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Home My WebLink AboutXR2023-1972 - Permits�EWpo , City of Newport Beach jai IIIIIIII 11111111p11111p1111111111111111111►11p1111111COMB Permit : XR2O23-1972 C4 1' 1 Community Development Department- Building Division X R 2 0 2 3 1 9 7 2 F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3182 Permit Counter Phone: (949) 718-1888 Issued Date : 07/19/2023 .�. newportbeachca.gov/civic Final Date: cq�rFoa`'`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 OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNC4Y AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED NOISE ON SATURDAY �- Job Address : 2322 PACIFIC DR Legal Dead: A TR CORONA DEL MAR BLK 329 LOT 3 Description : DEMO DUPLEX *REAR UNIT* 1200 SF, (2) BDRM, INCLDS SEWER CAP Owner: 2322 PACIFIC LLC Contractor : MBI Architect Address : 220 NEWPORT CENTER DR Address : 220 NEWPORT CENTER DR, 11-252 Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone : (310) 926-2290 Phone : (310) 926-2290 Phone Con State Lic : 933331 State Lic Lic Expire : 06/30/2025 Applicant: MBI Bus Lic: BT30080260 12/31/2023 IANG Engineer: XI20 BROOKHOLLOWDR5 Address : Address : 220 NEWPORT CENTER DR, 11-252 Bus Lic Expire : SANTA ANA, CA 92705 NEWPORT BEACH, CA 92660 Phone: (310) 926-2290 Workers' Compensation Insurance Phone: (714) 662-0510 Carrier: STATE FUND Owner/Builder : Policy No: 9249239 Designer Address : W. C. Expire : 4/17/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $111099.00, ; 0 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : Occupancy Groups : U,R-3 No of Units : 1 2 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Bldg Height: No of Stories : 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: TIGHT QUARTERS 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 resson(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 lidensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 ContractorsState. 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 of 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). 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). ❑ I 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 toast one year prior !o completion of the Improvements covered by this permit I cannot legall; sell a structura that I have built as an owner-buildor if it has not been bonstructod in its entirely by Ilconsed contractors. I understand that a copy of the applicable law, Section 7044 of the Suslnoss and Professions Code, is available upon request when this application is submitted or at the following Web site:http;/lwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ __ _ Date LICENSED CONTRACTOR'S DECLARATION �' I hereby affirm under penally of perjury That I am licensed under provisions of Chapter 9 (commencing with S ct 7000) of Division 3 of the Ousine s and Professions Cod Viand : II s aa-t ull force and effect. License Class License No at Contra Signature WORKERS' COMPENSATION DECLARATION WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O ONE HUNDRED THOUSAND POLL [51 DD,0001, IN AffinION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and Mil maintain a ceniitcate of consent to salt -insure [Of workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th1 mance of the work 'or which this permit is issued. Policy No. ava and will ma -main workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' compensatior In-u ance carrier any DO,uy number are! 43-w, ter_ Policy Number Expiration Date Noma ui Agent _ _ _ _ Phone # I cwtify that, in I'IU acrformance of the work for which thispermit is issued, I shall n mploy any person in any manner so as to become subject to the worke compensation llawssooff Califomia. and agre tat, if I should become subject to the workers compensation provisions of SP of the Labor Coda, shall forthwith comply with those provisions. innsturR of Applicant Da -ECLARATION RE,fiARDING CONST 541l LENDING AG "- h�reby a`flrm under penalty of perjury that there Is a constr on tentfg-gency for the performance of the work for which this permit is issued (Section 30 , Civi Code). Corer's Name Lender's Address y 1.1r ,ig, Ialure below, cerlifiy to each of the following: ai o 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 ordinances and slate Igsys Pala' to building construction. I authorize representatives of this c' or county to enter a enbhe party for inspection purposes. ignature of Property Owner or Author zXAAgen( ... Print Property Owner's or Authorized Aaeirr) Vamw .0 AIA n ... i///J/1 ACTION DATE ' By j DECLARATION fj{�09 PLIANCE WITH CODE OF FEDERAL REGULATIONS ART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED � ---®Epp F€RYtiT EXTENDED D_ PER,NITFINAL It _ r Q ASBESTOS NOTI FICA ` /4 L J� rlON 15 NDT APPLICABLE TO CERTIFICATE Of PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: