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HomeMy WebLinkAboutXR2023-2601 - Permits�p�EW o?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XRZO23-2601 Community Development Department Building Division X R 2 0 2 3 2 6 0 1 ,g } 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2110 V _ Permit Counter Phone: (949) 718-1888 Issued Date ,.r•5. newportbeachca.gov/civic Final Date: Combination Type - SFP PLUM Permit Status: Applied Work Class - Demolition Inspection Area : 8 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 : 2330 15TH ST Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 18 NEWPORT HEIGHTS LO Description: DEMO SFR - 2 BEDROOMS 950 SF CAP SEWER REQUIRED Owner: Ronald Meer Address : 1048 IRVINE AVE #1550 NEWPORT BEACH, CA 92660 Phone : (949) 307-2181 Applicant : Ronald Meer Address : 1048 IRVINE AVE #1550 NEWPORT BEACH, CA 92660 Phone : (949) 307-2181 Owner/Builder : Address : Contractor: TEMPLETON CUSTOM HOMES Address : 784 CENTER ST COSTA MESA, CA 92627 Phone: (949)933-2459 Con State Lic : 1059236 Lic Expire : 10/31/2025 Bus Lic : BT30076562 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire: Architect : DOVID FELD Address : 921 S HOLT AV LA, CA 90035 Phone : (510) 326-7696 State Lic : C037588 Engineer Address Phone: 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 : 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: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential if �si PROCESSED BY: SPECIAL CONDITIONS: $17,500.00 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 reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 rc 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 'rofessions Code) or that he or she is exempt from licensors, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant t0 a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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., LiAM; or improves the property, or that the mprovements 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). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not only 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 from licensure under the Contractors' State License Law tar 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 legalll oil a structure that 1 have bull as an owner -builder it it has not been consi uctod in 4s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and !rofessions Code, Is available upon request when this application Is submitted or at the following Web site.http:/iwww.leginfo.ca.gov/calaw.titml. signature of Property Owner or Authorized AgentDate ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of D'visicn 3 of the Business and Professi nsEt d my license is In full force rid effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING; 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 ISf DD,DDot. IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate or consent W 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. 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 is of Agent Phone # Date certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any Mannar so as to become subject to the workers' compensation laws of California, and agre if I should became subject t the rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ialure of Applicant .... Date_ `r A0ATiF%M DFrepnllJiii���rTTTnnnl.kcT���i 1"`r___r�i��n`M��—I______Ai iiM, erC,Ury hereby affirm under penaltytbf perjugthat there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders 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 and the information I have provided is correct. I agree to comply with all applicable city and county ordinances a state laws relating to building construction. I authorize representatives of this city or county to Vnt 6h%.gkb identified property for inspection purposes. If Property Owner or At ACTION j DATE i By YIECLARAThOf P?TOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' RPQUI.ATION5 PART 51 DF TITLE 40 AND AQNID RULE, 1403 PERMIT' EXPIR'D _... PFAMii rFlA'C'LLG? PERTWT EXTENLED PCRMiT r INAI CERTIFICATE OF OCCUPANCY ISSLIED ... , ..._.._... ...... ... EPA I/117,2� TO NOTI EICA'1'ION 15 NO APPLICABLE TO