HomeMy WebLinkAboutXR2023-1939 - PermitsSEW PO,gT City of Newport Beach 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2O23-1939
o� -+ @ Community Development Department- Building Division X R 2 0 2 3 1 9 3 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1759
Permit Counter Phone: (949) 718-1888 Issued Date : 07/17/2023
� newportbeachca.gov/civic Final Date:
c9 off' 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
Job Address: 2516 OCEAN BLVD
Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 131
LOT 4
Description: DEMO SFR 1200 SF (2 BEDROOMS) INCLDS
SEWER CAP
Owner: 2516 OCEAN PARTNERS LLC
Contractor : BUILDING WORX INC
Architect : LIGHT CHRISTIAN R
Address : 2516 OCEAN BLVD
Address : 1025 SENTINEL DR, 100
Address : 1401 QUAIL ST #120 NEWPORT BEAC
CORONA DEL MAR, CA 92625
LA VERNE, CA 91750
CA 92660 -
Phone: (949)851-8345
Phone: (626)385-6582
Phone: (949)851-8345
Con State Lie: 901795
State Lie
Lie Expire : 08/31/2024
Applicant: Brian Wood
Bus Lie : BT30079030
Engineer : HAKIM FADY
Address : 1401 Quail St., 120
Bus Lie Expire : 06/30/2024
Address : 410 GODDARD, 200 _
Newport Beach, CA 92660
IRVINE, CA 92618
Phone: (949) 851-8345
Workers' Compensation Insurance
Phone: (310) 422-1536 ..
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No : 9339890
Designer
Address :
W. C. Expire : 6/1/2024
Address
Phone:
Phone:.
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : 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: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS: ROBERTS WAS E TO HAUL DEBRIS
OWNER -BUILDER DECLARATION
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, 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 lieensure 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
not more their five hundred dollars ($500).
0 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' Stale 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 bullt or
Improved for the purpose of 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' State License Law).
0 1 am exempt from licensure 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 legally
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 si1e:http:/1www.leginfo.ca.govlca law. Tml.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (Commencing with Section 000) f Divf ion 3 of the Business no Professio>n de. 'i7license is In full force
and effect. License Class License No �L Y �2 Contract o gnatur i
COMPENSATION DECLARATION
WPRNING' FiILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
CC3, JI CMPENSA f10N; 0 VIAGES AS PROVIDED FOR 1N SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unicr penalty of perjury one of the following declarations:
p�4I Pve 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 th6
1 n"Dance of the vork far 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 Hre policy number are:
Policy Number
Date
mr Ir Agent Phone #
I certify that in the Jer,ormance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the work ' compensation laws of California, and agree
t, : Jl.ould becomtl si to the leers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
•--'-
nature of APp ate�,L,q
CLARATICMI,d 'GAR'''51NGCONSTRUCTION LENDING AGENCY
areby 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 97, Civil Code).
ld En's Name Lender's Address
my 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 applicetion and the information I have provided is correct.
I agree to comply with all applicable city and county ordinagces a�d state laws relating to building construction.
I authorize representatives of this city or cyanty igeril h ve-Identified property for inspection purposes.
ACTION I DATE I t 0Y
DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULAtIONS PART 51 OF TITLE 40 AND A( RUIF.
PERMri EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO
PERMrfT CANCELLED T--1I PA
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PERMIT EXTENDED ,
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CERTIFlCAiE OF •1 I P 0 EO DEMOS N
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