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Home My WebLink AboutXC2022-1948 - Permitsty BPa cent - Building Division II III I I II I II I III III III I II Community Of Development 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U c P Inspection Requests Phone: (949) 644-3255 gciconN. newportbeachca.gov/inspections Combination Type - PLUM Work Class - Demolition COMB Permit : XC2O22,-1948 Plan Check No Issued Date : 09N4/2022 Inspection Area : 7 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 AR ND NO WORK ON U-sNDyAY AND HOLIDAYS IN ALL AREAS S�ry - pZ> C0N8 4 134./tl i0N N01 - - - - — - ---- -: `BLK21 � Job Address : 108-22ND ST- Legal-Desc A TR NEWPORT-BEACH CITY LOT 9 Description: DEMO COMM BLDG. 1010 SF. SEWER CAP INCLUDED N 7-H FAr Owner: MCFADDEN PLACE LLC Contractor: D B A C INC Arc r1 Address : 3334 E COAST HWY #418 Address : 101 SHIPYARD WAY #A Address CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92663 Phone: Phone: (949)723-0147 Phone: Con State Lic : 637651 State Lic Lic Expire : 02/29/2024 Applicant : PAUL CERNICH Bus Lic: BT00016282 Engineer : CRAFT PAUL DOMINICK Address : 101 SHIPYARD WAY, A Bus Lic Expire : 10131/2022 Address : 8512 OXLEY CIR NEWPORT BEACH, CA 92663 HUNTINGTON BEACH, CA 92646 Phone: (949) 723-0147 Workers' Compensation Insurance Phone: (714) 270-3311 Carrier: INS CO OF THE WEST Owner/Builder: Policy No : WSD5051828 Designer: Address : W. C. Expire : 11/11/2022 Address : r r-a 7- ma`s, r � ° " Phone: Phone.. Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NeWITI sq. ft. Bldg : 0 Occupancy Groups : R-3,B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water BY: PROCESSED SPECIAL CONDITIONS: TIGHT QUARTERS TO HAUL DEBRIS OWNER -BUILDER DECLARATION 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 taints) Section 7031.3, 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 io permit to file a signed statement that ho 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 Irofossions Code) or that he or she is exempt from Rcensure 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 (1500). 1 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 the structure Is not intended or offered for sale (Section 7044, rosiness and Professions Code: The Contractors' State License Law does not apply to an owner f property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nproved for the purpose of sale)- 1 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 not pply t0 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).. 3 i am exempt from licensors 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 least one year prior to completion of the Improvements covered by this permit, I cannot legallj ell a structure that I have built as an ommor-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 f the Bus' a and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:htipJiwww.leginfo.ca.govlcalaw.html. lignature of Property Owner or Authorized Agent _ is .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjun(yha I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a iD ait , an my con a i, null force nd effect. License Class y License No D�(j�2 Contractor Signatur PORKERS' COMPENSATION D " " LARATION / I 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS O p LABS ( 000. N ADDITION TO THE OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: t have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance, of the work for which this permit is issued. Policy No. dtave 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' Compansatiol Trance carrier and policy number are: _ IS of Agent certify that, in the performance . if I should become subject to I \\ ralure of Applicant _Y .___ Policy Expiration Date I 2 2 779Phone # areby affirm under penalty of perjury that —the Is a construction idar s Name \ my signature below, I certify to each of the following: I am the property owner or authorized to act on 9teproperty I have read this application and the information I have praw I agree to comply with all applicable city and county ordina e I authorize representatives of this city ar county to e�ltar t at Mi. I shall not employ any person in any manner so as to become subject to the workers' componsation laws of California, and agre ' S�cti 3700 of the Code, I shall forthwith comply with those provisions. _ Data l�T agency for the performance of the work for which this permit Is issued (Section 3097, Civ Code). Lenders Address to building construction. %Iglspection purposes. ACTION DATE By NDECLARAT CO PLI CE�H COW —OF FEDERAL FOR OFFICE USE ONLY t REGULATION. PART 61 TITLE40 AND AO LE 1403 PERMIT EXPIRED ASBESTOS NOT] FICATIO TO' PERMIT CANCEltED _ _'..._06;A __ _ .. _ PERMIT EXTENDED II-pyh Mb PERMFICATE4_0[SIONa0iU00pEjliOLITfOA ION I NOT PPLI B TO CEATIf1CATE OE l ll V E n OCCUPANCY ISSUED C(V 11Lii�✓11