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Home My WebLink AboutXR2023-1601 - Permits�EWPo?; City of Newport Beach 111111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-1601 off.. I Community Development Department- Building Division X R 2 0 2 3 1 6 0 1 >; ;y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3142 Permit Counter Phone: (949) 718-1888 Issued Date : 0611312023 ry. newportbeachca.gov/civic Inspection Area : 5 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 : 516 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 18 CORONA DEL MAR LOT 18 BLK 529 NELY 26 SWLY Description: DEMO DUPLEX AND ATTACHED GARAGE 1650 SF, 3 BEDROOMS/2BEDROOMS; SEWER CAP INCLUDED Owner: BLAIR PORTEOUS Address : 601 4TH ST #129 SAN FRANCISCO, CA 94107 Phone: Applicant: BLAIR PORTEOUS Address : 601 4TH ST #129 SAN FRANCISCO, CA 94107 Phone: Owner/Builder : Address : Phone: Contractor: SAGE MODERN INC Address : 601 4TH, #129 SAN FRANCISCO, CA 94107 Phone : (775) 527-7527 Con State Lic : 983732 Lic Expire : 05/31/2025 Bus Lic : BT30071663 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600016252221 W. C. Expire: 3/15/2024 Architect : RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FU CA 92831 Phone: (714)482-8296 State Lic Engineer: HANNAH ROGERS Address : 680 LANGSDORF DRIVE:, 202E TEMECULA, CA 92590 Phone: (951)600-0032 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone: X +.ft �+C CONSTRUCTION N®�JG Use Zone : R-2 - Two -Unit Residential PROCESSED BY: rN THE WEEKEND�� 3 � SPECIAL CONDITIONS: Make: _T�h quarfe.^s 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 Bemis) 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmctors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Imfessions Code) or that he or she is exempt from licensure 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 ot 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 (_) portions of the work; and the structure is not Intended oroffered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 3 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 ipply 10 an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 i am exempt from Iicensure under the Contractors' Stale License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence In which I must have melded for at least one year prior to completion of the Improvements Covered by this permit, 1 cannot lagaliy ;ell 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 'rofessions Code., is available upon request when this application is submitted or at the following Web siteihttp:/Iwww.teginfo.ca.govlcelaw.html, ilgnature of Properly Owner or Authorized Agent Date 1p ACENSED CONTRACTOR'S DECLARATION hereby affrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ofJ 11¢i 3 of the Business and P essions e, an license is In full force Ind effect. License Class License No Dais b �) 7 Contractor Signature PORKERS' COMPENSATION DECLARATION rARNING: FAILURE TC SZrURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE :OST OF COMPEI.SATION; DAMAGES As PROVIDED FOR IN SECTION 3100 OF THE LABOR CODE, INTEREST, AND ATTORNEy'a FEES, hereb; affirm under eenalty of perjury one of the following declarations: ,I I have andwill T.Sintain 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 IN f�n5ir�fon. ance of the work for which this permit is issued. Policy No. Alt ve and wiF. makl.ein 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' compensatoor roll rce carrier and prlicy number are: ritir Policy Number Expiration Date �,e of Agent Phone If certify that, in the parto ance of the 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 agree It I should beuome H�u/bje the work rs dompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iRliare of Applicant .T �� Dated G U-3(23 ?mby 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). ides s Name Lenders Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I ve provided is correct. I agree to comply with all applicable city and co tY rdinences a at laws relating to building construction. I authorize representatives of this city or county to_ the abov -Ide f,ed property far inspection purposes. DATE BY DECLARATION OF COMPUANCE WITH CODE OF FEDERAL I FOR OFFICE U5E ONLY REGULAPO.NS PART fit OF TITLE 40 AND AQMD RULE PERMIT EXPIRED APPLICABLE TO EERTIFICATEOF OCCUPANCYI53UE0