HomeMy WebLinkAboutXR2023-2689 - Permitsg o City of Newport Beach II III I IIII IIII III IIIIII IIII IIII IIII II COMB Permit : XR2023-2689
99jj C� Community Development Department- Building Division X R 2 0 2 3 2 6 8 9
Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3002
r1 Permit Coun[er Phone: (949) 718-1888
Issued Date : 09/26/2023
new pi, Final Final Date:
°q�rci�aNiP+� Combination Type - ELEC Permit Status: Issued
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Work Class - Other Inspection Area : 5
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 : 8 TIMOR SEA
Legal Desc : N TR 15818 BLK LOT 19
Description : SFR (2) BATTERIES *PV2022-0412*
Owner: IHSIN CHEN
Contractor : SUNSHINE PACIFIC GROUP AMERICA
Architect
INC
Address : 8 TIMOR SEA
Address ; 1910 S ARCHIBALD BLVD, STE J
Address
NEWPORT BEACH, CA 92657
ONTARIO, CA 91761
..
Phone:
Phone: (626)988-7160
Phone:
Con State Lic : 1044501
State Lic
Lic Expire : 09/30/2024
.. .
Applicant: SUNSHINE PACIFIC GROUP AMERICA INC
Bus Lic : BT30080092
Engineer
Address : 1910 S ARCHIBALD BLVD, STE J
Bus Lic Expire : 11130/2024
Address
ONTARIO, CA 91761
Phone: (626) 988-7160
Workers' Compensation Insurance
Phone: .. .
Carrier: STATE FUND
Owner/Builder:
Policy No: 9272792
Designer
Address :
W. C. Expire : 3/12/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $20,000.00
Type of Construction : V-B
Fire Hazard Zone : YES
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark{s) I have placed next to the applicable itemts)
iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish,or repair any structure, prior to its issuance, also requires the applicant for
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she I$ exempt from lieensure, and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 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,
urines" 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
nproved for the purpose of sale).
11, as owner of the property, art 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors, under the Contractors' Stale License Law for the following reason _ ......... T____..--
,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 permit, I cannot legally
ell a structure that I have built as an owner-buildDr 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govtcalaw.html.
signature of Property Owner or Authorized Agent ,.,._.�_.�__�_____ Date
ACENSED COATRACTOR'S DECLARATION _
herehy a;iirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section, 7 ) of i ' i n 3 of the Business afrell
sions G'pde a drt pry flc se is In full force
nd effect. Licerse Clays License No Da V- Contractor SigVGRKERS'COMPENSATION DECLARATION
6.RNINJ. FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALLSUBJECT AN EMPLOYER TO CRIMINALPENALTIES AND CIVILFINES - TO ONE HHOUSAND DOLLARS (6100,000), IN ADDITION TO THE
DST OF COMPENSAT,ON, CAAAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby aifirm undal per.alty of perjury one of the following deciaratlonst
7 ! !10 o and w;II ^lam'ain a certilicale of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
(ter^',m-,nce of the wor., for which this permit is issued. Policy No.
:1I f, 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' compensatior
a ance carrier and poPcy number are:
Policy Number
na c". Agent
Date
3 certify thel. in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws ofCalifornia, And agre
tat, if I sheXNEGARDING
me subject to the workers' ompeasatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
,ignalure ont �'S` -
IECLARA7CONSTRUCTION LENDING AGENCY
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 30 7, Civil Cade).
ender's Name _ _ _ Lender's Address _.
fy my signature below, j derl4fy 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 county ordinances and state laws relating to building construction.
I authorize representatives of this � or county toe t e above-iden led property for inspection purposes.
cianature of Prooertv Owner or Authonzed�A,Deat� � Print Property Owner's or Authorized Agent's N e __ AnrLc4-1, e
ACTION DATE 1_, -`1BY DECLARATION OF PA COM61 OFTNT!f 40ANDCODE
OF FEDERAL FOR OFFICE USE ONLY RIOM
VID
PERMIT EXPIRED I
i LJISURMITTEn ASBESTOS NOT] F I CATION TO
_
PERMIFCRNCEtCEO
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i EPA
F€RtNiT EXTENDED
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PERM1f7 FINAL
ASBE5t05 NDi1F{Cpl10N 15 NO) APPLICABLE TO
CERTIFICATE OF
PRODEMOLITION
OCCUPANCY ISSUED IJI
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SIGNAT