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HomeMy WebLinkAboutXR2023-2731 - PermitsaEWnO�T City of Newport Beach IIIIIIIIIIII�II�IIIII��II�IIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIII pr` ',i A•.. Community Development Department- Building Division COMB Permit: XR2O23-2731 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 3 2 7 3 1 u i Permit Counter Phone: (949) 718-1888 Plan Check No : PC2023-2390 newportbeachca.gov/civic Issued Date: 09/2812023 Combination Type - SFP Final Date: Work Class - Other Permit Status: Issued Inspection Area : Gj 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 : 125 BAY FRONT E Description : DEMO GARAGE Owner: BLAND GARRETT Q TR BLAND FAMILY TR Address: 14975 CORONA DEL MAR PACIFIC PALISADES, CA 90272 Phone: Applicant: DERRICK DEJAYNES Address: 245 FISCHER AVE, Al COSTA MESA, CA 92626 Phone: (949)306-4823 Owner/Builder : Address : Phone Legal Desc : Contractor Address : CORBIN REEVES CONSTRUCTION 245 FISHER AVE COSTA MESA, CA 92626 Phone : Con State Lie Lie Expire Bus Lie: Bus Lie Expire 721515 04/30/2024 BT30057133 01/31/2024 Workers' Compensation Insurance Carrier: OAK RIVER INS. Policy No: MAWC441551 W. C. Expire: 2/23/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone Use Zone : PROCESSED BY : SPECIAL CONDITIONS: Architect Address I Phone: State Lie Engineer: Address Phone: Designer: Address Phone: WILLIAM HEFNER 5820 WILSHIRE BLVD, 500 LA, CA 90036 (323) 931-1365 C017013 NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage: TOTAL sq. ft. : $1,000.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of pe€jury that I am exempt Croom nteShai ra uoes atpaemit to cal xa uck.ratierthe f em indicated nororep irthe any structure' prior to its nssuance, also requires applicable the applicant for Saciian 7031.5, Business arld Professions Cade: Any city or c y q ao permit to file a signed stalemani that he ar shy is liconsed pursuant to the provisions of the Contractors' State n of Section Low (Chapter 9 (commencing with permit s 7000) of Division 3 of the civil inesspenal an ?rofassions Code) or that he or she is exempt from lidensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a parmit subjects the applicant to a civil penally of tot more than flue hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not intended r offered for sale (Section TOSS, 3usiness and Professions Code: The Contractors' State License Law does not apply to an ov:ner of progeny who, though employees' or personal effort, builds e improves the prophrat provided not built ore mprovemens are not Intended or offered for sale. 1 f however, the Duflding or impravemant is sold witnln one year of completion, the Owner -Builder will have the bujen '..- \ mproved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Coectors' State-Icense Law does no[ spply 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 LicenLaw).__.�I am exempt from licenure under the Contractors' State License Law for the fallowing reason--— - " 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completlon of the improvements, cov sell a structure that I have built as an owror-builder if it has not boon constructed in its entirety by liconsed contractors. I understand that a copy of the applicable law, S eti� Professions Code„ is available upon request when this application is submitted or at the following rNeb site:http:11www.leginfo.ca,900calaeehtml. O Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION i of the Business and Pro. ^Col I hereby affirm under penalty' of perjury that. I am licensed under provisions of Chapter 9 (commencing with Secti ;Xoatractor,Signa and effect. License Class License No WORMERS' COMPENSATION DECLARATION PLOYER TO COST WARNING: COMPENSATION, FAILURE TSECURE WORKERS' AS COMPENSATION I SECTION COVERAGE IS THE WFUL, AMD CODE, SHALL SUBJECT N EM RNEY'S FEES. iMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DED iI hereby affirm under penalty of perjury one of the following declarations: ❑ i have and will maintain a certifi. e of Donsenl td salt -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Sectic performance of the work for which is pe it Is issued. Policy No. have and will maintain whic rs' comper�satfon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is insurance carrier and policy num er are: 1 Expiration Date 4*1ov Number le of Agent certify that, in the performance if I should become subject te) !reby affirm under penalty of pe K't a Ider's Name nay signature below, I certify to each of 1f I am the property owner or authorized t I have read this application and life info I agree to comply with all applicable city I authorize represemativee of this city or ACTION t DATE. PERMIT EXPIRED PERMIT CANCELED _-- PERiv117 EXTENJEF _ PERM( FINA1. CERTIFICATE OF OCCUPANCYISSUED which this permit is issued (shall not employ any person in any manner so as to become subject to the workers' npensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..r I are is a donstn 3 folawitt act on he p 411hlle� RFGL 1403 for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address laws relating to building construction. ad property for inspection purposes. 31�_ UANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE TO ❑ASBESTOS NOTIFICATION 15 NOT APPUCABLE TO PROPOSED DEMOLMON FOR OFFICE USE ONLY rof a Business and �nd M licenseiforce6111,1111, iN AODT€ION TO THE 3700 of the Labor Code, for He sued, My workers' compensatioi aflon laws of California, and agre J�