HomeMy WebLinkAboutXR2023-1147 - Permits��EWPORT City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XRZO23-1147
c4 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0428
Permit Counter Phone: (949) 718-1888 Issued Date : 05/04/2023
.t. newponbeachca.gov/civic Inspection Area : 1
Combination Type - SFP PLUM
Work Class - Demolition
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 : 107 06TH ST
Description : DEMO SFR (3 BEDROOMS) 1773 SF
Owner: GRAMLING REVOCABLE TRUST
Address : 107 6TH ST
NEWPORT BEACH, CA 92661
Phone:
Applicant:
JOHN MORGAN JR
Address :
18682 BEACHMONT AVE
SANTA ANA, CA 92705
Phone:
(714)730-2723
Owner/Builder :
Address :
Legal Desc : A TR-EAST NEWPORT BLK 9 LOT 2
Contractor: J W B CONSTRUCTION SERVICES
Address : 18161 ESTES WAY
SANTA ANA, CA 92705
Phone :
(714) 730-8464
Con State Lic
: 690352
Lic Expire :
05/31/2023
Bus Lic:
BT30071296
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1903645
W. C. Expire : 9/18/2023
Architect :
JOHN MORGAN JR
Address :
18682 BEACHMONT AVE SANTA ANA, CA
92705
Phone:
(714)730-2723
State Lic
Engineer: FORBES DALE L
Address : 1800 E 16TH ST #B
SANTA ANA, CA 92701
Phone : (714) 835-2800
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 :
2
Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: CERT MAIL RECEUPTS ATTACHED
r'.
$16,000.00
0
0
0
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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is 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 TOOD) of Division 3 of the Business and
rrofessiuns Code) or that he or she is exempt from ilcensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a oivil penalty of
iot more than five hundred dollars (S500).
1 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
nyproved 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' State License Law does not
`pply 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 am exempt from licensure under the Contractors' State License Law for (he following reason:
V my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior la complotion of the Improvements covered by this permit, I cannot legall)
,oil a structure that I have built as an owner -builder if ithas 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 eva)lable upon request when this application is submitted or at the following Web site;http:thvww.teginfo.ca.govlcalaw.html,
ignmure of Property Owner or Authorized Agent _ x Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Sectiory 7�} f visiba 3 of the Business and Prof io t 1 in full force
Ind effect. License Class License No Dat /7/`\ Z Contractor Signature
VORKERS' COMPENSATION DECLARATION
tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS I$100,000t rN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and Will maintain a cerificate 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, for thi
grformance, 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:
ne of Agent.
certify that, in the
if I should becon
nature of ADolican
Policy Number Expiration Date
Phone #
far ah t per is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
pa tlnn ns of Section 3700 or the Labor Code, I shall forthwith comply vdlh those provisions.
IN LENDING iiiiiGENCY
areby affirm under penalty perjury that there is a construction tending agency for the performance of the work for which this permit Is issued (Section 3, 08 lull Cade).
ideis Name I Lender's Address
my signature below, ( 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 ` co Gt.
I agree to comply withal) applicable city and county ordine stat ws r Ing uliding construction.
I authorize representatives of this city or county enter a e-I le p r inspection purposes.
,nature of Property Owner or Authorized A ank Print Property Owner's or Authorized A
?ION DATE BY ARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFicE USE ONLY
€ titALAT10NS PART 61 OF TITLE 40 AND, RUd.E
I SUBMITTED ASBESTOS NOTIFICATION TO
PERNUTEXTENDED
PERMr€fAAL 6 /f/
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