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Home My WebLink AboutXC2022-1947 - Permits�EWPOR� City of Newport Beach D� e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 m� Inspection Requests Phone: (949) 644-3255 C9</FORN`P newportbeachca.gov/inspections Combination Type - PLUM Work Class - Demolition COMB Permit : XC2022-1947 Plan Check No : Issued Date : 09/14/2022 Inspection Area : 7 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: -110 22ND-ST — — - Legal-Desc : TR-N€WPORT BEACH -CITY BLK Nyyl - INIS"FRUCTION NOISE Description: DEMO MIXED USE BLDG. 1288 SF. 2 BEDROOMS. SEWER CAP INCLUDED Owner: MCFADDEN PLACE LLC Address : 3334 E COAST HWY #41 B CORONA DEL MAR, CA 92625 Phone: Applicant : PAUL CERNICH Address : 101 SHIPYARD WAY, A NEWPORT BEACH, CA 92663 Phone : (949) 723-0147 Owner/Builder : Address : Phone Contractor : D B A C INC Address : 101 SHIPYARD WAY #A NEWPORT BEACH, CA 92663 Phone: (949) 723-0147 Con State Lie : 637651 Lie Expire ; 02/29/2024 Bus Lie: BT00016282 Bus Lie Expire : 10131/2022 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD5051 B28 W. C. Expire : 11/11/2022 Architect : MI"E WEEKEND Phone: State Lie Engineer : CRAFT PAUL DOMINICK Address : 8512 OXLEY CIR HUNTINGTON BEACH, CA 92646 Phone: (714)270-3311 Designer: ; Address: ; *,s s,r� Phone: f i Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3,B No of Units: 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : X Use Zone: MU-W2 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: TIGHT QUARTERS TO HAUL DEBRIS OWNER -BUILDER DECLARATIO 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 items) (Section 7031.5. Business and Professions Code: Any city or county that requires a mmoll to construct. alter, improve, dernotish, or repair any structure, prior to Its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (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 poneilty 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 Ireproved for the purpose of sale). ❑ 1, 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). El I 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 permitI cannot legalll 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 the Business and Professions Code, is available upon request when this application is submitted orat the following Vyeb site:httpllwww.leginfo.ce.govlcalaw.btml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOM of Div' i n 3 of the Business and Professions C , an y 11 fs t f I In and effect. License Class License No Date Contractor Signalur JVORKERS' COMPENSATION DECLARATIONLe vwlt/ NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P gLTIE6 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND VOL tStO 0). {N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I eve and will maintain a cert't"re of consent to self -insure for rkers' tssued by tiro Director of Industrial Relations as provided tar by Section 3700 0f the Labor Cede, for th 30 or in of the work for which this permit is'ssuad. Policy No. av0 and will mam main workers' compersation a suranoe, as required by Section 37tl0 of the Labor Code.. for the performance of fie work for which this permit is issued. My workers' compensatiol ns nce and and policy number are: �a er Policy Number t>/" t/7 QS'V (CJ Expiration Date 1 I t\ 12 Z me of Agent Phone N certify that, in the porformance of the r210w, h thisper rt is 1 sue I shall not employ an person -in any manner so as to become subject to the workars'componsati n laws f Califemia, and agra if I should become subject to lire kersnSetion pr visio s o -,action 3700 f e L 0r Code, I shall forthwith comply with Ihoss provisions. alure of Applicant_pf�`I ADATIr3Ml "11 fJP er•!`V'r �- hereby affirm under penalty of perjury that there construction ender's Name y my signature below, I certify to each of the following: I am the property owner or authorized to act on the props oI I have read this application and the information I have pr. ide, I agree to comply with all applicable city end comity or ance, I authorize representatives of this city 0r county to e, er ho at of Property Owner or Authorized Age DATE 9Y 1,103 PERMIT EXPIRED PERIWTCANCEILED PERM T EXTENDED - P[PoYf7TF/NAL CERTIFICATE OF I OCCUPANCYISSUEO agency for the performance of the work for which this permit is issued (Section 3097ti, Civil Code). Lenders Address to b 'Iding construction. Ir% raction purposes. OF CONPLI NCE'WI'1`10 icJ 11AL ( FOR OFFICE USE ONLY 'CART 6i F fTLE 40 AND AQMO RULE TO V1I( � Date /I¢