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Home My WebLink AboutXR2023-0802 - Permits��E`wP0?T City of Newport Beach IIIIII IIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit XRZO23��8�2 C Community Development Department- Building Division ' 109-Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0688 e' Permit Counter Phone: (949) 718-1888 Issued Date : 05/04/2023 u s newportbeachca.gov/civic Inspection Area : 3 C9C/FU0.N�P Combination Type - SFP ELEC Work Class - Addition/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: 2051 COMMODORE RD Legal Desc : N TR 3082 BILK LOT 30 Description: SFR ADD 27 SF AND REMODEL 427 SF, DEMO (E) INTERIOR WALL. Owner: JOHANNA & RAY SAWALL Address: 2051 COMMODORE RD NEWPORT BEACH, CA 92660 Phone: (714)658-6073 Applicant: JOHANNA & RAY SAWALL Address: 2051 COMMODORE RD NEWPORT BEACH, CA 92660 Phone: (714)658-6073 Owner/Builder : Address : Contractor: LEE THANH CONSTRUCTION INC Address : 10642 ARTCRAFT AVE GARDEN GROVE, CA 92840 Phone: (714)495-5935 Con State Lie: 1062037 Lie Expire : 01/31/2024 Bus Lie: BT30081470 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01009800 W. C. Expire : 7/27/2023 ell Architect: Address: Phone: State Lie Engineer: BENJAMIN AMGAD SAMWEL Address: 24310 MOULTON PKWY #0-105 LAGUNA WOODS, CA 92637 Phone: (949) 446-1417 Designer: Address: Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: $39,000.00' ' 27 427 0 " 27 OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors.' Skate License Law for the reason(s) indicated below by the checkmark(s) I have placed next io theapplicable items) (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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 Icensure 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). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' er 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). 0 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 ypiy to an owner of property who builds or Improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 th, ;all a structure that I have built as an owner-bwldar'if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the n Lrofessions Code., is available upon request when this application is submitted or at the following ''Neb site:http:lfwww.leginfe.ca.govlcalaw.html. iignatum of Property Owner or Authorized .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Division 3 of the Business and effect. License Class License No Daf �S O • L ; Contractor Sil PORKERS' COMPENSATION DECLARATION rARNING FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE IOST OF COMPENSATION, DAMAGES As PROVIDED FOR A SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: law, Section Date and and my license is In full force DOLLARS IST00,000), IN ADDRION TO 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 romance of the work for which this permit is issued. Policy No, 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' carrier and policy number am: Policy Number Expiratio of Agent Phone # Date I certify that, 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 of Celffomfa., and agre t, if I shm-ld becom4RF0,C91(STRUCTIQN ct t rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n-iture of pppliceni Dal Lei .by' Z y C: Al REi9ALENDING AGENCY :reby affirm under pof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ 1 Cade). ^del s Name Lenders Address my signature usinw, I- certify to each of the following: I are 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 cjI np,y with all applicable c1111.ty and coup ordinances and state laws relating to building. construction. I authorize apresentatives of this city or counkkl� t ent demlfied property for inspection purposes. �N� )) // ,�,, ��55 n:.ture of F.ope�t: Owner cr Authorized Agent Print Property Owner's or Authorized Aoent's Name !/f J,47 0-[�1_ iDta [J 5-O/Z 3 I ACTIgN I DATE. BY V AnON. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE. USE ONLY I I REGULATIONS PAR] 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I U I SUBMITTED ASBESTOS NOTI FICATION TO PERMITCANCELIED It—kf—I DEPA PERMIT FINAL I C./T tZS AS1111 NOTIFICATi APPLICABEE 10 CERTIFICATE OF IZ•'•Zi f _� �IL li�l pR0 OSED MOLITIO OCCUPANCY ISSUED �G /f� ! SIGNATURE: 0' 'L ;flf� 0 E � N O %� Lo U d LO W c 0 N v v F> o v E Q z o 0 u u pUj � N N O ❑ fl a m ❑ c d oom m cca oo� IYO 0 _ O ° ID N «°. to p yd O CCl) a C EC'+ O. Vl a n 0 o d'x LO mo•.O-. O no>(L Rog°w2 w o - "> p 0 m �.N CL_. c O �N O m d o m> co o « . O 47, .. � .. d my F -0 = O U) ,Yn A U r u x a �• 'T 9 Co. 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