HomeMy WebLinkAboutXR2023-0987 - PermitswPo City of Newport Beach
Community Development Department Division
O y P P 9 X R 2 0 2 3 0 9 8 7
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
g4coaN�. newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
COMB Permit : XR2023-0987
Plan Check No : PC2022-3166
Issued Date : 04/18/2023
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 : 7106 OCEAN FRONT W
Legal Desc : A TR SEASHORE COLONY TR BLK K LOT 4 SEASHORE COLONY TR LOT 4 BLK K SWLY 60 FT
-INC
Description : DEMO SFR/GARAGE 175D/450 SF AND CAP SEWER
Owner: FRIEDMAN ANDREW S TR
Contractor : Craig Carney Builders
Architect
Address : 7106 W OCEANFRONT
Address : 302 CALLE RICA
Address
NEWPORT BEACH, CA 92663
SAN CLEMENTE, CA 92672
Phone : (949) 463-7070
Phone : (194) 968-3022 x0
Phone
Con State Lie : 499864
State Lie
Lie Expire: 12/31/2023
r ,
Applicant : PHIL NIELSEN
Bus Lie: BT30041098
Engineer : MANSHADI FARHAD ^
Address : 6131 ANACAPA DRIVE
Bus Lie Expire : 10/3112023
Address : 1800 E 16TH ST UNIT
HUNTINGTON BEACH, CA 92647
SANTA ANA, CA 92701
Phone: (714) 717-1418
Workers' Compensation Insurance
Phone: (714) 835-2800
Carrier: EXEMPT
Owner/Builder :
Policy No : EXEMPT
Designer: PHIL NIELSEN
Address :
W. C. Expire:
Address : 6131 ANACAPA DRIVE
HUNTINGTON BEACH, CA 92647
Phone:
Phone: (714) 717-1418
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $19,000.00
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
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Twg:,Unit Residential
CIO CONSTRUCTION
NOISE
PROCESSED BY: `
SPECIAL CONDITIONS:
�n Vewo"An IF (IiAdI'j l!���r-,
,pn ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable-Item(s)
Section 7031 a, 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 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
'rofessions 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 ponalty of
of more than five hundred dollars ($500).
7 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,
lusiness 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
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)-
3 1, 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
ply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant (a the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason.
iy 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 legall)
ell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hnp:llwww.leginfo.ca.gov/calaw.btml.
tignature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of mist n 3 of the Business and Prof�;ss n ode, and py license is In full force
.ndeffect. license Class License. No Date l8 Z.7 Contractor signature}1�
VC11;:7R5' COMDENSATION DECLARATION � V
IARNING: 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 (f100,000), IN ADDITION TO THE
OST OF OJMPtNSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR COOE, INTEREST, AND ATTORNEYS FEES.
m:reby &ffirm under penalty of perjury one of the following declarations:
I I rave and wit, o,albt.in 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, forth
erformance 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'
ranee carrier and policy number are:
Policy Number
Agent
Date
that, In the p rermanee 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 Califomia, and agre
ould brrome subie9r)o the workeofi,Qompensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
RE
Date'8_
hereby affirm under penalty of perjury that there is a conNuction lending agency for the performance. of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
'yy my signature below. I cerlify to each of the following:
I am the property owner or authorized to act on the properly 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 state laws relating to building construction. e
I authorize representatives of this city or coup enter thy above0entified property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
_._ ...... _.- .............._.—.._
PERMIT EXTENDED
PERMIT FINAL
CERTIFICAFE OF
OCCUPANCY ISSUED
DATE. BY j DECLARfVION OF COMPLIAtLIyE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I. REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
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