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HomeMy WebLinkAboutXR2022-3010 - PermitsEWPORCity of Newport Beach II IIIIIII II III IIIIIIIII I IIIIIII� IIIIIIIIIIII II COMB Permit : XR2022-3010 Community Development Department -Building Division EF i� 100 Civic Center Drive, Newport Beach, CA 926611 Plan Check No : PC2022-2874 u S Permit Counter Phone: (949) 644-3288 yeg Issued ion Are1/15/2022 e� Inspection Requests Phone: (949) 644-3255 CqL/FQ pH�r newportbeachca.gov/inspections Inspection Area! Combination Type - PLUM Work Class - Demolition j .,g 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: 2901 SETTING SUN DR Legal Desc : N TR 3660 BLK LOT 22 Description: SFR DEMO (E) 2943 SF; 5-BED/3 BATH RESIDENCE &SEWER CAP. Owner: _RANDY & HELEN FANOUS : Contractor: LEGACY CUSTOM HOMES INC -:.. Architect Address : 2901 SETTING SUN DR I Address': 1000 QUAIL i ST, 220 Address CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92660 Phone: Phone: (949);887-4750 Phone: ' Con State Lic : 986194 State Lie: Lic Expire : 08131/2023 Applicant : BLAKE RIELLY Bus Lic: BT30045036 Engineer: CRAFT PAUL DOMINICK Address : 1000 QUAIL ST, 220 Bus Lic Expire : 10/31/2023 Address : 8512 OXLEY CIR NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: (949) 679-7086 Workers' Compensation Insurance " Phone: (714) 270-3311 Carrier OAK RIVER INSURANCE. COMPANY Owner/Builder: Policy No : 219928 Designer Address: W. C. Expire: 12121,2022 Address Phone Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $0.00 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: 20, Side: 6, Side: 6, Rear: 6 ° Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)45 0 PROCESSED BY: 8 SPECIAL CONDITIONS: HAULER: JD DEMO ° ° OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itemfs) ;x iecbon 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 fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with $oCtion 7000) of Division $ of the Business and rofessions Code) or that he or she is exempt from Iieensure 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). 11, 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, ❑siness 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 nprovements are not Intended oroffered 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 n roved 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 Fiat eply 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). J i am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastone year prior to completion of the improvements covered by this permit, I cannot legal) of 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 fallowing Web site:httpllwww.agtnfo.ca.govtcalaw.htmi. ignature Of Property Owner or Authorized Agent Date._ ,ICENSED CONTRACTOR'S DECLARATION ; hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' isi n 3 of the Business and Professions C %6my Ilcense is in full fo nd effect License Class License No Date I /I ZZ— Contractor Signature , COMPENSATION DECLARATION JARRING: FAILURE To SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES MO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$M,000), 1N ADDITION. TO THE :DST OF COMPENSAT WN, DAMAGES AS PROVIDED FOR IN. SECTION S706 OF THE LABOR COOE,INTEREST, AND ATTORN'.EY'S FEES. hereby affirm under penalty of perjury ono of the following 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 for by Section 3700 of the Labor Code, for ormance 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' oompensal Trance carrier and polcy number are: is or Agent certify that, in the performance of the work for . if I should become subject to the worked. ' co Policy Number Date 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 I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date�� I hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Code) Lender's Name Lenders Address By my sIgnajt:'g b61 w, I certify to each of the following: I am the propertfr owner or authorized to act on the property owner's behalf. e Fhave reatlJI;IIj application and the information I. have provided is correct. ` I (agree to comply with all applicable city and county ordinances and state elating to building construction, qy� e' 1, • I•authoros, Representatives of this city or county to enter the abov �I led property for inspection purposes, • let 2�r,...a „€ Pn,....n. n,.,...•� n� AnMnmwd Anmml » Print-P�rry (]vmar'c nr knthnri�nd Aoant's Name ,)-L. 00 REGULATIONS PART 61 OF TITLE 40AND AQMD RULE I SU6MITTFD A55ESTOS NOTIFICATiON't0 • ?Pf 47'FINAL • • • U ASBESTOS NOTIFICATION Is N F`UrABLE TO • sPRstFICArFOF • • %—f2.1S Arm-11. PROPOSED DEWdtfT OCCUPANCyl55UE0 • SIGNATURE: