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XR2023-1109 - Permits
�aEWPoRr City of Newport Beach Community Development Department- Building Division y y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U Tb Inspection Requests Phone: (949) 644-3255 cgGcOP�'�P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-1109 Plan Check No: PC2022-2507 Issued Date : 04/28/2023 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 : 604 NARCISSUS AVE Legal Desc : A TR CORONA DEL MAR BLK 641 LOT 6 Description : SFR DEMO (E) 804 SF 2 BED. CAP SEWER. Owner: ROBERT ARTURA Address : 130 N GLENDORA AVE GLENDORA, CA 91741 Phone: (949) 573-4353 Applicant: MARK TEALE Address: 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 Owner/Builder: ROBERTARTURA Address : 130 N GLENDORA AVE GLENDORA, CA 91741 Phone: (949)573-4353 Contractor Address: Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect: MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 State Lie: Engineer : FADY HAKIM Address : 410 Goddard, 200 Irvine, CA 92618 Phone: (949)245-8000 Designer Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS HIGH DENSITY ZONE $5,000.00 0 0 0 NO CONSTRUCTION NOISE ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmarkjs) I have placed next to the applicable items) (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 lie 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 for a permit subjects the applicant to a civil penalty 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 L) all of or U 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 Improv ments are not intended or offered for sale. I f 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 pr ed for the purpose of sale). 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 apply 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). 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 whi h I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legait loll a structure that I have built as an ownorvbuildor if if onstruct- I entirety by licensed contractors. understand that a copy of the applicable law, Section 7044 of a Busi has and Professions Coda, is available upon request when this app�li anon 1 • bmI r fie-k7lieaJrSg Website;nttp:/7wvnv.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent - Y&dh Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my I" ense is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ARNING: 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 (11100,000), IN AUDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally of perjury one of the following declarations: 111 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 Cade, for th performance of the work for which this permit is issued. Policy No. DI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is Issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Nam�� of Agent Phone #rtify that, in the performance of the work for which 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 ogre I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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 ode).. Lenders Name Lender's Address By my signature below, I certify to each of the fallowing: I am the proper y owner or authorized to act on the property owner's behalf, I have read this eppocalion and the Information 1 have, ed is correct, I aprne to comply with all applicable city and co y ordina as and s s - relating to building construction. I aublorize representatives of this city or cou to n e eve n I p spection purposes. / &Q tI nature of Property Owner or Authorized A Print Pro ed Owner's or Authorized Agent's Name Data ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 YER,W) FNPIRED UBMITT€D ASBESTOS NOTIFICATION TO PEAMO ERMIT CA CELLED EPA €NDED QMD P€RMIT FINAL ' ASBESTOS NO - 'Art IS NOT rfRPFIC1T€OF A---J� PROPOSEOOE t _ OCCUPANCY ISSUED I SIGNATURE' �,/)� TO Canrrs9ee\ % I V bib My En X i -,` 413 ass MI is I yi.. PCAI % y K3122'no X % tnesselea % i © iarebRoee % id 51artlr3l' X L SeanMn a. % ®8,asr. Sea is I C) Nebpat az: X i. Hama %; } (-- —) 0 {i Y b'afileoMinesoz.cagav/xencF Uaeress Dismiss. UCC Scam, wififree PBF copies hover ly million lodged business entity documents, InOudingthe roostrecent imaged StntemenLs of lajonnotionf;edfar Onmanhons add Limited LiabllLly Companies. Currently, mjormatioa far Limited uobfliry Porfnzrshlps(e.g. kwfumy. nrchdrrNrz prms, zngineermg l'rms.publrc armimtanp•jrnns. and bud surveypnnU. 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