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Home My WebLink AboutXR2023-0849 - PermitsCity of Newport Beach ��EWPORT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 egC�FOAN�P newportbeachca.gov/inspections Combination Type - SFP PLUM WorK'Class - Demolition 11�1 1111111111111111111111111111111111111111111111111111 111jj COMB Permit : XR2023-0849 Plan Check No: PC2022-2013 Issued Date : 03/31/2023 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 : 1401 BAY AVE W Description: DEMO SFR 1166 SF (1 BEDROOM) Owner: ANDREW MASON Address: 1401 W BAY AVE NEWPORT BEACH, CA 92661 Phone Applicant: JONATHAN KELLY Address : 80 S LAKE AVE, 500 Phone : (626) 396-9599 Owner/Builder : Address Phone : Legal Desc : N TR 626 BLK 10 LOT 13 Contractor: RW LEWIS BUILDERS Address : 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone: (949)650-4949 Can State Lie : 597309 LicExpiie : 06/30/2024 Bus Lie: BT00021581 Bus Lie Expire: 03/31/2024 Workers' Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 46864922 W. C. Expire : 12/11/2023 Architect: JONATHAN KELLY Address : 80 S LAKE AVE, 500 Phone: (626)396-9599 State Lie : C 34283 Engineer: LIU JOSEPH Address: 825 S GOLDEN WEST AVE #9 ARCADIA, CA 91007 Phone: (626)823-1937 Designer Address Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $9,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NeWITI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 -. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 0 Flood Zone : X " Use Zone: R-2 - Two -Unit Residential " PROCESSED BY:�� SPECIAL CONDITIONS: CERT MAIL RECEIPT ATTACHED i 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 ie the applicable item(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' 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 licensure 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). i❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of (_) 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 properly, 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 theburden of proving that it was not built or improved for the purpose of gale). LJ I, as owner of the property, am exclusively contracting with licensed Contractors iD 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), D 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 to completion of the improvements covered by this permit, I cannot legal 'soli a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensedcontractors. 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 site:http:/ivrww.leginfo.ca,gov)calow.htmi. ,Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of Darlar��(b�t I am licensed under provisions of `ayyter 9 (cam arcing with Section 7 of Nisi .3 f the Business and Profe 5 C e, nd lcense is In full force and effect. license Class 7 / License No "Li Date 3 '! t C Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 th4 rformance 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' compensatior 1su nce carrAr and . (icy number are: Ir ;arrier l.`J 1 t r✓SrN"'"-`{ Policy Number �t �i—a 4 b{ �I Z2 - L7'� +r Z Expiration Date t2 IL( I2 7 lame of Agent Phone # It certify that, in the, perform n of the work or w h 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 agree iat, if I should become su lie t worker c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I�;�'� Ilgnature of Applicant _ _ 66 Date "'�"'Y""'"h�—� IECLARATIGN RE AR NC,-C TRU TIGN L DING AGENCY hereby 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). ender's Name Lenders Address y my signature belvvv, I Geri fy to each of the following: i am the property ),vier or authorized to act on the pro y ow 's behalf, I I,ava read this appl:; ation and the information I hav provided its act. I agree to comb / v:ith all applicable city and county r ' ancos an tate taws (elating to building construction. I authorize repreentatives of this city or county t enter t abov -i willed property for inspection purposes. 7 nature of Propc'ky QV'iler or Authorized Agent Print Property Owner's or Authorized Age I's Name IL r Date J 3 r 2 i 1C tON i DATE RY t D ARATlON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATLOI�PART 61 GP TITLE 40 AND AQNID RULE NOTIFICATION TO PE7M:T CAACELLED i_—_--_ PERM+T EXTENDED - PLdM+T FINAL._—�. CERTIFICATE OF OCCUPANCY ISSUED TO O, I T 4 ' w:a � OL96 DD55 TOOD 09TE JEO? W L 0 Q C 7 O ujz� W �1 OC £ mGTi��Y�LX - c1 r � � .• mzsw u ¢ m � Oir L.-y �• ,SI EY�R'N �N� 9)N- �'O L^ � s 0 — J F \ a v `�33^—�// ztl Z~ (U6 6 Z r