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HomeMy WebLinkAboutXR2023-0663 - Permits�EWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2023-0663 D� Community Development Department - Building Division F �y 100 Civic Center Drive, Newport Beach, CA 92BBO Plan Check No : PC2022-2582 Z. Permit Counter Phone: (949) 644-3288 Issued Date : «y„ Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 °q<�tone`P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 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: 501 ACACIA AVE Legal Desc : N TR 682 BLK LOT 52 Description: DEMO SFR 1278 SF (3 BEDROOMS) INCLUDES SEWER CAP Owner: JOHNMCBRIDE Address : 50B CARNATION AVE CORONA DEL MAR, CA 92625 Phone : (415) 990-4663 Applicant: CHRIS BRANDON Address : 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 Owner/Builder : Address : Contractor: GONTERMAN CONSTRUCTION Address : 502 30TH ST, UNIT A NEWPORT BEACH, CA 92663 Phone: (949)697-0746 Con State Lic : 858073 Lic Expire : 04/30/2023 Bus Lic : BT30048414 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9259518 W. C. Expire: 8/22/2023 Architect: CHRISBRANDON Address: 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 State Lic : Engineer: MANSHADIFARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone: (714) 835-2800 Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: . - a. �� vsr SPECIAL CONDITIONS: 413- $14,500.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Al 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). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not Intended or offered for sale (Section 704-4, 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)_ ❑ I 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 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). 11 1 am exempt from licensure under the Contractors' State 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 legal], 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 tho Business and Professions Code„ is available upon request when this application is submitted orat the following Web site;httpJlwww.leginfo.ca.govlcalaw,btm]. Signature of Property Owner or Authorized Agent T Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 o Div' ion 3 of the Business and Prof on Co a and my license is in full force and effect. License Class License No Date (3 xa7 Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0W), IN Anorl To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 37CO of the Labor Code, for th, er orm nce of the work for which this permit Is issued. Policy No, Vlr�ave 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 nsurance carder and policy number are: carrier Policy Number Expiration Date area of Agent Phone It 3I certify that, in the perfor ante 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 )at, if I should become ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t ignature of Applicant_ 4%1ZZ:: Da �3/q3 ECLARATION REGA ING NSTRt1CTIGN 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). ender s Name Lender's 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 andthe 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 count enterthe above -id r i property for Inspection purposes. i nature of Property Owner. or Authorized Agent Print Property Owner's or Authorized Agent's Nam I U'I"r/r �s' ate 1CTION DATE. BY V DECARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY 'i REGULATIONS PART 51 OF TITLE 40 AND AONID RULE TO PERMITEXFENOED I PERPFICATAL L! 1 �2 p i '4J sgEs705 OTIFICATION IS NOT APPLICABLE TO CFRTlFICATf Of l J f��/ _{ PROPOSE MO�� OCCUPANCYi$SUEO S+GNATJ