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HomeMy WebLinkAboutXR2023-0492 - PermitsCity of Newport Beach ��EWPO?T Community Development Department - Building Division j _ y 100 Civic Center Drive, Newport Beach, CA 92660 - 2 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9t/FORN`P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 11111111111Ili 111111111111111lill11111111111111111111111111COMB Permit : XR2023-0492 Plan Check No : 1332-2022 Issued Date : 02/22/2023 Inspection Area : 6 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 : 929 TILLER WAY Legal Desc : N TR 6228 BLK LOT 92 Description: DEMO SFR 4 BEDROOMS 2203 SF *SEWER CAP INCLUDED* Owner: ROBERT HAMILTON Address: 929 TILLER WAY CORONA DEL MAR, CA 92625 Phone: Applicant: MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone : (949) 975-0123 Owner/Builder: Address : Contractor: MILO CONSTRUCTION Address : 101 VIA MONTE PICAYO SAN CLEMENTE, CA 92673 Phone : (949) 290-6429 Con State Lie: 871429 Lie Expire : 03/31/2024 Bus Lie: BT30038762 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect : MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949) 975-0123 State Lie Engineer: PATEL SHARAD Address : 9283 RESEARCH DR IRVINE, CA 92618 Phone: (949)943-8080 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 : 1 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: - SPECIAL CONDITIONS: CERT MAIL RECEIPTS ATTACHED $25,000.00 0 Ft I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 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 10 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 '(ofessions Code) or that he or she is exempt from ficensure 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 of more than five hundred dollars ($500). ] 1, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, -usiness 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 nprovements 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). 3 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 pply 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). I I am exempt from Ifaensure under the Contractors' Stale License Law for the following reason y 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 legally all a structure that I have built as an ownar-buildor 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 'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:httpJiw .leginto.ca.gov/calaw.html. ,Ignature of Property Owner or Authorized Agent __ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 of Divisfao 3 of the Business and Pro BID Code, d. my lie- n ais in full force nd effect. License Class License No Dato Z 2 .2 Contractor Signature JORKERS' COMPENSATION DECLARATION ARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37080E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: U I have and vAll maintain a certificate of consent to self- insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, far ti performance of the work for which this permit is issued. Policy No. I have 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` compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date N- a of Agent Phone # rtify that, in the performance of the work for w is this a it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra at, If I should becom s lect to the orkers' corn a sat! pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date Z • ZZ Z3 DECLARATION REGA PING STR C710N LEN GENCY I hereby affirm under penalty of perjury that there is a constru -lion lending agency for the performance of the work forwhlch-this permit is issued (Section 3097, Bivil ode). Lender's Name Lender's Address By my signature below, I certify to each of the following: I an, the property owner or authorized to act on the property owner's behPIL I have read this application and the information I have rovided is torte t. i agree to comply with all applicable City and co ty 'nances a it st to I ws relating to building. construction. I authorize represenfatives of this city or county t e heats -fde fit d property for inspection purposes. i Si nature of PropartOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name IJrz-K MOQ. Date Z • 22.2 3 ACTION DATE BY I.Al DECLARATION OF CO LANCE WITH CODE OF FEDERAL FOR orFICE USE ONLY REGULATIONS PART 6t TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ I 1 LI IsI/HNITTE11 ASBEvTCIS NOT' FICATION TO PERMIT CANCELLED PERMIT EXTENDED FJAWD---- PERMITFINAL V HE OS UFI lIONISN�PPI LE f0� CERTIFICATE OF �9"�7 A�"�� PROPOSED Syr/y''(}OUT,tCf/pN OCCUPANCYISSUEA i SIGNf"EUR r 9l2S9 002oEE zH J© \ /A {\\Y } \/\\\}{ \ a aneo,:� E:lz TOE2 0000 OEEE ee;!