HomeMy WebLinkAboutXR2024-0531 - Permits�EWPO,gT City of Newport Beach I 111�1 IIIIIIII 111111111111111111 a 111111111111111111111111 jj COMB Permit : XR2024-0531
D� l' "I Community Development Department - Building Division X R 2 0 2 4 0 5 3 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0440
u ? Permit Counter Phone: (949) 718-1888 Issued Date : 03/06/2024
o., newportbeachce.gov/civic Final Date:
o-0t/coRN�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
Description : DEMO 2727 SF (3) BEDROOM SFR, INCLDS SEWER CAP
Owner: SWEENEY RYAN J TR
Contractor: LEGACY C D M INC
Architect
Address : 53 BARRY LN
Address : 2618 SAN MIGUEL DR #204
Address
ATHERTON, CA 94027
NEWPORT BEACH, CA 92660
Phone : (650) 862-5053
Phone : (949) 677-3650
Phone
Con State Lie : 962720
State Lie
Lie Expire : 04/30/2025
'
Applicant: LEGACY CDMINC
Bus Lie: BT30043218
Engineer:
Address : 2618 SAN MIGUEL DR #204
Bus Lie Expire : 06/31/2024
Address
NEWPORT BEACH, CA 92660
Phone: (949) 677-3650
Workers' Compensation Insurance
Phone: .... ;
Carrier: STATE FUND
Owner/Builder :
Policy No: 9147240
Designer: LEGACY C D M INC
Address :
W. C. Expire: 11/24/2024
Address: 2618 SAN MIGUEL DR #Z04 ,
NEWPORT BEACH, CA 328N'
Phone:
Phone: (949) 677-3650
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation: $8,000.00
Type of Construction : V-B
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: 25, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single-Upit Residential
PROCESSED BY:
SPECIAL CONDITIONS: GREENLEAF TO HAUL
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t 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 Low (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
Professions Code) or that he or she is exempt from 1lcensure 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).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do I all of or (_) 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 burden of proving that it was not built or
improved for the purpose of sale).
111, 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 net
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).
1 I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 tI
oil a structure that I have built as an owner -builder if ithas not been constructed in its antiroty by licensed Contractors. I understand that a copy of the
'rofessions Code, is available upon request when this application is submitted or at the. following Web siteihttp:liwww.leginfo.ca.govlcalavi.html.
ignahire, of Property Owner or Authorized Agent.,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pert'ury that I am licensed under provisions of chapter 9 (commencing with lion 7 0 Df Division of the Busin>�
nd effect. license Class License No a 3 Contractor S
JORKERS' CC%P40c-NSATION DECLARATION
ARNING: FAILURE TC FE^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ONES UP TO
DST OF `.OMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby afflrm r:ndx pcaalty of perjury one of the following doc€arations:
law, Section
Date
and
Professions Code, and my-Ij enae is In full force
DOLLARS 16t00;0001, IN ADDITION
I bave and will ii intern a certificate of consenl. to self -insure for workers' compensation.. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
0,,1-,ance of the work for which this permit is issued. Policy No.
ne of Agent
,erof{ that,
if I should
"24.' e of AL
Im^,imam workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wark for which this permit is issued. My workers`
Rid policy number are:
Policy Number
Date
pfrformanco 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
e ouect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm r fder penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is
enders 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 applrcable city and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or county to enter the aboye-identified property for inspection purposes.
AC71ON DATE � BY RJLAljifflCN. OF COMPLIANCE W17H CODE OF FEDERAL I FOR OFFICE USE ONLY
R�y(ATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED'IIIAD
PERrL11i F/NAL /} 1 1J AS}1EST0S N011HCA'('ION lV APPLICAttLk TO
CERRFlCATE OF -Z� (� pRQPOSEO' VOLITION
OCCUPANCY' 155UED SdGNAF �A�-
compensation laws of California, and agre
36 L
it Code).