HomeMy WebLinkAboutXR2023-0918 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - PLUM
Work Class - Demolition
��III��III�IIII��III111111111111111111111111111111 COMB Permit : XR2023-0918
Plan Check No : PC2022-2691
Issued Date : 0411012023
Inspection Area : 1
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 : 123 44TH ST Legal Desc : A TR RIVER SECTION BLK 44 LOT 21
Description: DUPLEX -DEMO EXIST'G (2) BEDROOM / (2) BATH; 1,158 SF *INCLUDE SEWER CAP
Owner: JOHN ERCK
Address: 123 44TH ST
NEWPORT BEACH, CA 92663
Phone
Applicant: J W B CONSTRUCTION SERVICES
Address: 18161 ESTES WAY
SANTA ANA, CA 92705
Phone: (714)730-8464
Owner/Builder :
Address :
Contractor: J W B CONSTRUCTION SERVICES
Address : 18161 ESTES WAY
SANTA ANA, CA 92705
Phone: (714)730-8464
Con State Lic : 690352
Lic Expire : 05/31/2023
Bus Lic: BT30071296
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 1903645
W. C. Expire : 9/18/2023
Architect
Address
Phone:
State Lic
JOHN MORGANJR
18682 BEACHMONT AVE SANTA ANA, CA
92705
(714)730-2723
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Engineer: FORBES DALE L
Address : 1800 E 16TH ST #B
SANTA ANA, CA 92701
Phone: (714)835-2800
Designer:
Address
Phone:
Phone:
a
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation : $12,000h1)GC a
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units :
2
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
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
NO CONSTRUCTION NOISE
SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE P G���
HAULER: JD DEMOLITION AND GRADING INC. �' "' F� i
DEMO CERTS ATTACHED ON THE WEEKEND
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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 item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a perm It 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 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
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
F1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portion$ 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 [hat 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)..
71 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
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),
0 I 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 t0 completion of the improvements covered by this permit, I cannot legal]!
Roll a structure that I have built as an owner-buildar 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 sito:hltp:/1www.leginfo.ca.gov/calaw.html.
Signature of Property Owner Or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Professi , an Ilv is r I force
and effect. License Class License No Date Oy0 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NABBING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONE HUNDRED T OUSAND DOLLARS (E100,090). IN ADDITION TO THE
COST OF COMPENSATE)!', pWAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
h Trs S; 3ffirm underpsnalty of perjuryone 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 3700 of the Labor Code, forth
3e.folmanza of the work for which this permit is Issued. Policy No.
Nave and will rttinfsih 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' compeosatioi
nsurtnca carrier and policy number are:
+er Policy Number Expiration Date
•e nt Agent Phone #
aw I y that In [ha performa of work r whlc this pe It is issued. I shall not employ any person in any manner sa as to became subject to the workers' compensation taws of California, and agree
if I should be. ore s ILI v wor ' co nsal revisions of Section $700 of the Labor Code, I shall forthwith complywith those provisions. ,�/
witme of:Appl: a; t..,....,., Date t IG/Z C, 7-
hereby affirm under pgfialty 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).
endpr's Name Lender's Address
y my signature beellio. I certify to each of the fallowing:
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 proved is correct.
I agree to comply will) all applicable city and county ordi ne and ale r ling to building construction.
I authorize representatives of this city or county to t b •Id ed arty for inspection purposes.
onature of ProDerty Owner or Authorized AGenf Print Property Owner's Or Authorized Aoent's Name 1
ACTION DATE I BY DECE'ARATtON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 630E TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED LJ�ISUHIM ITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED .�.__ MEPA
PERMITEXTENDED ZIMIDCERTIFICATEOr
_
PERNfiT FINAL � ! ASBESTOS NOI"]N ]O//�NJOS APPII -AL/iLE//f(�
OCCUPANCY ISSUED `� �� SIGNATURE: �� /
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