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HomeMy WebLinkAboutXR2023-2733 - PermitsCity of Newport Beach 11IIIIIIIIIIII111111111111111111111111111111111111111111l jjCommunity Development Department -Building Division X R 2 0 2 3 2 7 3 3COMB 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP PLUM S . ""-5�...., o Work Class - Demolition _",� : - ' Permit:XRZOZ3-2733 Plan Check No: PC2023-0926 Issued Date : 09/29/2023 Final Date: Permit Status: Issued 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 : 424 BAY AVE E Legal Desc : A TR BALBOA BAYSIDE TR BLK 2 LOT 23 BALBOA BAYSIDE Description : DEMO (E) SFR 524 SF. CAP SEWER. Owner: PETER ZILVER VANDE Contractor: J W B CONSTRUCTION SERVICES Architect : JOHN MORGAN JR Address : 13951 CARROLL WAY STEE Address : 18161 ESTES WAY Address : 18682 BEACHMONT AVE SANTA ANA, CA TUSTIN, CA 92780 SANTA ANA, CA 92705 92705 Phone: (949)525-8817 Phone: (714)730-8464 Phone: (714)730-2723 Con State Lie : 690352 State Lie Lie Expire : 05/31/2025 Applicant : JOHN MORGAN JR Bus Lie: BT30071296 Engineer : FORBES DALE L Address : 18682 BEACHMONT AVE Bus Lie Expire : 03/31/2024 Address : 1800 E 16TH ST #B SANTA ANA, CA 92705 SANTA ANA, CA 92701 Phone: (714) 730-2723 Workers' Compensation Insurance Phone: (714) 835-2800 Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 1903645 Designer Address : W. C. Expire : 9/18/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $6,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3.1 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: 3, Side: 3, Side: 3, Rear: 5 Flood Zone :" X; AO 1 NO CONSTRUCTION WORK Use Zone : R-2-Twwo-UUnit Residential PROCESSED BY: tJ`� ON SAT IRDAYr—', SPECIAL CONDITIONS: HAULER: ROBERT'S WASTE ER -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 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 the 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 crofesslons Code) or that he or she is exempt from Ilcensure 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 '�.mprovements 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 improved for the purpose of sale). © 1, as 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 a ply 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 luensure under the Contractors' Slate 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 permit, I cannot legall7 sell a structure that I have built as an owner-builder'if it has not been constructed in its entirely 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 or at the following WAD site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION / I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of D vision 3 of the Business and Professi o . d. no in OR and effect. License Class License No Date u Z.3ir Contractor Signature iNORKERS' COMPENSATION DECLARATION I It NARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE HOUSAND DOLLARS (f100.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby aff€rm under penalty of perjury one of the following declarations: 1 have and will maintain a corthcate 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 Ih performance 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' ranee carrier and policy number are: is of Agent certify that,. in the pl i1 I should become ieture of Aoulicanl. Policy Number Date Ted, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. DataJ7 3 3 CON RUCTION LENDING AG hereby affirm under pof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). endere ly s Name Lender s Address y my signature below. I certify to each of the following: I am the prooe>ty ow,er or authorized to acton the property owner's behalf. I Il read this application and the Information I have provided is reel I agree to colnDy wit? all applicable city and county ordi s la�Fing to building construction I aulhorfze representatives of this city or county to e r v n' dor inspection purposes. r' �,y ignature of Property Owner or Authorized A ent Print Propert Owner's or Authorized Agent's Name V �j"'r�k 'HON DATE BY " DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY tiS RFGOLATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 YhRmd, EXPIRED 191 ski BMiTTED ASBF.5T05 NOTI FiCAT10N TO "EPIM, � ANCEl,LED EPA PERMIT EXrENDtO_ I D/AQMD 7ERMIT'INAL W i.i) ASBESTOS NOTIFI' 10' NO �k} AB TO CERTIFICATE Of PROPOSURE: /ED DEMO JI C OCCUPANCY ISSUED r SIGNAT