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HomeMy WebLinkAboutX2019-2782 - MiscXzorq-27V A10 AVewpori JRIJ CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 2410 Newport Blvd, Newport Beach, CA 92663 We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIF ECTIONS: Read and initial each statement below to signify you understand or verify this information. "'Cl. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working og,my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers 091? {�roperty. l understand building permits are not required to be signed by property owners unless they are respnsible for the construction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and Haxipg the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list thsj 'cense numbers on permits and contracts. 45. d understand if I employ or otherwise engage any persons, other than California licensed Coriiraz;tors, and the total value of my construction is at least five hundred dollars ($500), including labor and ynaterials, I may be considered an "employer' under state and federal law. 6. 1 understand if I am considered an "employer' understate and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by tee laws may subject me to serious financial risk. understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Co tr tor. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. Forms\owner builder verifdoc 08/12/16 1 oft 1 .1. I understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for information about licensed contractors. 06 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the fol g address: 2410 NEWPORT BLVD NEWPORT BEACH CA 92663 . I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as Qn I ers. 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the City of Newport Beach, Building Division, for issuing the permit. Note: A copy of the property owner's driver's license or form notarization is required to be presented when the permit is issued to verity dto property owner's signature. I ) LI Print name of property owner _! ') _.:... _ _.�. t � G !r o O Yi �Z,�y� J ( 1 Property Owner's Signature: '. _ Date: Sep 06, 2019 /V6t9:' The following Autirorization Fonvi is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the `<< Owner-Builcior. AUTHORIZATION OF AGENT T O ArTON PROPERTY OWNER'S BEHALF - Ex(luding the Notice to Properly Owner, the execution of which I understand is my personal re pomibility, I hereby authorize the following person(s) to act as my ageht(sl to apply for, sign, and file the`dco rments necessary to obtain an Owner -Builder Permit for my project. Scooe of Construction Project (or Description of Work): _--_-- t:amm_11lum ,Slq "Offehore WEST" Project Location or Address: 2410 NEVI/PORT BLVD, NEWPORT BEACH, CA 92663 Name of Authorized Agerd: Elephant US. LLCI Ale.;t Karasyk _ Tel No _ 323 688 8335 X951 Loskisos l,1yd, :qu. , ilsson-eo, CA 92691 Address of Authorized Aaent: it;05iiViejo, I de oder per alt or' perjury fffiz.i ! _vo the property owner for the address listed above and I rsonally filled out t el aYovr. 'R_rrnaton and crtify it a r rracy. Note: A copy of the owner's driver's license, form notarization;,or ofher r rn, ication acceptable- to the agency is required io be presented when the permit is issued to verif�he prope.1r; own—'s sinature. Property Owner's Signature: _ Date: _ Sep 06, 2019. Note: A copy or'the owner's dr' _kt:� s lie -:tis; Jr ferrrr loiarization is required to be presented when the permit is issued to vei _ �ropetty owner's signature. - Dart^ne 2 of;, ,2a Pewporf BlvA CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 . www.newportbeachca.gov 1 (949) 644-3200 ACKNOWLEDGMENT OF NO CONSTRUCTION -RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS On June 11, 2019, the City Council adopted an ordinance restricting construction -related noise on Saturday in High Density Areas effective August 12, 2019. I acknowledge that any construction -related noise, (including, but not limited to operating power equipment or machinery in a manner that produces noise) is not allowed on Saturday or Sunday in High Density Areas in accordance with Newport Beach Municipal Code 10.28.040. As the owner of the property, I am responsible to ensure all persons working on the property comply with this provision of the Newport Beach Municipal Code. 2410 Newport Newport Blvd, Net Beach, CA 92663 Project Address: _ Q*ier's Name: -. 1 4�V -.- 'tii�G U 11 Z �i�U e1 ?1/?d` � cl Owneir Signature: cowl` Contractor's Signature: _ Alex Karasyk, Elephant US. LLC, Date: September 06, 2019 ForrnsWcknowledgment_No_Seturday_Constmction_HighDensityAreas Secretary of State LLC -2 `• Amendment to Articles of 'f M Organization of a °�•" Limited Liability Company (LLC) IMPORTANT— Read Instructions before completing this form. Filing Fee - $30.00 Copy Fees – First page $1.00; each attachment page $0.50; Certification Fee - $5.00 Note: You must file a Statement of Information (Form LLC -12), to change the business address(es) of the LLC or to change the name or address of the LLC's manager(s) and/or agent for service of process, which can he fled online at llcbizffle.sos.ca. gov/Sl. 1. LLC Exact Name (Enter the exact name on file with the California Secretary of State.) ST. ANDREWS PROPERTIES, LLC FILED Secretary of State State of California JUL232019��� Above Space For Office Use Only 2. LLC 12 -Digit Entity (File) Number (Enter. the exact 12 -digit Entity (File) Number issued by the California Secretary of State.) ©M©©© E R©M©N© 3. New LLC Name (If Amending) (See instructions— List the proposed LLC name exactly as it is to appear on the records of the California Secretary of State. The name must contain an LLC identifier such as LLC or L.L.C. "LLC" will be added, if not ,NEVVPORT MARINA COMPOUND LLC G '- 4* M,lanagemaont, Flf Amending) (Select only one box) Tht °LLC wily h?`rr�qnaged by: One Manager ❑ More than One Manager ❑ All LLC Member(s) °PYJ�pose Ctatement (Do not alter Purpose Statement.) The purpose of the limited liability company is to engage in any lawful act or activity for which a limited liability company may be organized under the California Revised Uniform Limited Liability Company Act. 6. Additional Amendment(s) set forth on attached pages, if any, are incorporated herein by reference and made part of this Form LLC -2. (All attachments should be 8/2x 11, one-sided,. legible and clearly marked as an attachment to this form LLC -2.) Signature By signing, I certify that Sign here and correct and that I am authorized by California law to sign. 1) Print your name here LLC -2 {REV D612019) 2019 California Secretaryof State bizfile.sos.ra.gov EXHIBIT B CAPITAL CONTRIBUTION OF MEMBERS AND MEMBERS ADDRESSES As of the Formation Date * Represents the approximate cash required for the purchase price of an undivided 50% interest in real property known as 505 St. Andrews Road, Newport Beach, California 92663. The estimated value of property is: $[3,200,000] The approximate amount of debt the property is subject to: $[2,000,000] Member's Member's Member's Name Member's Address Capital Percentage Contribution Interest Timothy W. Carr, Trustee of 136 Rochester Street $[600,000]* 100% THE TIMOTHY CARR Costa Mesa, CA 92627 .<<<< REVOCABLE TRUST EST. FEBRUARY 23, 2005 * Represents the approximate cash required for the purchase price of an undivided 50% interest in real property known as 505 St. Andrews Road, Newport Beach, California 92663. The estimated value of property is: $[3,200,000] The approximate amount of debt the property is subject to: $[2,000,000] 12977/000018/00682269-1 .<<<< C 12977/000018/00682269-1