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Home My WebLink AboutXR2023-1855 - Permits,EvuvoR� City of Newport Beach IIIIIIIIII II IIIIIIIIIIIIIII IIIII III III I I I II COMB Permit : XR2023-1855 C� s Community Development Department- Building Division X R 2 0 2 3 1 8 5 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3032 � n Permit Counter Phone: (949) 718-1888 Issued Date : 07/1012023 G r newportbeachca.gov/civic Final Date: C9(/FO0.��P Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition Inspection Area : 1 PERMITS EXPIRE 1 BO 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 : 1400 BAY AVE W Legal Desc : N TR 626 BILK LOT 12 Description: DEMO SFR & ATTACHED GARAGE 3260 SF, 4 BEDROOMS; SEWER CAP INCLUDED Owner: EDWARD HEDGE Contractor: DUGALLY OBERFELD INC Architect : JEFF ALAN VAN VOORH:1 Address : 1033W W BALBOA BLVD Address : 484 S SAN VICENTE BLVD Address : 151 KALMUS DR, G-1 COSTA MESA r;4 NEWPORT BEACH, CA 92661 LOS ANGELES, CA 90048 92626 Phone : Phone : (310) 441-5001 Phone : (714) 754-4040 Con State Lic : 862641 State Lic : C037065 ' Lic Expire : 08/31/2023 Applicant : CHRIS BRANDON Bus Lic: BT30012281 Engineer : PETROV PLAMEN , • ' Address : 151 KALMUS DR, G-1 Bus Lic Expire : 11/30/2023 Address : 28161 CASITAS CT " COSTA MESA, CA 92626 LAGUNA NIGUEL, CA 92677 Phone: (714) 754-4040 Workers' Compensation Insurance Phone: (714) 717-7542 • . • ; , Carrier: STATE FUND Owner/Builder : Policy No: 9091853 Designer Address : W. C. Expire : 3/12/2024 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $15,000.00 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, Front: 25, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential NO CONSTRUCTION WORK PROCESSED BY: SPECIAL CONDITIONS: HAULER:JD DEMOLITION & GRADING ON SATURDAYS 'o. r cz S,,� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors.' State License Lawlor the reasons) indicated below by the checkmark(s) 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 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 ficensure 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}. El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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 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 improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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). ❑ 1 am exempt from Ilcensure 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], sell a structure that I have built as an owner-buldor 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 Professions Code., is available upon request when this application is submitted or at the following Web site:http:tlwww.teginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Professions C e, g lujW1Anse is In full force and effect License CIpss License No Date i 3 Contractor Signatur WORKERS' C^MPENSATION DECLARATION ,NAKNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DO LABS 15100,000J, IN ADDITION TO THE COST Pr COMPENSATION, DAMAGES "PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I[hnreb�, affirm ur.Cc: poi,ally of perjury one of the following declarations: I.Fa 1 ave and will "rota n a certificate of consent to self -insure for workers' rom ionsation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih prr/ iJnce of the Work for which this permit is issued. Policy No. 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' carrier and pnFcy number are: Policy Number uI :+gent Date Certify that in tl,e 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 agre If I should become sub act to the workers' compe a Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. yalune^Df ADpI„cat: , 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). adder's Name _ Lender's Address y my signature below, I certify to each of the following: ____ I am the property Darner or authorized to act on the property 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. I authorize representatives of this city or county t9 enter tha_jav�cvsjId9ntihed_groperty for inspection purposes. Of PrOD8TV Owner or AL ACTION I DATE I BY PERM,T EXPIRED PERMIT CRNCELlEO PERM7T FXTENDED PERM7T FINAL CERTIFLCArE OF OCCUPANCYfS5UED OFEOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AgMD RULE SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS -NOTIFICATION 15 NOT APPLICABLE TO