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HomeMy WebLinkAboutXR2023-1826 - Permitsk ,tiwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1826 O Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2402 N+S T Permit Counter Phone: (949) 718-1888 Issued Date : 07/0512023 o- newportbeachca.gov/civic Final Date: cq�rFoaN'P Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition 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 : 613 BAY AVE W Legal Desc : A TR EAST NEWPORT BILK 4 LOT 9 Description: DEMO SFR W/ATT GARAGE 1010 SF (2 BEDROOM) Owner: THADDEUS RICHARDS Address : 613 W BAY AVE NEWPORT BEACH, CA 92661 Phone: (714)271-6361 Applicant: FRANK h WEN Address : 1691 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone: (949)642-5212 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: 2022 V-B U,R-3 Front: 9, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential Contractor: MORAN JAVIER GENERAL CONTR Address : 3089 YUKON AVE COSTA MESA, CA 92626 Phone: (714)721-8846 Con State Lie : 712191 Lie Expire : 09/30/2023 Bus Lie: BT00023023 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWCO2056300 W. C. Expire 6/1/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : FRANK h WEN Address : 1691 WESTCLIFF DR NEWPORT BEACH, CA 92660 Phone: (949)642-5212 State Lie Engineer: MANSHADIFARHAD " Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 ' Phone: (714)835-2800 , Designer: Address : Phone: NO Construction Valuation : NO Added/NewlTl sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage TOTAL sq. ft. : NO CONSTRUCTION WORK ON SATURDAYS SPECIAL CONDITIONS: `INCLDS SEWER CAP, TIGHT QUARTERS TO HAUL DEBRIS" CERTIFIED MAIL RECEIPTS SCANNED $13,0ub.O0 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t 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, after, 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 7000) of Division 3.of the Business and �rofaesions 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 fora permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 nprovements are not intended or offered for safe 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 m roved for the purpose of sate). 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 ncL �pfy to an owner of property who builds or Improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Stale License Law for the following reason'. ry 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 ell a structure (hat I have built as an owner -builder if It has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Inofossions Code, is available upon request when this application is submitted or at the following web site:http:flwww.ieginfo.ca.gov(calaw.html. signature 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 Se lion the Busl ass and Pmfessio s C �da' raft T res € I � full force nd effect License Class License No!! Co a for Signature PORKERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FOR 1 UP T ONE HUNDRED THOUSAND DOLLARS tSt0e000), IN AUDITION TO THE DST OF COMPENSATIJA, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S PEES. hereby affirm under pa.Iaify of perjury one of the following declarations: ., I nave nd i�I maintain a certificate of consent to stilt -insure for workers' compensation, Issued by the Director Of Industrial Relations as provided for by Section 3700 of the Labor Code, tot Rtt blorrinji work for which this permit is issued. Policy No, tfa,le Md 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' compensatior ranee carrier Pnd poilfy number are: ter__ Policy Number Expiration Date •e of Agent Phone If �I,rGfy that. in the perform nce of the Work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agta, if 1 should bBaV b' t to the workers' c/om/pGnsa�tieyn�provisians of Section 3700 of the Labor Code; I shall forthwith comply with those provisions_. Iature of Apr e�Ti! i(AiC�/till Y Date :tMA ltp RfN ONSTl C71�JN NOING AGENCY Y her"&ffirm under pana�ty of perjury that there is a construction lending agency for the performance Of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my Signature below, I 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 providedis correct. I agree to comply with all applicable city and only rdinances and state ws relating to building Construction. I authorize representatives of this city my to terth ve-�I add pro for for inspection purposes. �, �/ �.t �7 innature of Prnnenv owner or Authn!17911 A I CWI 0 W / Prins Pmnartv C}wnar'c nr Al,rhnri>arl AnanMiNvma s�(�f d/�� � (a' t �rlL 6 , ACTION CER ITFICAFE OF OCCUPANCYISSUED DATE BY DECLAR�TIONOF COMPLIANCE' ITHCODEOF FEDERAL REGU fiONS PART 61 OF TITLE 40 AND AQMU RULF. 1TVK* .1 lhYYa'L;3islt7].119LP11�Lf] FOR OFFICE USE ONLY