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HomeMy WebLinkAboutXC2023-0177 - Permits��EWPORT City of Newport Beach II IIII IIIIII IIII III IIII II IIIIIIIIII II II COMB Permit : XC2023-01 %7 p d Community Development Department- Building Division X C 2 0 2 3 0 1 7 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1264 Permit Counter Phone: (949) 718-1888 Issued Date : 05/30/2023 c .a� newpodbeachca.gov/civic Inspection Area : 7 gC�cORN*P Combination Type - PLUM 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 : 224 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BILK 11 LOT 13 Description: COMM- DEMO EXIST'G MIXED -USE BLDG 1052 SF *INCLUDE SEWER CAP Owner: MARINE AVENUE HOLDINGS LLC Contractor: WATERPOINTE CUSTOM HOME Architect: BUILDERS INC Address: 219 MARINE AVE, A Address : 219 MARINE AV, UNIT A Address NEWPORT BEACH, CA 92662 NEWPORT BEACH, CA 92662 Phone: (949) 644-8900 Phone: (949) 644-8901 Phone Con State Lie : 947494 "State Lie Lie Expire : 0513112024 Applicant: WATERPOINTE CUSTOM HOME BUILDERS Bus Lie: BT30036114 Engineer INC Address : 219 MARINE AV, UNIT A 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 : 511/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg : 0 Occupancy Groups: M,S-1 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 Flood Zone: X NO CONSTRUCTION NOISE Use Zone: MU-W2-Mixed-Use Water PROCESSED BY: foe I Ilk. ~ SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE LL,`✓ 0.— 1 ON THE WEEKEND DEMO CERTS ATTACHED HAULER: TIM GREENLEAF OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 Rem(s) (Section 7031.5, Business and Professions Code: Arty 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 rite 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 exemptfrom 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work; and the structure is not intended oroffered 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). ❑ 1, 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). © I am exempt from Bcensues under the Contractors' Stale 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-buildor 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 submGtted or at the following Web site:http:Uwvww.ieginfo.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 7oo0 of Anion 3of the Business and Professions Casks. a y license is In full force and effect. License Class License Date U 3, Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORxERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3795 OF THE LABOR CODE. )NTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: L„) I awe 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 lh per rmance 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 Cade, for the performance of the work for which this permit is issued. My workers' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 711 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 agm, that, if I should become subject W the w/gfkep7 compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Signature of Applicant �•'L' Date,_. S'�UI Z� DECLARATION REGARDWO CONSTRUCTION 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, Glvil Code). Lender's Name __ Lender's Address By my signature S716 , 1 �,,artify to each of the following: I am lie property owner or authorized to act on the property owner's behalf, I havt read tHs . ppiiaalion and the information I have provided is Correct. I ag,ee to comply with all applicable city and county ordinances and state €awn relating to building construction. I ail hodze representatives of this city or county to ante he ab entitled property for inspection purposes. I Siq.atula of Prof art=Ovrser or Authorized A antC�t Pnril Pra e OwnSer's orAuthofized Agent's Name � Irk) �" �«• Data ° 2 ACTION DATE BY-CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 I: r FINNED D I SUBM17TFD ASBESTOS NOTIFICATION TO FIW IT CANCELLED rE—PA - FEd+vt / EXIT DED IAQNI'D PENMII FINAL W ASBESTOS NOTIFI ION 15 NOT APPLICABLE TO CERTIFICATE OF /l�Y�$? Drf--lam. PROPOSED DEMOU7 OCCVPANCYISSUED SIGNATURE: --- Ir m Ln 0 0 m ru m 0 0 0 0 m m m ru ru 0 M1 tcl Ln Im 0 0 m ru 0 m 0 0 0 m m m ru ru 0 r` Certified Mail service provides the following benefits: • A receipt (this portion of the Certified, Mall label). • A unique identifier for your mailpiece. • Mectranic verification of delivery or attempted delivery. • A record of delivery Including the recipient's signature) that Is retained by the Postal Service - for a specified period. Important Reminders: • You may purchase Certified Mall service with First -Class Mall®, Fimt-Class Package Service, or Priority Mail -service. • Certified Mail service is notavailable for intematianai mail. • Insurance coverage Is notavailable for purchase with Certified Mail service. However, the purchase of Certified Mail service does not change the insurance coverage automatically Included with certain Priority Mail Items. • For an additional fee, and with a proper endorsement on the mailpiece, you may request the following services; - Return receipt service, which provides a record of delivery (including the recipient's signature). You ran request a handcopy return receipt or an electronic version. For a tendency return receipt, complete PS Form 3811. Domestic Return Receipt, attach PS Form 3811 to your mailpiece; retail associate. - Restricted delivery service, which provides delivery to the addressee specified by name, or to the addressee's authorized agent. - Adult signature service, which requires the signee to be at least 21 years of age (not available at retail). - Adult signature restricted delivery service, which requires the signee to be at least 21 years of age and provides delivery to the addressee assorted by name, or to the addressee's authorized agent (not available at retail). • To ensure that your Cemfied Mail receipt is accepted as legal proof of mailing, it should bear a USPS postmark. If you would like a postmark on this Codified Mail receipt, please present your Certified Mail Item at a Post Offil for postmarking. If you don't need a postmark an this Certified Mail receipt, detach the barcodetl portion of this label, affix it to the mailpiece, apply appropriate postage, and deposit the mailpiece. IMPORTANT: Save this receipt for your records. PS Form 3800, April 2ol5 (Reverse) PSN 7530U2-0009041 • A receipt (this portion of the Codified Mail label). for an electronic reason receipt, see a retail •Aunique identifier for your mufflers, associate for assistance. To receive a duplicate •Electronic verification of delivery or attempted '' return receipt for no additional fee, present this delivery. USPS®-postmarked Certified Mail receipt toihe • A record of delivery (including the recipient's retail associate. signature) that is retained by the Postal Service- - Restricted delivery service, which provides for a specified period. delivery to the addressee specified by name, or to the addressee's authorized agent. Important Reminders: - Adult signature service, which requires the • You may purchase Certified Mail service with signee to he at least 21 years of age trial First -Class Mail-, First -Class Package Service-, available at met), or Priodty Mails service. - Adult signature restricted delivery service, which re Certified Mail service is not available for requires the signee to be at least 21 years of age international mall. and provides delivery to the addressee specified •Insurance coverage is notavailable for purchase by name, or to the addressee's authorized agent With Certified Mail service. However, life purchase (not available at retail). of Codified Mail service does not change the • To ensure that your Certified Mail receipt is Insurance coverage automatically Included with accepted as legal proof of mailing, it should bear contain Priority Mail hems. USPS postmark. If you would like a postmark on • For an additional fee, and With proper this Certified Mall receipt, please present your endorsement on the mailpiece, you may request Certified Mail item at a Past Office- for the fallowing services: postmarking. If you don't need a postmark on this - Return receipt service, which provides a record Certified Mail receipt, detach the barcodetl portion of delivery(including the recipient's signature). of this label, affix it to the mailpiece, apply You can request a hardcopy return receipt or an appropriate postage, and deposit the mailpiece. electronic version. For a farcically return receipt, complete PS Form 3811, Domestic Return Receipt- attach PS Form 3811 to your mailpiece; IMPOW1 . Save Nis reselpt for your records. Ps Form 3800, Apd12015 (Reverse) PSN 7530-02-a00-9047