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Home My WebLink AboutXR2022-1849 - PermitsCit o�agWPpR@ Community Development Department p anent- Building Division IIII IIIIIIIIIII III III III IIII II COMB Permit : XR2O22-1849 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Issued Date : OB/1 Plan Check No 2022-1704 : PCPC Inspection Requests Phone: (949) 644-3255 c9�rFoaN`"• newportbeachca.gov/inspections Inspection Area: Z Combination Type - SFP ELEC Work Class - Alteration 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: 57 EBB TIDE CIR Legal Desc : N TR 17772A BLK LOT 1 UN HOLD POR OF LOT 1 OF TRACT 17772A, Description: CONVERT EXTG DEN TO A BEDROOM ADD DOOR AND CLOSET, HOLD PARCEL FOR Owner: KEITH TANG Contractor : H F C Address : 57 EBB TIDE CIR NEWPORT BEACH, CA Address : 25108 MARGUERITE PKWY, A64 Architect Address 92663 Phone: MISSION:VIEJO, CA 92692 Phone : (949) 307-3151 Phone Applicant: KEITH TANG Con State Lic : 864445 ...... State Lic Address: 57 EBB TIDE CIR NEWPORT BEACH, Lic Expire: 09/30/2023 CA Bus Lic: BT30079465 ••'° °° ° `°°•°: 92663 Engineer: Phone: Bus Lic'. Expire: 08/31/2023 Address: '• ••° Owner/Builder: Workers' Compensation Insurance Phone: ;°°°®• ° Address: Carrier: EXEMPT • ° >° Phone: Policy No: .EXEMPT Joe Mark °`e W.C.Expire: r %_ Address •°•�°J Phone: (949)413-9057 • '°•"° ° Code Edition: 2019 Type of Construction : V-B Fire Sprinklers: YES •° ° ° JO• Construction Valuation : $3,800.00 ° ° -.�•e°° Occupancy Groups : U,R-3 Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 ; •°°° °°•° Bldg Height: No of Units : 1 Alteration sq. ft. Bldg : 141 No of Stories : 2 "Added/Newsq. ft. Garage: 0 Building Setbacks : Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: SPECTO "i INSPECTOR under than - ements are not intended on, roved for the purpose of sale).. I; as owner of the property, am ly to an owner of property who I am exempt from licensure un nv sionature below I. acknowle is I hereby affirm under penalty and effect. License Class'_ N 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 items) I Code: Any city or county that requires a°permit to Construct, alter, improve, demolish, or repair any structure, prior to its fssuanoe, also requires the applicant for e orsho Is licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9. (oominenoingwith Section 7000) of Division 3'ef the Business and npt 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 oyees with wages as their able compensation, will do (_) all of or (_)portions of the work, and the structure is not Intended or offered for sale (Section 7044, ractors' 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 nor sale. if, however, the building or improvement is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or vely contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code', The Contractors' State License Law does not r improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law),. r,...i..,..e.,.rClio i inance t aw for the following reason:. . , ,».,.., I --- I COMPENSATION DECLARATION N EWLOYER To CRIMINAL. PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS IS100,0001. IN ADDITION ATTORNEYS FEES.. ftb3 affirm uad(jrplenalty of perjury one of the foilowtng declarations: Ihavo and d+illttsalntain acertl0cate. of Consent fosalf-insure for workers'. compensation, issued by: the Director of Industrial Relations as provided for by Section 3760 of the Labor Code, pVAance of the work for which this permit is issued. Polloy No. Have and Al). tp�lQltain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ibis permit is issued. My workers comps Rance carrier and policy number are: Expiration Date NRT� .'.._" Policy Number aw esr Agent" n vthat: in rrebyafffrm undei penaltyof IdeT,S Name my signature below, i certify tam the property owner or I have read this application I agree to comply with all a I authorize representatives The property owner's bahalf; I have orovided is correct for not employ any person in any manner so as to become subject to the workers.' compensation Jaws of California, and agre 1700 of the Labor Code; Ishall forthwith comply with those provisions. c1 Date Lz r the performance of the work for which this permit: is Issued (Section 3097, Civil Cod$):. construction. n purposes, OFFICE (C All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pagl/spa-& shall remain In place &tie maintained for the life Of the pool.