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Home My WebLink AboutXR2023-1163 - Permits�cwPoRT City of Newport Beach Community Development Department -Building Division X R 2 0 2 3 1 1 6 3 COMB Permit : XR2023-1 1 63 n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3175 G > S Permit Counter Phone: (949) 718-1888 .M newportbeachca.gov/civic Issued Data : 2023 CqG/Gp RH�P Combination Type- PLUM Inspection Areeaa : 2 2 Work Class - Demolition 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: 208 COLLINS AVE Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 11 LOT 14 Description : DEMO DUPLEX 2056 SF, (4) BEDROOMS, SEWER CAP (XR2022-3301) Owner: ARDR REALTY LLC Contractor: WATERPOINTE CUSTOM HOME Architect: BUILDERS INC Address : 318 AMETHYST AVE Address : 219 MARINE AV, UNIT A Address NEWPORT BEACH, CA 92662 Newport Beach, CA 92662 Phone : Phone : (949) 644-8901 Phone Con State Lie : 947494 State Lie : Lie Expire : 05/31/2024 Applicant: WATERPOINTE CUSTOM HOME BUILDERS Bus Lie: BT30036114 Engineer: INC Address: 219 MARINE AV, UNIT Bus Lie Expire : 05/31/2023 Address Newport Beach, CA 92662 Phone: (949) 644-8901 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 1952335 Designer Address : W. C. Expire: 5/1/2024 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $12,000:00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI- Two -Unit Residential, Balboa Island t� *qrr'^ �^, "I NO CONSTRUCTION NOISE 1 PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE ON THE WEEKEND HAULER: GREENLEAD ENGINEERING DEMO CERTS ATTACHED 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 Rem(s) (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' Stale License Low (Chaptor 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Cade: 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 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) - El I, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a ply 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), EI am exempt from licensure under the Contractors' State License Law for the feRowing 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 logallt sell a structure that I have built as an owner -builder 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 Business and Professions Code, is available upon request when this application is submitted Drat the following Well site:http:llwww.leginfo.ca..gov(calaw.html. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professions�oylg, an�,mr license is in toll force and effect. License Class License No Date Contractor Signature_ L,l 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 ($100,0001. IN ADDITION TO THE COST OF coMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTGRNEY'S FEES. Ihereby affirm under penalty of perjury one of the following declarations: Ih u I Czv+ and will maivtatn a cerilticate 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 par(�rmanoe of In. work for which this permit is Issued. Policy No.... hive ,.nd 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' componsatim insurance carrier and policy number are: Policy Number RMW IS of Agent 11 " ^nrffy 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 ogre if I should become subject toAthe workers` compensation provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions. of Date,_,_? 15 (23 he,Pby affirm under psnalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). andar s Name Lender's Address ly 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 comity ordinances and state laws relating to building construction. I authorize representatives of this city or county to onterlibe a -ovo-identified property for inspection purposes. 'Janature of PrODertv Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name LAn S C k fuc ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL i REGULATIONS PART 610E TITLE 40 AND AQNID RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMfTTXTENOED PERMIT FINAL ASHESt05 NOTIFICAITON S NOT APPLICABLE TO CERT7FtCATEOF OCCUPANCY ISSUED '5 '-'�1 Pik'~ G �. PROP05EO DEMOUTIO SIGNATURE: -'_--_ Date 5 Is N7-X-4C 51.1 11 i JLVLJt A.t.IG3 2NC_LAIMEarietl' z • •-•, ,, '•••• •" cn�¢a,r��,`y ••` inlneeeeIII i tidd"ill. iA: e i till I. 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