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Home My WebLink AboutXR2023-2606 - PermitsaEWPORr City of Newport Beach 111IIIIIIII111111111111111111111111111111111111111111111 jjCOMB Permit : XR2023-2606 0� i pm Community Development Department- Building Division X R 2 0 2 3 2 6 0 6 y y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2273 n Permit Counter Phone: (949) 718-1888 Issued Date : 09/15/2023 newportbeachca.gov/civic Final Date: c,44, r�N`P Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition Inspection Area : 2 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 : 207 GARNET AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 4 LOT 14 Description: DEMO SFR & GARAGE 1188 SF. 3 BEDROOMS. SEWER CAP INCLUDED Owner: 207 GARNET GROUP LLC Contractor: KEYSTONE D C S INC Architect Address : 2901 W MACARTHUR BLVD STE207 Address: `17272 NEWHOPE ST, STE K Address: SANTA ANA, CA 92704 FOUNTAIN VALLEY, CA 92708 Phone : Phone : (714) 791-3771 Phone: Con State Lic : 1013293 State Lie Lie Expire : 04/30/2024 Applicant: NATALIE TANG Bus Lie : BT30076080 Engineer Address : 17272 NEWHOPE ST, Suite K Bus Lie Expire : 07131/2024 Address FOUNTAIN VALLEY, CA 92708 Phone: Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9157538 Designer: TIMOTHY NGUYEN Address : W. C. Expire: 4/21/2024 Address : 17272 NEWHOPE ST FOUNTAIN VALLEY, CA 92708 Phone: Phone: (714) 883-6001 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 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: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island NO CONSTRUCTION NOISE PROCESSED BY: _ i SPECIAL CONDITIONS: ON THE WEEKEND OWNER -BUILDER DECLARATION 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) 'action 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do I_) 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 properly who, through employees' or personal effort, builds or Improves the properly, 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 nproved for the purpose of sale). 3 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 poly 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). m I aa signature 9m exemptP / personal from IlLensure under the Contractors' State License Law for the following . reason _ _ .. .._ y _.. yacknowledge_�..-... _._._..._—�_...__._. e below I acknowled9 a that, exce t for m ersonal residence In which I must have resided for at least one year prior to comp letlon of the Improvements covered by this permit, I cannot legaill all a structure that I have built as an owner -builder If It has 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 available upon request when this application is submitted or at the following Web site:http:liwvnv.leginfo.ce.gov/calaw.html, signature of Property Owner or Authorized AgentDale .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and P Code, and my license is In full force nd effect. License Class License No Date Contractor Signal� . 1�, /J/44 VORKERS' COMPENSATION DECLARATION wANING: 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 t$100;000t, IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 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 certificate of consent to self -insure for workers' compensation, Issued by the [)trader of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the Work for which [his permit is issued. Policy No. 71 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' compensatior issrance carrier and policy number are! Policy Number of Agent Date 3 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 of California, and agre gal, If !should become supnh rkS : co ipensa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionsignalure of AppIECLARATION RBG INTRUCTION 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 Code). tinder's Name _ _ Lender s Address ly 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 provided is correct. I agree to comply with all applicable city, and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county t��'^�° /d ahov -id .property for inspection purposes. lionature of Prooertv Owner or Authorized ADei;:! �l Print Property Owner's or Authorized Auent's Name 1/ I Q� leIC1n 1 etiW Dates • S23 aTOI[OIZ 1403 PERMIT EXPIRED PERMITCANCELEED PERMIT EXTENDED OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY , PART 61 OF TITLE 40 ANDRULE NOTIFICATION TO PERMIT FINAL _ { L,.J ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Of 2/�I A --r `--"['PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE;hL