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HomeMy WebLinkAboutXR2023-0899 - PermitsCity of Newport Beach p��EWPpRT m0 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 644-3288 > ea Inspection Requests Phone: (949) 644-3255 Cq�/F^0.N�P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 111111111111111111111111111111111111111111111111111111 � �� COMB Permit: XR2023-0899 Plan Check No : 1101-2022 Issued Date : 04/07/2023 Inspection Area : 1 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: 1207 W BAY AVE Legal Desc : N TR 626 BLK 8 LOT 11 Description: DEMO SFR/GARAGE 1140 SF. 2 BEDROOMS. SEWER CAP INCLUDED Owner: BOULTINGHOUSE BOULTINGHOUSE Address : 1200 W BALBOA BLVD APTB NEWPORT BEACH, CA 92661 Phone: (310)7BO-7042 Applicant: MORGAN BOULTINGHOUSE Address : 1207 BAY AVE W NEWPORT BEACH, CA 92661 Phone : (310) 801-1397 Owner/Builder: MORGAN BOULTINGHOUSE Address: 1207 BAY AVE W NEWPORT BEACH, CA 92661 Phone: (310)801-1397 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: {'ryS tE10 t,40 Ci Architect Address Q t 9ta a Lie Engineer: Address Phone: Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq: ft. : 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterri 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 3a permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState 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 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 penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, rosiness 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 niKo.vements 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 p d (or the purpose of sale). owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not 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). exempt from licensers under the Contractors' State License Law for the following reason: ty my signature below I acknowledge that, except for my pars naI residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, all a structure that I have built as an Dvmer-owldor d'it has n been constr4lbled in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and rofessions Code„ is available upon request when spplic on' sub mi or a the following Web site:hlipalww'w.leginfo.ca.gov/calaw.html. ��._ _� 3 ,Ignature of Property Owner or Authorized Agent O .ICENSED CONTRACTOR'S DECLARA N hereby affirm under penalty of perjury that I am licensed -nder previsions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Cade, and my license is In full force nd effect. License Class License No Date Contractor Signature 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 (S100,000i, IN ADDITION TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 379E OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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, for ormance of the Work for which this permit is issued. Policy No. 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' compensa Trance carrier and policy number are: Policy Number of Agent Date i Unify that, in the performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre i If I should become subject tD he workers' c pensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applici�''4.�1 D �— 7 �G S CLARATION REG ON9TRUC'TION LENDING AGENCY areby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lenders Address my signature below, I certify to each of the fallowing: 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 ordina4 es and state laws relating to building construction. I authorize representatives of this city or county to enter t hove-identifi d property for inspection purposes. 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