HomeMy WebLinkAboutXR2023-3135 - Permits�EWPO�,r City of Newport Beach
D� Community Development Department- Building Division X R 2 0 2 3 3 1 3 5
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
V ems. newportbeachca.gov/civic
c'9��FoaT`�P Combination Type - SFP
Work Class - Demolition
COMB Permit : XR2023-3135
Plan Check No : PC2023-1981
ra-
Issued Date : 11/06/2023
Final Date: i Lam-' -. 3_ �_j %
Permit Status: Issued
Inspection Area : 8
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 : 537 SANTA ANA AVE
Legal Case: A TR FIRST ADD TO NEWPORT HEIGHTS BLK 31 LOT 15
Description: DEMO DETACHED 1-CAR GARAGE 250 SF
Owner: MATTHEW HAIGHT
Contractor: COAST PACIFIC BUILDERS INC
Architect
Address : 537 SANTA ANA AVE
Address : 18201 MC DURMOTT ST WEST STE D
Address
NEWPORT BEACH, CA 92663
IRVINE, CA 92614
Phone : (949) 981-1324
Phone : (949) 701-4921
Phone
Con State Lic : 210710
State Lie
Lie Expire : 02/28/2025
Applicant: COAST PACIFIC BUILDERS INC
Bus Lie : BT30080973
Engineer
Address : 18201 MC DURMOTT ST WEST STE D
Bus Lie Expire : 03/31/2024
Address
IRVINE, CA 92614
Phone: (949) 701-4921
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 1868932
Designer
Address :
W. C. Expire: 11/1/2024
Address
Phone:
Phone:
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
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: 14, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
$7,000.00
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt 17om 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 conslrucL, 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 D'evision 3 of the Business and
Professions Code) or that he or she is exempt from llcensure and the basis for the olloged 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 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 oroffered for sale If, however, the building or improvement is sold within one year of completion. the Owner-Bufltler will have the burden of proving that it was not built or
Improved for the purpose of sale).
0 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' Stale License Law does not
ra�pply 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—t I am exempt from llcensure 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 permit, I cannot logalf,
sell a structure that I have built as an owner -budder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:li"w.leginfo.ca.gov/caiaw.html.
Signature of Property Owner or Authorized Agent __....... _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury L I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivisi0 3 of the Business and Professions Code, and my license is In full force
and effect. License Class � License No 2Q 0710 Dat Contractor 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 TO ONE HUNDRED THOUSAND DOLLARS 1E10(1,0011I, IN ACCUION 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:
n I have 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 th
M*rmanco of the work for which this permit Is issued. Policy No.
ve 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' compereadol
roe carrier and�olicy number a
Policy Number lr7b r`ri'/ 3 2-7— 3 Expiration Date z//Zo Z,
of Agent Phone ?l
certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become sLubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wdth those provisions. _ /�
ignature of Applicant, _ NS,....
iECLARATION REGA 1 COTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 applicable cqy and county ordinances and slate laws relating to building construction.
I authorize representatives of this cif of count to rater the above-Ideni)fted property for inspection purposes. ._.
P Y Y
ianature of Prnoerty Owner or Authorized Agent -- Print Property Owner's or Authorized Agent's Name
DFCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PF&RATIONS PART 61 OF TITLE 40 AND AQMD RULE
1h03
EXPIRED I I 'i .5d I SURtdITTED A513EST05 NOTIFICATION TO
PEAMiT FA7ENDED_ _y
PERMIT FINAL ('Z/(, � S ASBESTOS NOT I F ICA I[ON 15 NOtAPPLICABLE TO
CERTIFICATE OF 111 t PROPOSED DEMOLITGON
OCCUPANCYISSUEO SIGNATURE:.
- /J f0— Z
Code).