HomeMy WebLinkAboutXR2022-2464 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
COMB Permit : XR2O22-2464
Plan Check No: 2668-2021
Issued Date : 09/14/2022
Inspection Area : 7
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: 521 IRIS AVE
Description: DEMO SFR 2,168 SF, 4 BEDROOMS. SEWER
Owner: 521 IRIS PARTNERS LLC
Address : 601 4TH ST UNIT129
SAN FRANCISCO, CA 94107
Phone:
Applicant: SAGE MODERN INC
Address : 601 4TH, #129SAN t 1
Phone : (775) 527 7527CA0.,® �1(��c 6 ��f�,®
Owner/Builder: 'B°t L •7
Address : rC
egal Desc : A TR--.CORONA 'DEL MAR ELK 535 LOT 21
APINCLUDED
ontractor : SAGE MODERN INC Architect
Hrlrnm PM ATW }d1oo AA.l...ee
SANFRANCISCO, CA 94107
(775) 527 7527
state Lic : 983732
(pre : 05/31/2023
is BT30071663
04/30/2023
ors' Compensation Insurance
�r: EVEREST PREMIER INS CO
Phone :
t�i
®1°'
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone (
NO
Occupancy Groups :
U,R-3
No of Units :
1 -
Bldg Height:
No of Stories :
2
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: TIGHT QUARTERS TO HAUL DEBRIS
Lic :
Construction Valuation : $25,000.00
Added/NeWITI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
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I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or(_) portions of tie work, and the structure is not intended or offered for sale (Section7044,
mass and Professions Gods 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
rovements are not Intended or offered for sale. If; however, the building or Improvement is sold within one year of completion; the Owner -Subtler will have the burden of proving that it was not built or
roved for the: purpose of sale)
1, as Owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 70", Business and. Professions Code; The Contractors' State License Lawdoes not
ly to an owner of property who builds or inproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law);
i am exempt from licensure under the Contractors' State License Law for the following reason:
hereby affirm under penalty Of perjury that.I amlicens
Ind effect. License Class.
PORKERS' COMPENSATION DECLARATION
9 (commencing with Section
licenseisin full force:
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS {SIODA ,tN AMMON. TO THE
reby affirm under penalty of perjury one of the fallowing declarations:
I have and will maintain a Certificate of consent to -self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far -by Section 3700 of theLaborCode, for tin
TT
of the work for which this permitls issued. Policy No.
he a and will maintain workers compensation insurance as required by Section 3700 of the Labor Code. for theperformance of the work for which this permit is issued. My workers' aompensatior
Tan a carrier and policy number are:
Policy Number Expiration Date
is of Agent. Phone #.
certify that, in the performance of the work 'ftlr which tlrls ' ' 'Issued. i shall not Employ any person in any manner so as to become subject to the, workers' compensation laws of California, and.aghe
,It I should become subject to 7 workers'kojnpensat(s prowls ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �
Iature of Applicant i I"_6 Zl
:LARATION REGARDING R DTION LENDING A N Y
reby affirm under penalty o perjury thatthere Is a construction lending agency for the performance of the. work for which this permit is. issued (Section 3097, Civil Code),
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 Incorrect
1 agree to comply with all applicable city and county ordinances and state fa'
1 authorize representatives of this city or county to }nter-the above-U.antified
ACTION I DATE
PERMrr CANCELLED T ,la.I I'A • c • • • ' • -
P€RMITEX7ENOE0 • giu14• •�--���_�••�
PERMITFINAL t� ASHES OTINCAT IS NOT APPLICABLE TO
CERTIFICATE OF 0��2Z PROPOSE00 tTION
OCCUPANCyISSUED $t$•'JATtsRE" • • ° a••
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