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Home My WebLink AboutXR2023-2730 - PermitsaEWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2730 D� @� Community Development Department- Building Division X R 2 0 2 3 2 7 3 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2389 = Permit Counter Phone: (949) 718-1888 Issued Date : 09/28/2023 a.. newportbeachca.gov/civic Final Date: °gciFonP`r Combination Type -SFP PLUM Permit Status: Issued Work Class - Demolition Inspection Area : 2 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 : 125 BAY FRONT E Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 4 LOT 17 Description : DEMO SFR 2502 SF, 3 BEDROOMS, SEWER CAP REQUIRED Owner: BLAND GARRETT Q TR BLAND FAMILY TR Contractor: CORBIN REEVES CONSTRUCTION Architect : WILLIAM HEFNER Address : 14975 CORONA DEL MAR Address : 245 FISHER AVE Address : 5820 WILSHIRE BLVD, 500 LA, CA 90036 PACIFIC PALISADES, CA 90272 COSTA MESA, CA 92626 Phone : Phone : ! Phone : (323) 931-1365 Con State Lie : 721515 j State Lie : C017013 Lie Expire : 04/30/2024 Applicant: DERRICK DEJAYNES Bus Lie: BT30057133 Engineer Address : 245 FISCHER AVE, Al Bus Lie Expire : 01/31/2024 „ Address COSTA MESA, CA 92626 Phone: (949) 306-4823 Workers' Compensation Insurance Phone: Carrier: OAK RIVER INS. Owner/Builder : Policy No : MAWC441551 Designer Address : W. C. Expire : 2/23/2024 Address: Phone: Phone: P Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25,000.00 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 : 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, dernolish, 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' Slate 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 licensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundreddollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 burdel min 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 C ntractors' Stale 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 Lic nse Law). 1 am exempt from lieensure 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 improvem is covered y this permit, I Cannot legal sell a structure that I have built as an ownor-buildar if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the. applicable law, Section 44 of o Business and Professions Code, is available upon request when this application is submitted or at the following 14'eb site: http:liwwwieginfo.ca.gov/cala�,�html. tml. Signature of Property Owner or Authorized Agent D e LICENSED CONTRACTOR'S DECLARATION p —" I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9' (commencing with Section 79t1B) of visio �_ f the Business and Pro s ' ns Cod d y Joe' is In full fore and effect. License Class License. No. ""' a#e'C�J "'Contractor Rfnnafurt / WORKERS' COh1PENSATION DECLARATION —� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND' O LARS (5100 ), IN ADDITION TO THE COST 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: I I have and will maintain a certificate of consent to se Linsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, 3erformance of the work for which this permit is issued. Policy No. :Lil and will maintain Orka 'compensation ins .Once, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatior nsurance camier and poll y number a: 7amler Policy Number Expiration Date 'Jame of Agent Phone M I certify that in the perfor nce the work f which this permit is issued, I shali not employ any person in any manner so as to become subject to the workers' compons oa laws of allfomla, and agre let, if I should become subject a workers' mpensaZ ns of Section 3700 of the Labor Code, shall forthwith comply with those provisions dgnalure of Applic�m ..._ _ _ Dai._ —7 ECIARATfGN RE �� 10t ING3-- hereby affirm under penalty of perjury that re isnstruction lend1 g agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature bal"% I certify to each of It a followin , I am the property owner or authorized Scion the ( operiy o Or's Shall, I have read this apphcalion and the ini rmation I have rev' ed is rract. I agree to comply with all applicable dt and poorly Ord nces d to vs relating building construction. authorize representatives of this city or count. t e er th above] 9en' led property for �Ispection purposes. DATE BY `OQ F C A4PLIAN H C((D FEDERAL FOR OFFICE USE ONLY RFGL TIONS�P TITLE 40 r/'rY'r{A ID #rULE 1403 EXPIRED isuemiTpFDASRF>TOSNOTIF A ONTO PEPiN7T EXI'ENCED PERMFTFINAL I I i LIASBE570S fIFIC' ONI 1'A CAaLE TO CERTIFICATE Of vwx i. PROPOSED DE N ^ OCCUPANCY ISSUED