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HomeMy WebLinkAboutXR2023-2917 - Permits�gWPOQT City of Newport Beach ��������� 1111111111111111111111111111111111111111111111 jjCOMB Permit : XR2O23-2917 4 e Community Development Department - Building Division x R 2 0 2 3 2 9 1 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3147 Permit Counter Phone: (949) 718-1888 Issued Date : 10/16/2023 U > newportbeachca.gov/civic Final Date: °"ciFcaN`' Combination Type - SFP PLUM Permit Status: Issued Work Class - Demolition Inspection Area: 5 PERMITS EXPIRE 180 AFTER NCE OR LAST VALID UT E DATE NO CONSTRUCTION RELATED NOISE ON SAATURDAY OR SUNDAY IN HIGH DIES SIITTY AROEAS fFp®f2Pf' tlTV17AY° OLi YS'IN ALL AREAS Y4 Job Address : 3208 OCEAN BLVD Legal Desc : A TR CORONA DEL MAR BLK 13B LOT ON SA R U RDAYS Description : DEMO SFR & GARAGE - 3720 SF. 4 BEDROOMS. SEWER CAP INCLUDED Owner: RONALD BEARD Contractor: PATTERSON CUSTOM HOMES Architect Address : 3208 OCEAN BLVD Address : 15 CORPORATE PLAZA, STE 150 Address CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92660 Phone : Phone: (949) 723-1800 Phone Con State Lie : 802367 State Lie Lie Expire : 07/31/2024 Applicant : PATTERSON CUSTOM HOMES Bus Lie : BT02110534 Engineer Address : 15 CORPORATE PLAZA, STE 150 Bus Lie Expire : 09/30/2024 Address NEWPORT BEACH, CA 92660 Phone: (949) 723-1800 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9065406 Designer Address : W. C. Expire: B/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-8 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,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: 24, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: JD DEMO 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 items) (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 licensors 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 than five hundred dollars ($500). 1, 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 for sale (Section 7044, Business and Professions Code: The Contrar.mrs' State License Law does not apply to an owner of property who, through employees' or personal effort, huTds or improves the property, provided that the improvements are not intended or offered for sale. jr, 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 ra''p-rpiy to 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), LI I ant exempt from licensore 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 permitI Gannet legalll sell a structure that I have built as an ownar-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/Jwww.leginfo.ca.gov/calaw,html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) pppf Division 3_9Dfte Business and Profess io .ode, a m I apse is In full force n and effect. License Class License No _ Date \ Contractor Sig COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO ORIMINA OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED DUSAI DOLLARS IBt D0,0001, IN ADDITION TO THE I 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 Ice of the work for 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' compensa carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for wh h 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 agre t, d I should became subject trNST-_ rkers c ensahonons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant v�D to 2�CLARATION F R ING TION LENDING AGENCY Ineby affirm under penalty perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature balaw, 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 and the information I have provided is correct, I agree to comply with all applicable city and county ordmwOs and state laws relating to building construction. I authorize representatives of INS city or county to ent G! gp den' roperty for inspectlon purposes, ^ - )v nature of Property Owner or Authorized Anent � / r✓��� Print Prooertv Owner's or Authorized Aaent's Namef V �/ /y"l 'c'�G(.z Data l (� ACTION i DATE BY V )INiGUIeRTION5 PARTCOMPLIANCE 61 OF TITLE 40WITH AND AQNID RU EFEDERAL FOR OFF ICE USE ONLY PERMIT EXPIRED PERMIT CAM1'CE1tED _.__.. PERMIT EXTENDED PERUHT FINAL CERTIF;CATE OF OCCUPANCY ISSUED -(3 7,k J1z PROPOSED NO N TO _ TO