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Home My WebLink AboutXR2024-0532 - Permits�EvuaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: XR2U24-0532 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0440 Permit Counter Phone: (949) 718-1888 Issued Date : 03/06/2024 u o- newportbeachca.gov/civic Final Date: cq<IFn RN�P Combination Type - SFP 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 : 3328 OCEAN BLVD Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 139 LOT 1 RESUB O f ti P Description: DEMO DETACHED MAIDS ROOM 391 SF (1) BDRM , INCLDS SEWER CAP Owner: SWEENEY RYAN J TR Address : 53 BARRY LN ATHERTON, CA 94027 Phone: (650)862-5053 Applicant: LEGACY C D M INC Address: 2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA 92660 Phone: (949)677-3650 Owner/Builder: Address : Phone: Contractor: LEGACY C D M INC Address : 2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA 92660 Phone : (949) 677-3650 Con State Lie: 962720 Lie Expire : 04/30/2025 Bus Lie : BT30043218 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9147240 W. C. Expire : 11/24/2024 Architect Address Phone: State Lie Engineer: Address : Phone Designer: LEGACY C D M INC Address: 2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA'92560. Phone : (949) 677-3650 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 25, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: GREENLEAF TO HA $2,006.00 0 0 0 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 pennit to filo 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 Iicensure and the basis for the alleged exemption. Any aioiation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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'Cr 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 built or Iimproved for the purpose of sale). L[ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant (D the Contractors' State License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: ty my signature below i acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of tl oil a structure that I have built as an owrior-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the 'rofesslons Code., is available upon request when this application is submitted or at the following Web site:http:(lwww.leginfo.ca,govlcalavw.html. >Ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se!K! Division 3 of the Bu ass and effect. License Class License No a Z Contr r S VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CTIES AND CIVIL FINES UP TD NI :OST OF COMPENSA FION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hmeuy affirm under penalty of perjury one of the fallowing declarations: law. Section 7044 of the Business and Date and Professions Code, and my license is In full force gnature _J -' HUNDRED THOUSAND DOLLARS (6100,0001, IN ADDITION TO THE hove 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 'manta of the work for which this permit is issued. Policy No. and wfl 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 ,i.e carrier and policy number are: Policy Number ar.acf Agent Date It renlhl that in the performance of the work 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 .at, if I saould')�rgpt a kubject to the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. analure of hereby affirm under penalty xf perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name _ Lender's Address y 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 application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. ,� / I authorize representatives of this city coup enter the above -identified property for Inspection purposes. ionature of Prooertv Owner or Authorized. nt ✓' %�- Print Prooerty Owner's or Authorized D nt's Name ACTION ( DATE - AY ( DKLARATFpN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I ftE&Ui.pfi(ONS PART 61 OF TITLE 40 AND AQIVD RULE EXPIRED PERNfiT EXTENDED _! #��AQMD PCRrNPYTFINAL �23 U rSBESTOSNDIIFICA'fION1SN01"APPLICABLE TO CERTIFiCAT£OP v PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE lie_ . >,/ s 427 Civil Cade).