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Home My WebLink AboutXC2023-0164 - Permits (3)eWP T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIIII�IIII II COMB Permit: XC2023-0164 C' ° , �, •? Community Development Department- Building Division X C 2 0 2 3 0 1 6 4 r y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2849-2017 _ Permit Counter Phone: (949) 718-1688 Issued Date: 05/17/2023 „ Z newportbeachca.gov/civic Inspection Area : 1 Combination Type - '� Work Class - New 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 L(IZ Job Address: -"729TH ST Legal Desc : N TR 18108 BILK LOT 1 Description: RESIDENTIAL UNITS A, B, AND C (3) CONDOS 6,713/792 LIVING/GARAGE -UNIT A 3 BEDROOMS, UNIT B 3 BEDROOMS, UNIT C 3 BEDROOMS Owner: 410 TWENTY NINTH STREET LLC Address : 5933 MCCONNIE AVE WOODLAND HILLS, CA 91367 Phone Applicant: BRANDONLINSDAY Address: 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 Owner/Builder : Address : Phone Code Edition: 2016 Type of Construction : V-B Occupancy Groups: S-2,M,R-3 Bldg Height: Contractor Address : Phone: Con State Lic Lic Expire: Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect: BRANDONLINSDAY Address : 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 State Lic : Engineer: DEIHIMI AMIR HOSSEIN Address: 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS, CA 92653 Phone: (949)954-7244 - Designer: Address: Phone: Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone: NO Added/New/Ti sq. ft. Bldg: 0 No of Units: 1 Alteration sq. ft. Bldg : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Flood Zone: AO 1; X Use Zone: MU-CV115TH ST - Mixed -Use Cannery Village and 15th Street PROCESSED BY: SPECIAL CONDITIONS: CHANGE OF CONTRACTOR TOOWNER/BUILDER (X2017-4043) L OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato 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 5 by any applicant for a permit subjects the applicant to a civil penalty of Tot more than five hundred dollars (S500). I, as owner of the property, or my employees with wages as their sole compensation, wilt do (_) all of or (_) portions of the Work, and the structure is not Intended or offered for sale (Section 70", 3usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' Dr personal effort, builds or improves the property, provided that the mprovements 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 mproved for the purpose of sale). 0 I, as owner of the properly, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' Slate 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 legally sell a structure that I have built as an owner -builder if it has/4 been constructed in its entirely by licensed contractors. I understand [hat a copy of the applicable law, Section 7044 of 1 Business and Professions Code, is available upon request when IN a lic ion Is submdted adeAewtng-Mb site: http:liw .loginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ ___ Dale -ttoe LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVENAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), 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 dl performance of the work for which this permit is issued. Policy No. ❑I have and will maintain Workers' compensation Insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued My workers' compensatir Insurance carrier and policy number are: Policy Number Date To of Agent mend R 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 Ca1i`oria, and , if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant _ _ _ Date_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby all under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit is Issued (Section 3097, Civil Code). ender 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 prow ed is correct. I agree to comply With all applicable city and county ordi n s and stale laws relating to buildin construction. I authorize representatives of this city or county lq�nte fhe bove-identified mspectlon purposes. _ �- 11signatu a of Properly Owner or Authorized Agent T 1 Print Property Owner's or Authorized Ag ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AOMD RULE NOTIFICATION TO PERIVITCANCELLEO PERMIT FINAL P bi>*I UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF JP PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: iIII I:� gillill�M�