HomeMy WebLinkAboutXR2023-0627 - Permits'PORT
City 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
COMB Permit : XR2023-0627
Plan Check No : 1443-2022
Issued Date : 03/07/2023
Inspection Area:6
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: 3615 SURFVIEW LN Legal Desc : N TR 6228 BILK LOT 9
Description: SFR DEMO EXISTING 1900 SF 3-BEDROOM RESIDENCE AND CAP SEWER
Owner: WONG NANCY LAI SUM TR N
Address: 7625 CIRCULO SEQUOIA
CARLSBAD, CA 92009
Phone :
(949) 228-7366
Applicant :
John McNeely
Address :
242 Hartford Drive
NEWPORT BEACH, CA 92660
Phone :
(949) 233-3435
Owner/Builder :
Address :
Phone
Contractor: ML CUSTOM INTERIORS INC
Address : 33201 CHRISTINA DR
DANA POINT, CA 92629
Phone:
(949)412-8181
Con State Lic
: 430692
Lic Expire :
04/30/2024
Bus Lic :
BT30067280
Bus Lic Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: COMPWEST INSURANCE CO
Policy No: CWWCP10003658901
W. C. Expire: 6/15/2023
Architect :
John McNeely
Address :
242 Hartford Drive NEWPORT BEACH, CA
92660
Phone:
(949)233-3435
State Lic
Engineer:
MANSHADI FARHAD
Address :
1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone:
(714)835-2800
Designer:
Address
Phone :
Code Edition :
2019
Fire Sprinklers : YES
Construction Valuation :
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: 6, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
�03
PROCESSED BY:
SPECIAL CONDITIONS: HAULER: ROBERT'S WASTE
OWNER -BUILDER DECLARATION
[hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checklnark(s) I have placed next to Lhe applicable items)
(Section 7031.5, Business and Profess -ions Code; Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to Its issuance, also requires the applicant for
the permit to file a signed statement that no or she is liconsed pursuant to the provisions of the Contractors' Stale 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 licensers 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 ponoity of
not more than five hundred dollars ($500).El
1, 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 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),
El 1, as owner of the property, are exclusively contracting with licensed Contractors to constmct 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),
❑ I am exempt from licensers under the Contractors' State License Law for the fallowing 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 legally
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 theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:nttpliwww.leginfo.ca.gov/calaw.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 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess y tic In full force
and effect License Class License No Date ?i-r%' Contractor Signature
WORKERS' COMPENSATION DECLARATION z
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,006), 1N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES,
I hereby affirm under penalty of perjury one 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 tht
performance of the work for which this parmft 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'
ranee carder and policy number are:
1e of Agent
certify that, in the performance of the
If I should become subject to
iature of Applicant - _ __ _
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
Ireby 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 Cade).
Ides s Name - Lender's Address _
my signature below. 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 provided is correct.
I agree to comply with all applicable city and county ordinances and lating to building construction.
I authorize representatives of this city or county to enf,i the,4beQ-_rcPflfied qjworty for inspection purposes. /
A`TION
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DATE. BY DECLARATION OF COMMANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
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