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HomeMy WebLinkAboutXC2023-0164 - PermitsJO r-�­1 Iz 1, : •g •bs lVlol a6ejeO •u'bs MaNlpappV : 6pla •11 •bs uogejallV 6p19 •11 •bs I1Im9N/P8PPV : uogenlep uog3njlsuo0 (E1704-L LOZX) 213O US/HDNMO Ol 2JOlOV2J1NOO dO 3JNVH0 :SN0waNOO-IV1O3dS :AS 03SS30ONd laau;S qlg[ pue abell!n /JauueO asN-paxl!n/ - 1S H1SL/AO-nW : auoZ asN X ' L OV : auoZ poold : sjoeglas 6u!pl!ng £ : sauolS JO ON L : s1lun to ON ON : auoZ PJezeH and ON : sjal)luudS and : auo4d ssaippV : aj!dx3'3•M iau6!sap : ON Ao!Iod :jaune0 b4ZL-b96 (6b6) : au04d aouejnsul uollesuadwo0 ,sismioM £99Z6 VO'SIIIH VNLIOVI SK 31S NO 31NIOd VZVId ZLL£Z : ssaappV : andx3 0ll sng HOSSOH NIWV IWIHI30 : Jaaul6u3 : o!I sng : andx3 01l o!l olelS : 011 alels U00 04017-bSL(4LL) :auo4d :9uo4d 9Z9Z6 VO'VS3W V1SO0 L-O'NO SnmvV i LSL : ssajppV : ssaippV AVOSNII NOONV219 : 1301!43JV : Joloejluo0 : 14618H 6PIg £-H'W'Z-S :sdnojq Aouedn000 9-n : uo!lonilsuo0 to adR1 9LOZ : uo!1!P3 aPo0 auo4d : ssaippV :jappngpeumo ObOb-USL(bLD :au04d 9Z9Z6 VO 'VSAA V1SOO L-O'NO SnA-1" E9L : ssajppV AVOSNII NOONV2J9 : iueo!IddV auo4d L9£L6 VO'SIIIH ONVIOOOM 3AV 31NNO3OW ££69 : ssa.IppV OII 133N1S H1NIN A1N3M1 OLb : iaumo SWOON039 E O llNn 'SWOONO39 £ 91INn 'SWOON039 £ V 11Nn - 3OVNVOIONIAII Z6LI£LL'9 SOONOO (S) O ONV'9 'V S1INn IVI-LN3(lIS3N : uo!1d!iosaO L 101 )il9 90LSL 2Jl N : osao 1e691 1S H16ZZ44• : ssaippV qo(• 21h SV3PJV -nV NI SAVOIIOH ONV AVONnS NO A JOM ON ONV SV3IHV AlISN3O HOIH NI AVONns ao AVO2fn1VS NO 3SION 031V132J NOiion J1SNOO ON 31VO 30Nvnssi IVNIOINO W0N3 SNV3A £ NVHl N31V1 ON ln9'NO1103dSNI O1IVA ISV1 NO 30Nvnssi N313V SAVO 08L 9NIdX3 S11WN3d maN -SMO WM - ad/1 uolleu!gwo0 d;�n oei.,eJ L : eajV uogoadsul o!np/no6eayoeagUodmau - £ZOZ/GE/SO : ale(]panssl 888E-8LL (6b6) :auoyd jalunoo 1!wjad _ p 2 L LOZ-6b8Z : ON A384O Ueld 0996 Vo 'goeag UodmGN 'anyp J8lua0 o!n!o OOL O ;Iuaad W0� uo!s!n!46u!PIIn9 -lueddolaRl!unwwo0 a 179 -CZ0Z g3eag podnON;o < �(;i� <, ,;,�3�• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Remits) 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 ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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). 1, 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, 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 nprovemenls 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). 11, 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). 7 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: ._ ly 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 legal) ell a structure that I have built as an owner -builder if it hasA been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 oft Business and rofessions Code, is available upon request when `thiT�a llc Ion is subrna eHewing-bYsti site:hftp://wv,N✓.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent y� Date ��"3 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cogel, 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 rfc00.000t, IN ADDITION 10 THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: II 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 if, erfcrmance of the work for which this permit is issued. Policy No. u 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' ranee carrier and policy number are: Policy Number Date ie of Agent Phone # certify that, in the performance 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 oeCali`-T:ia, and ag. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). enders Name Lenders Address _ y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have proved is correct. I agree to comply with all applicable city and county ordig6ricles and slate laws relating to buildin construction. I authorize representatives of this city or county I me the bove-identified nspection purposes. r signature of Property Owner or Authorzed ADent % Print Property Owner's or Authorized Agent's Name Dat) ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED LJAQMD PERMIT FINAL a 'y p ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF tJt� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: City of Newport Beach X 2��r��u���d����►�������►q��� COMB Permit : XC2U23-0164 b Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 2849-2017 Permit Counter Phone: (949) 710-1e88 Issued Data: 0511712023 u ems. newportbeachca.gov/civic Inspection Area: 1 °M.rcoP�`' Combination Type - Work Class - New 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 : 412 29TH ST Legal Dose: N TR 18108 ELK LOT:2, Description: RESIDENTIAL UNITS A. B, AND C (3) CONDOS 6,7131792 LIVING/P.IARAGE -UNIT A 3 BEDROOMS, UNIT B 3 BEDROOMS, UNIT C 3 BEDROOMS Owner: 410 TWENTY NINTH STREET LLC Contractor: Architect: BRANDON LINSDAY Address : 5933 MCCONNIE AVE Address : Address : 151 KALMUS DR, G-1 COSTA MESA, CA WOODLAND HILLS, CA 91367 92626 Phone: Rhone: ': Phone: (714)754-4040 Con State Lie: State Lie: Lie Expire s Applicant: BRANDON LINSDAY Bus Lie: Engineer: DEIHIMI AMIR HOSSEIN Address: 151 KALMUS DR, G-1 Buff Lie Expire : Address : 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 COSTA MESA, CA 92626 Phone: (714)7544040 Owner/Builder: 410 TWENTY NINTH STREET LLC Address: 5933 MCCONNIE AVE WOODLAND HILLS, CA 91367 Phone: Code Edition: 2016 Type of Construction : V-B Occupancy Groups: S-2,M,R-3 Bldg Height: Building Setbacks: Flood Zone: Use Zone: Workers' Compensation Insurance Carrier; • Policy No: W. C. Expire: Fire Sprinklers : NO Fire Haxard Zone i NO No of Units: 1 Noof'Stories; 3 X MU-CV/15TH ST - Mixed -Use Cannery Village and 15th Street PROCESSED BY: SPECIAL CONDITIONS: CHANGE OF CONTRACTOR TO OWNER/BUILDER (X2017-4043) phone: (949)954-7244 Designer: Address Phone: Construction Valuation: Added/Newrrl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 " TOTAL sq. ft.: 0 , NO OONSTRi t--" iOf\l ;\1(.;)i- - ON THE i tr) I have 'rofeA4lone Cbdb: The.Codtr0ders' State License Law does not apply to an aNnor of property who, through amployooW nr paroonal effort, builds or Improves. the property,. provided [het the are not intended or othood for sale. If, however, the building: or improvement Is sold withinone-year of compistfon :the owner-BuIldef Will have the burden of proving that it was not built or I, as ownarof the property, am exclusively contracting with licensed Contractors to construct the project .(Section 7044, Business and Profession$ Code;: The Contractors' State License Law does not. dyto an owner of property, who builds or Improveadhereon, and who contracts for the projects with dlicensed Contractor pursuant to the Contreelers' Slate License. Law). t am exempt from libensure under the Contfactors'$lals License Law for the following reason: my signature below 1 acknowledge that, axcept for In eMoneI residance In which I must resided for at feast ogre year prior to completion of the Improvementa covered by this permit, I cannot leg eetruoture lhot I have built as an owner -builder lilt hot boars conatructod in its entirety by licensed conlradtors. Iuhdorefand that a copy of the appltcOblo, law, Section 7044 of the Buatnose and fesslohs Code, is evellobietupcn request whoa thle " Ileetion is submitted or at the following Web site;tillp:llwww:fagintd.ea.govlcalaw.html.- nature of Property Owner or Authorized Agent l% __ _. _. Date f� 1 Z— COMPENSATION DECLAiii1lTION license'It In full force CIVIL FarEa UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE areby Affirm Under penalty of perjuly.dne of the following declanibons: I have and :will maintain a certificate of consent: to self lnstite for workers' compensation, Issued p.y the Director of Industrial) Relationsas provided for by Section 3700 of the Labor Code,: Foe th formance of :the work for which this parmll is issued. PollcyNm I have and Will maintain workers' -compensation brounmoo, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit Is Issued.. My workers' componaptioi uranca carder:And 0011py numbet are; filer Policy Number. Expiration Dale me of Agent Phone At I certify that, in the perfor ce of the work for which this permit Is Issued, I shah not employany. person In any manner so as to become subject to the workers` compensation laws of Celifomle, end ogre I, If I should become ad ec to the workers' compensation provisions of Sectfoh 3700.of the Labor Code, I shall fof fhwllh comply With those provisions. nature of Applicant Dale_ Id-Z NO CY LARauDANa�lrrebYipAffirm nderPeneltyof perjury Inallhere is ab8Mr61nendfnG AgINIcy for the mence of t@e work forwhlc[his Is Issued (Section oh 8087, Civil Cadq . ides s Name. Lendat'tl'Addres9. my signature below, I Certify to each of the following:: 1 am the plc,T_l-y owner of authorized10 act On the property owher's behalf. I have read: fft.'e cppllcalion and the Information i:have prov d6dis correct. I qnroo tocrt^ fl;'with all applicable: city and county,p(dinsnces and AtataIowa foisting to building construction. ACTION I DATE I ey I RE ULATION& OAi1T 61 OF TITLE 40 AND