address: 151 KALMUS DR, G-1 COSTA MESA, CA
92626
Phone:
(714)754-4040
State Lic :
Engineer:
MANSHADIFARHAD
Address :
1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone:
(714) 835-2800
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 :
2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
. -
a. ��
vsr
SPECIAL CONDITIONS:
413-
$14,500.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Al 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 lie 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 7031.5 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 do (_) all of or (_) portions of the work; and the structure is not Intended or offered for sale (Section 704-4,
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)_
❑ 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 builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
11 1 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 legal],
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 tho Business and
Professions Code„ is available upon request when this application is submitted orat the following Web site;httpJlwww.leginfo.ca.govlcalaw,btm].
Signature of Property Owner or Authorized Agent T Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 o Div' ion 3 of the Business and Prof on Co a and my license is in full force
and effect. License Class License No Date (3 xa7 Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0W), IN Anorl To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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 37CO of the Labor Code, for th,
er orm nce of the work for which this permit Is issued. Policy No,
Vlr�ave 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' compensatior
nsurance carder and policy number are:
carrier Policy Number Expiration Date
area of Agent Phone It
3I certify that, in the perfor ante 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 agre
)at, if I should become ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t
ignature of Applicant_ 4%1ZZ:: Da �3/q3
ECLARATION REGA ING NSTRt1CTIGN 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, Civil Code).
ender s Name Lender's Address
y 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 comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count enterthe above -id r i property for Inspection purposes.
i nature of Property Owner. or Authorized Agent Print Property Owner's or Authorized Agent's Nam I U'I"r/r �s' ate
1CTION DATE. BY V DECARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
'i REGULATIONS PART 51 OF TITLE 40 AND AONID RULE
TO
PERMITEXFENOED I
PERPFICATAL L! 1 �2 p i '4J sgEs705 OTIFICATION IS NOT APPLICABLE TO
CFRTlFICATf Of l J f��/ _{ PROPOSE MO��
OCCUPANCYi$SUEO S+GNATJ