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HomeMy WebLinkAboutXR2023-1998 - Permits�EWPORT City of Newport Beach IIIII IIII II IIIII I IIII IIIII III III IIII II II COMB Permit : XR2023-1998 Community Development Department -Building Division X R 2 9 2 3 1 9 9 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3247 Permit Counter Phone: (949) 718-1888 Issued Date : 07/20/2023 O s newportbeachca.gov/civic Final Date: C,//FOAN�P Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition Inspection Area : 5 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 : 513 ACACIA AVE Description : DEMO SFR 967 SF (2 BEDROOMS) Owner: BIRE II LLC Address : 7202 W COLLEGE DR STE B PALOS HEIGHTS, IL 60463 Phone: (949)239-2022 Applicant: ROD JEHEBER Address : 410 32ND ST NEWPORT BEACH, CA Phone: (949)723-4393 Owner/Builder : Address : Phone Legal Desc : N TR 682 BLK LOT 58 Contractor: MONTESANTOS BUILDERS INC Address : 220 NEWPORT CENTER DR, 322 NEWPORT BEACH, CA 92660 Phone: (949)239-2022 Con State Lie : 1077463 Lie Expire : 06/30/2025 Bus Lie: BT30076141 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT - NO EMPLOYEES W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: /gip(// SPECIAL CONDITIONS: Architect Address Phone: State Lie: Engineer: WICKSTROMERIC Address: 28581 VIA PRIMAVERA SAN JUAN CAPISTRANO, CA 92675 Phone: (949)454-8045 Designer: Address Phone: Construction Valuation : $11,750.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law fdrthe 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie 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 Professions 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 not more than five hundred dollars ($500). 0 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 Improvements 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). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licansure under the Contractors' Stale License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legail} sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/celaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9, (commencing with Section ©) j Sion 3 of the Business and P , Sion CO f my is In fall force and effect. License Class License No Dat ^l Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU DOLLARS (E/00,000), {N AAOffION TO FHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 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` rance carrier and policy number are: Policy Number of Agent Date LE candy that, in tb rk for which this permit is issued', I shall not. employ any person in any manner so as to become subject to the workers' cc pens Lion laws of California, and agre at, if I should be co ub ct 1 he orkers mpensatlon provisions of Section 3700 of the Labor Code, shall forthwith comply With those provisions. ����� gnature of Appliean Da(�I(_'��� Z3 IECLARA7rON RBG D ON37RUCTIDN 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). 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 provided is correct. I agree to comply with all applicable eAy and coup rdin c s and slate laws relating to building construction. I authorize representatives of this city or cc ntified property for inspection purposes. _ I/py�� -1 I,3p l� +ionature of Prooerty Owner or Authorized Agent /� Print Procertv Owner's or Authorized Adam's NamV(ytZAG" �0 0`-5 :Xte PERMIT EXPIRED PiRAvf CANCELLED PEALfiTFINAl ...-._..,_� n''b /-( t� C,S CERTIFICATE OF -1 l OCCUPANCYISSUED OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE. 40 AND AQMD RULE I SUBMIT: Lfr g56cBTO5 NOTIFICATION TO TO