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Home My WebLink AboutXR2022-3359 - PermitsCity of Newport Beach �aeW»oRT - 6 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Y+? ? Permit Counter Phone: (949) 644-3288 a. Inspection Requests Phone: (949) 644-3255 C'C/R00.N�P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition jjIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2022-3359 Plan Check No : 0942-2020 Issued Date : 12/23/2022 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: 619 36TH ST Legal Desc : A TR CANAL SECTION BILK 636 LOT 10 Description: DEMO EXIST'G SFR (3) BEDROOM / (3) BATH 1,100 SF INCL SEWER CAP Owner: JEFF THEDERS Contractor : Architect : LIGHT CHRISTIAN R Address: 11216 RESERVOIR Address : Address : 1401 QUAIL ST #120 NEWPORT BEACH, SANTA ANA, CA 92705 CA 92660 - Phone: (949) 922-1833 Phone : Phone : (949) 851-8345 Con State Lie : State Lie - - Lliic-xpire Applicant : JEFF THEDERS Bus Lie : Engineer : MOKHTAR TAREK Address : 11216 RESERVOIR Bus Lie Expire : Address : 31645 S COAST HWY SANTA ANA, CA 92705 LAGUNA BEACH, CA 92651 Phone : (949) 922-1833 Workers' Compensation Insurance Phone : (949) 499-6254 _ Carrier : Owner/Builder : JEFF THEDERS Policy No: Designer Address : 11216 RESERVOIR W. C. Expire: Address SANTA ANA, CA 92705 „ Phone: (949) 22-1833 NO CONS t3VTION NOISE V t Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00 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 AlteratioR.sq ft Bldg : evV"J4—.0 Bldg Height: No of Stories : 1 QN TN PAd'0Vb ' Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 25, Front: 5, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS / MAIL NOTIFICATION CERTS ATTACHED AP PER MK OWNER -BUILDER DECLARATION I hereby affirm under penally 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 applicableitem(s) (Section 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Caw (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 applicant fora permit subjects the applicant to a civil penally of not more than rive hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (—) all of or L) portions of the work, and thestructureis 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 Impppvod for the purpose of sale). O' I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 7ly 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). I am exempt from Iicensure under the Contractors' State License Law for file 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,-1 cannot legall, soil a structure that I have built as an owner -builder if it has not been constructed in its li tnsodcontractors. 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 bmitt or at owin site. ttp://www.leginfo.ca.gov)celaw.htmi. Signature of Property Owner or Authorized Agent u __�__�____N Date 2 ZZ �- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under perally of perjury (hat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Ulass License No Date Contractor Signature XORAZRS' CORA PEN SATION DECLARATION NARNING: FAILURE Tn SECUKE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRM14AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE LIST OF coMPENSATION, DAMAGES AS PROVInEn FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereoy affirm under penalty of perjury one of the following declarations: 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 th )erformance of the work for which this permit is issued. Policy No. havL, 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: ,for ne of Agent Policy Number Date rerfdy that, it, the partormance of the work for which this permit is issued. I shall notemploy anyperson in any Demur so as to become subject to the workers' compensation laws of California, and agre L if I should baromr subject to the workers' compensation provisions of Suction 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant ___r, Date, CLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 Code). Idler's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's Denali, 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above-Idontlfied property for inspection purposes. ACTION DATE. I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY `4 i REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE i 1403 PERMIT EXPIRED ( LJ I SUBMITTED ASBESTOS NOT]FICATION TO PERMIT EXTENDED PERMIT FfNAI CERTIFICATE OF OCCUPANCY 155UED jeI ASBESTO$ NOTIFICATION IS NUT APPLICABLE To PROPOSED DEMOUTIOR , glLlPd•. Nt 11Pf•i+l )nid III lit II ]I. N!tll'dN1 bf Al F. I 9AAil. I'i Fb P:e: -0N'.11l f4f:14441f`_o-i1M1�B mm�l WslLoxneI,. lu,huu,+.w ft INI ,_ RUl; M-- 9, Ili 'r nl !H:!INIA N(NIAt� I lif 5 fu1I '➢IIPI'I Ik. M1 IALNIN4 I II%AIP, I NN!rti Pd '.N'i IJ Jr.rFi Npa 14`nl r.11 "it Y 1111 fi,lb $IN![I NULIIINGS 111f0.1 IIL!ANVI CW IN IpINI IIIII IfN P{A01, I:n kill 24 M1If .'4.JM Ii it Irai,ctlld P'. 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