HomeMy WebLinkAboutXR2023-1363 - Permits"E"O"T City of Newport Beach 11111111111111111111111111111111111111111111111111111111I II
o � Community Development Department- Building Division
x R 2 0 2 3 1 3 6 3 COMB Permit : XR2023-1363
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
S Permit Counter Phone: (949) 718-1888 Issued Date : 05/24/2023
�c `A newportbeachca.gov/civic Inspection Area :1
,trcon`' Combination Type -
Work Class - Other
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 : 1585 MIRAMAR DR Legal Desc : N TR 518 BLK I LOT 25
Description: SFR CHANGE OUT (20) WINDOWS NO HEADER CHANGE *STOP WORK* 121-3183 (RENEW EXPIRED PERMIT)
Owner:
YUAN YONG
Address :
1585 MIRAMAR DR
NEWPORT BEACH, CA 92661
Phone:
(949)531-2534
Applicant :
YUAN YONG
Address :
1585 MIRAMAR DR
NEWPORT BEACH, CA 92661
Phone :
(949) 531-2534
Owner/Builder : YUAN YONG
Address : 1585 MIRAMAR DR
NEWPORT BEACH, CA 92661
Phone: (949) 531-2534
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U,R-3 No of Units : 1
Bldg Height: No of Stories : 2
Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: 0/13 FORM ATTACHED
Architect
Address:
Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft.: 0
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 item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a parriit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
fe permit to gle 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
'rafessrons 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
of more than rive hundred dollars ($500).
3 I, 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 or offered for sale (Section 7044,
usiness 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
nprovements 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
p�'jproved for the purpose of sale).
Z 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
pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contmators' State License Law),
I I am exempt from hcensure under the Contractors' State License Law for the following reason!
y 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 permitI cannot legal
all a structure that I have built as an ownor-buildor if it has not been construct401he
in entirely by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and.
'rofessions Code, is available upon request wh 4 is application is submitted following Web siteihttp:/lwww.leginto.ca.govlcalaw.html.
Ignature of Property Owner or Authorized Agan _. Datzr_j�..F
ICENSED CONTRACTOR'S DECLARATI N�
hereby affirm u,IJbr penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is In full force
nd effect. Liceiz lass License No Date Contractor Signature
PORKERS' COMFENSATION DECLARATION
YARNING: FAILUR'_ TO JLCURE 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
>nST CF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
her'Ly affirm under nenalty of perjury one of the following declarations:
a I hay e and wT ma:7tain 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 in
,erfoaaance of the work for which this permit Is Issued. Policy No.
11 havr and will lauin,ain 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' compensatio.
nsurance carrier and policy number are:
,artier Policy Number Expiration Date
vame of Agent Phone #
11 certify that, in the Delormanctiof 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 agre
hat, if I should baoo a uplect to the workers' compensation provi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Appiican Data
)ECLARATIi7N REG D CONSTRUCTIDN LENDING AG�—
hereby affirm under penalty of perjury that theis a construction lending agency for the performance of the work for Mitch this permit is issued (Section 3097, Civil ode).
_enders Name Lenders Address
3y my signature below, 1 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 oun ordinances and slate laws relating to building construction.
I authorize representatives of this city or cou t. I enter the ab a enflfled property for inspection purposes. 1r 9 q
Signature of Property Owner or Authorized Agent. Print Property Owner's or Authorized A f's Nam - i<� jUCGG� Oat
ACTION DATE BY V I OE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 Of TITLE 40 AND ACLMD RULE
1403
PERMIT EXPIRED I U I suBMITTED ASBESTOS NOTIFICATION TO
PERMIT
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