HomeMy WebLinkAboutXR2023-0633 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
1111111111111111111111111111111111111111111111111 ��� COMB Permit : XR2023-0633
Plan Check No: PC2022-2933
Issued Date : 03/07/2023
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 : 124 APOLENA AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 6 LOT 18
Description: DEMO SFR & GARAGE 1590 SF. 4 BEDROOMS. SEWER CAP INCLUDED
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 NB, CA 92662
Phone : Phone : (949) 644-8901 Phone
Con State Lic : 947494 State Lic
Lic Expire: 05/31/2024
Applicant: WATERPOINTE CUSTOM HOME BUILDERS Bus Lic : BT30036114 Engineer
INC
Address : 219 MARINE AV, UNIT A Bus Lic Expire : 05/31/2023 Address
NB, CA 92662
Phone: (949) 644-8901 Workers' Compensation Insurance Phone:
Carrier: STATE FUND
Owner/Builder: Policy No: 1952335 Designer:
Address : W. C. Expire : 511/2023 Address
Phone: Phone:
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $24,250.00
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: 1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1; X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY
�4® SPECIAL CONDITIONS: GREENLEAF TO HAUL DEBRIS
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OWNER -BUILDER DECLARATION
I hereby af9inn under penalty of perjury that I am exempt from the Contractors' Slate License Law tar 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
tho 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 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 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 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).
❑ I, 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 not
apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' '-Flats 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 legal)
sell a structure that I have built as an owmar-builder if it has not been constructed in its entirety by liconsed contractors. I understand that a copy of the applicable taw. Section 7044 of the Business and
Professions Code., is available upon request when this application is submitted orat the following Web site:http:llwww.leginfo.pa.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) Di 'sign 3'of the Business ancj�Prgfessions C an�m Iidonse is in full force
and effect. License Class License No D l "1 1 � COnUacYor Sign¢ltl�\
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 (9100.000). IN ADDITION 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:
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 to
rmance of the work for which this permit is issued. Policy No.
have 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' compensation
lance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify 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 agra
that, if I should become subject iG a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applican C� Da 3 1-1
DECLARATION R A DIN ONSTRUCTION LENDING AGENCY
I 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, C vil Code).
Lender's Name Lender's Address
By 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.
agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county i enter th atiove-i niified property for inspection purposes. 11
SI nature of Property Owner or Authorized Agent • Print Propertyp Owner's or Authorized Agent's Nan G�^� S (ca lkc C. Date 3 '1 Z
ACTION DATE BY LARAT'ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART 61 DFTITLP 40 AND AOMD RULE
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PERMITEXPIRED ��I ISU ITTED ASBESTOS NOTIFICATION TO
PERrNIT CANCELLED A
PERMIT EXTENDED --- __ IJAQMD
PEPoYfITFiNAi `v ASgESTOSNOTIFICATIgN 75 NOT APPLICABLE 't0
CERTIFIWTE OF y-()_X2 D)-,l1__ PROPOSE DEMOLITI
OCCUPANCYISSUED SIGNA B:
7018 0360 0001 4639 9713
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