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Home My WebLink AboutXR2023-3254 - Permitse'�waoR� City of Newport Beach p e ', ➢ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 718-1888 C'9</F00.N`P newportbeachca.gov/civic Combination Type - SFP PLUM Work Class - Demolition ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�� COMB Permit: XR2023-3254 Plan Check No : PC2022-3079 Issued Date : 11/16/2023 Final Date: Permit Status: Issued Inspection Area : 8 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 : 435 EL MODENA AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 26 LOT 16 Description : DEMO (3) BEDROOM, 1065 SF SFR, INCLDS SEWER CAP -` Owner: VILLA NENA LLC Address : 216 S CITRUS ST #57 WEST COVINA, CA 91791 Phone: Applicant: MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 Owner/Builder : Address : Phone Contractor: STONE CREEK BUILDERS Address : 29300 MEANDERING CIR MENIFEE, CA 92584 Phone: (951)296-8852 Con State Lic : 1038071 Lic Expire : 04/30/2024 Bus Lic : BT30066622 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire : Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone : R'-1 - Single -Unit Residential PROCESSED BY: // V — SPECIAL CONDITIONS: GREENEAF ENGINEE6ING TO HAUL Architect: MARK TEALE Address: 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 State Lic Engineer: BURKETHOMAS •' , Address : 151 KALMUS DR #140 COSTA MESA, CA 92626 Phone: (949)494-0776 , Designer Address:. .• Phone: NO Construction Valuation: NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage TOTAL sq, ft. : $10,000.00, , 0 I OWNER -BUILDER DECLARATIONthe I hereby affirm under penalty of perjury that am exempt Cc a from the Contractors' tltat�en'iato aDI1S't ucl;alterteImprove. defcaollish, ororepair tany Structu e, pnortoV s issuance, also trequi else the applicant for h It (Section 7031.5, Busiss and ness and Professions Code: Any City Ur county Thal eqm p 'to ProP.fassilonsoCode) or that netor she is axe Om from fee'sure su eITS da d thursu e bads forpihelallegedfexe ptlon. Any violation ors' State lof Section 7031.5t by any ppl cant form permit Stlbjeh Section oOs the) of pplucantn 3 tota ehe 8il PenaltyOfof not more than five hundred dollars ($500). ate License La�.v does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the ❑ I, as owner of the property, or my employes with wages as their sole compensation, will do of or (_) portions of the work and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' 5t Improvements are not intended ar heered for Sala. 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 off improved for the purpose of sale). p tl as to an owner ofepPopeey who builds o!nmp ovesthereon, and who contracts for the projects wlicensed Contractors to construct ithproject a licensed Contractor pursuant to therContractors State LicenserLaw). State License Law does no aPPY — I am exe a #rem liaensure under the Contractors' Sate License Law for the hick following reason ___ year By my signature blow l acknowledg¢ tl'att exc pt f of it has rsonnot al neonarea In eructed which !is l¢nti entirety by I! ust have resided contractors. I understand that a copy of he appl' applicable law, Section 70441ofthe Business and ice t legal] sell a structue That I have built as an ov: Professions Code., is available upon request when this application is submitted or at the following''A'eb site.httpaixmv.Ieginfo.ca�govlcalaw.html�Y .� Date 5ignature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I I hereby aifiirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 5 cil n 70 ) DiviS,ign 3 of the BsinesSignatucefessi Cod�m .n full force and effect. License Class License No ,•�,i/`/'—.L�- W0RiCERS' C "'PENSATION DECLARATIONI ARNING: FAILURE TO SECURE WOBkERS' COMPENSATION COVERAGE IS UNLAwFUh AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE9 UP TD ONE HUNDRED OUSAND DOLLARS 1,5104000j, IN ADDITION TOTHE co5T OF COMPENSATION, bAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Inhereby affirm mloer penalty Of perjury one of the following declarations: IL,,,I I nave " u'"il r"naln a certificate of consent to sell insure for Workers' compensation, issued by lEt¢ Director at Industrial Relations as provided for by Section 3700 of the Labor Cade, for hl edormanca of the work foe which this permit Is issued. Policy No. - have and wit; maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit. is issued, My workers` compensatia tsurance carri€r any! ool!cy number ara� Expiration Date Policy Number ,e of Agent oertify that. in the performance of the work for which this What is i55uod. I sloall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre !' I should \\become su ' ct t the wor rs co s Io rov1, as of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate_, �Y /_� �! �� ialur of AAA art —' ,;,,gR uARp'. GONSTRUCT1 DING AGENCY :reb affirm �!noer pe of perjury that there is a construction lending agency for the performance Adders. of the work for which this permit Is issued (Secti 309 ,Civil Code). Y Lender. Ider s Nalne my signature below, certify to each of the following: I am the property owner or authorized to act on the property owner's behalf, I have read this appiicenon and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state taws relating to building construction. I authorize representatives t/p�hh fiq or county iq elver he have- tit' d ^ o. rty for inspection purposes. ` 6'J(&W-yyIIJJJFY '---Dale •Y7/v /.G Print Property Owner's or Authorized s Name BY I OECLARAjkO COMPLIANCEVI fTHCODE OF FEDERAL I FOR OFFICE USE .I..uxt;ul ION6 PART bi OP i➢TLE40 AND AQMI7 RUtE PERNrfT PERMIT EXTENDED _,�"' .... __.._. _.._.___._..�gHE`O5 N0T1FIC 'fION 15 PERMIT FlNAL L/ CERAFICATE OFPROA DDEMOLI PV OCCUPANCYISSIED g SIGN :U