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HomeMy WebLinkAboutXC2023-0155 - Permits�EwPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit : XC2023-0155 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1105 Permit Counter Phone: (949) 718-1888 Issued Date : 05/12/2023 Uo.newportbeachca.gov/civic ! 9 ?, rm -.r^� Inspection Area : 7 Cg4Fp PN`P Combination Type -PLUM Work Class - Demolition 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 Description : 2510 W COAST HWY Legal Desc : P BK 85 PG 30 PAR 2 P.M. 85-30 PARS 2 & 3 COMM DEMO (E) 3820 SF BUILDING. CAP (E) SEWER. Owner: 2510 W COAST HWY EAT LLC Address : 14 CHANNEL VIS NEWPORT COAST, CA 92657 Phone: (949)350-4019 Applicant: GRANT JOSEPH KEENE Address : 16250 BAKE PKWY #105 IRVINE, CA 92618 Phone: (949)677-0668 Owner/Builder : Address : Contractor: WJK DEVELOPMENT CO Address : 16250 BAKE PKWY #105 IRVINE, CA 92618 Phone: (949)677-0668 Con State Lie : 1005728 Lie Expire : 07/31/2023 Bus Lie: BT30064447 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9141393 W. C. Expire : 9/2/2023 Architect: JOSHUA JAMES SMITH Address : 788 WESLEYAN BAY COSTA MESA, CA 92626 Phone: (949)250-0880 State Lie Engineer: TSALYUK,YEFIM Address : 11278 LOS ALAMITOS BLVD 354 LOS ALAMITOS, CA 90720 Phone: (800) 797-9483 Designer Address Phone: Phone: Fire Sprinklers : NO Construction Valuation : $25,000.00 Code Edition : 2022 Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Type of Construction : V-B No of Units : 0 Alteration sq. ft. Bldg : Occupancy Groups : F-2,U No of Stories : 1 Added/New sq. ft. Garage: 0 Bldg Height: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : MU-MM - Mixed -Use Mariners' Mile , ' PROCESSED BY SPECIAL CONDITIONS: HAULER 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant far Life 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 Ileensure 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 Minot more than five hundred dollars ($500). 0 I, as owner of the property„ or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered tar 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 or sale). 0 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 ❑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' Slate License Lew). I am exempt from licensure under the Contractors" Slate 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 Professions structure that t have built as an equ ert when r if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and SgntueoCode, is available upon request when this application Is submitted or at the following Web. site:http://Aww.leginfo.ca,gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTORDate:'S DECLARATION — —_ I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of pivision 3 of the Business and Prof �9Ge.a5icelfs s in full force and effect. License Class License No Date 1 42 R Contractor Si NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000j, IN ADDITION TO THE .O rr OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION a706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 th )erfoprShoo 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 workfor which this permit is issued. My workers` compensaiior nsurance carrier and policy number are: er Policy Number Expiration pate e of Agent ❑r.,,.,e *. _.. certify that, inethe performance of the work for which this permit is issued, t 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 suhteceac,-al,e-wnokpr.. �ompensabon prp-vistpos. of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ of Date_ hereby affirm under penalT)� of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 enders Name Lender's Address ly my signature 6slow, i nert fy to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read th's Pppication and the information I have provided is correct, I 89o9e to comply with all applicable city and county ordinances and state laws relating to building construction. I etith'orize representatives of this city or county to enter the aboYe-Identifed property for inspection purposes, igoatury of Prope,ty Owner or Authorized Anan ��_ . . _ /H� . By z--+,-'BECfA ION OF COMPLIANCE WITH CODE OF FEDERAL ���tt��---�— I FOROFFICE 115E ONLY REGULATIONS PART 610E TITLE 40 ANp AOMD RULE 1403 i U I SUBMITTED ASBIFSTOS NOTIFICATION TO P ,k VT F"TENDED_ PC'l.Y;T rINAL j— Lj W ASBEST CERT[FICAtEOF ���3 PROPOSfD OCCUPANCY ISSUED 1 amen to Civil Code).