HomeMy WebLinkAboutXR2023-1940 - Permits�F,W POQT City of Newport Beach II III III I IIII IIII IIIII III II III III II COMB Permit : XR2023-1940
D� @ Community Development Department- Building Division X R 2 0 2 3 1 9 4 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1759
u fM T Permit Counter Phone: (949) 718-1888 Issued Date : 07/17/2023
sae. newportbeachca.gov/civic Final Date:
Cq�/F00.�\P Combination Type - PLUM Permit Status: Issued
Work Class - Demolition Inspection Area : 5
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
a0
Job Address : 2516 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 131 LOT 4
Description: DEMO DETACHED GARAGE W/ LIV 400 SF (1) BDRM, INCLDS SEWER CAP
Owner:
2516 OCEAN PARTNERS LLC
Address :
2516 OCEAN BLVD
CORONA DEL MAR, CA 92625
Phone:
(949)851-8345
Applicant :
Brian Wood
Address :
1401 Quail St., 120
Newport Beach, CA 92660
Phone:
(949)851-8345
Owner/Builder :
Address :
Phone
Contractor: BUILDING WORX INC
Address : 1025 SENTINEL DR, 100
LA VERNE, CA 91750
Phone :
(626) 385-6582
Con State Lic
: 901795
Lic Expire :
08/31/2024
Bus Lic :
BT30079030
Bus Lic Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9339890
W. C. Expire : 6/1/2024
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: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS
Architect: LIGHT CHRISTIAN R
Address: 1401 QUAIL ST #120 NEWPORT
CA 92660
Phone: (949)851-8345
State Lic
Engineer: HAKIM FADY
Address: 410 GODDARD, 200
IRVINE, CA 92618
Phone : (310) 422-1536
Designer
Address
Phone :
NO
Construction Valuation :
NO
Added/New/Ti sq. ft. Bldg
1
Alteration sq. ft. Bldg :
2
Added/New sq. ft. Garage
TOTAL sq. ft. :
$5,000.00 '
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfar the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
(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 signod 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 Iicensure and the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_} 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
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 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).
❑ I am exempt from Iicensure 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 jegall;
sell a structure that I have built as an owner -builder 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca,govlcalaw.html.
Signature. of Property Owner or Authorized AgentDate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 700 ) f Div ion 3 of the Business a Pmfe3ede, a y license is in full force
and effect License Class License No to L Contract r atu
WORKERS' CO4FLNSATION DECLARATION
WARNING: FAILURE Tu JLr.JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS B1DO,ODOI, IN ADDITION TO THE
COST OF COMPENSATION nAMAGES AS PROVIDED FOR IN SECTION 3TD3 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm udder penalty of perjury one of the fallowing declarations:
1 havL and will ,naintam 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 Coda, forth
performance of the wor'. `or which this permit is issued. Policy No.
and will maintain workers' compensation Insurance, as required by Section 3700 of they Labor Code, for the performance of the work for which this permit is Issued. My workers'
carrier z.id Jolicy number are:
Policy Number
of Agent
Date
cartifj• that, in the 7er`ormence of the work For which this permit is issued. shall not employ any personin any manner so as to become subject to the wdrke ' compensaton laws of Callfomia, antl ogre
t if I xh Id be roe subje the w rkers' compensation provisions of Section 3700 of She Labor Code, I shall foAhwilh comply w�lh those provisions �7 /
r,alt.Ia pLuant
CI_ 51 N RBty�AR _...T. CTION kENDiNG AGENCY T
baby affirm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civil Codej.
rdar's Name Lender's Address
Try Signature below, I 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 application andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances qEd state laws relating to building construction. /
I authorize representatives of this city or cydnty teenter th o'v_e-Ida led property for inspection purposes.
ACTION DATE \ AY - DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGULATIONS PART 61 OF TIRE AO AND AQMD RULE
PERMIT EXPIRED
PERMiTCANCELLED
PERW7T EkTENDED
NOTIFICATION TO
PERMIT FINAL N,(Ii'j„ 7 AS c`5TOS NOOFIC"ION 15 NOTAPPLICABLE TO
CERTIFICATE OF PRO iIR OEM
OCCUPANCY I55UEO I SIG AT