HomeMy WebLinkAboutXR2023-3284 - PermitsSEW PORT City of Newport Beach 111 IIIIIIII III 11111111111111111111111111111111p111111111 jjCOMB Permit : XR2O23-3284
Community Development Department- Building Division X R 2 0 2 3 3 2 8 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2808
u = Permit Counter Phone: (949) 718-1888 Issued Date : 1112112023
newportbeachca.gov/civic Final Date:
C9(IGp RN,P Combination Type - ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration 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: 402 DAHLIA AVE, A Legal Desc : P BK 361 PG 13 PAR 1 UN 1 PM 361-13, PAR 1 OF PROJ
Description: DUPLEX- ADD FULL BATHROOM IN BASEMENT 40 SF
Owner:
TSENG KUAN
Contractor :
Architect
Address :
415 LOTONE
Address :
Address:
MONROVIA, CA 91016
Phone:
(626)616-3557
Phone:
Phone:
Con State Lie :
State Lie
Lie Expire
Applicant :
RALPH POON
Bus Lie:
Engineer
Address :
4316 WALNUT ST, A
Bus Lie Expire :
Address
BALDWIN PARK, CA 91706
Phone :
(626) 512-5648
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder
: TSENG KUAN
Policy No:
Designer:
Address :
415 LOTONE
W. C. Expire:
Address
MONROVIA, CA 91016
Phone:
(626)616-3557
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: 15, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: O/B AUTH SCANNED
RALPH POON
4316 WALNUT ST, A -
BALDWIN PARK, CA 9170E
(626) 512-5648
$10,0-30.,m
0
0 ;
0
OWNER -(BUILDER DECLARATION
f 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 applicableitem(s)
(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' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
i
osss
ons 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
a t eve hundred dollars (b500).
er of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
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 safeif, 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).
I, 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 propertywho 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 licensure 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 forat least one year prior to completion of the improvements cow red by this permit, I cannot legal],
soil a structure that I have built as an ownar bulidcr' it has not been constructed in !Is entirety by licensed contractors. I understand that a copy of the applicable law, Sec on 7044 of the Business and
Professions Code Is available upon request�h this application is subml at the following Web site:http://www.leginfo.ca..gov/calaw.html.
Signature of Property Owner or Authorized A ft .._ _ __.,—�-- _______,_:, a �-`__'_'.
LICENSED CONTRACTOR'S DECLARATION —�� _
I hereby affirm under 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, and my license is In full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100D00}, IN AOOn10N TO T
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure [of workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier ar,d policy number are:
Policy Number
Date
lamquUf Agent _ Phone #
y that. in. the pe OrmBnCe of She work for which this permit is Issued, I shell not employ any person in any manner so as to become subject to ma works 's' compensation laws of Califomfa, and 2gra
v t, R r ••fi ld becor subject t0 the workers compensatiod provisions of Section 3700 of the Labor Code, I shall forthwith comply P` lit those provisions.
,:..nature of A want _/Z-
i1wCLF.F:A. REGARDING CONRUCTION LENDING AG
F. =_-c dy affirm U I `unity of perjury that there Is a Construction Iending agency for the performance of the work for Which this permit is issued (Section 3 97, Civil Code).
e'�dnr'F Name Lender's Address
Iv my signature below, I certify to each of the following:
I am toe property au„er or authorized to act on the proportyovmer's behalf.
1 have read lm: ippji ation and the' .formation I have provided is correct.
I agree to coriply v.'Ih all applicable dfly, and county ordinances and state laws relating to building construction.
I authorize rep-es-r^tatives of this city C my to e. ail - bfle1 property for inspection purposes.
it nature of Property Owner or Authorize enl Print Prn arty Owner's or Autl7arized A en Name
ACTION DATE: BY j DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY _
RFF„GULATIONS PART 6.1 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED
PERMIT EXTENDED
PERNPYT FINAL
CERTiFlCATE OF
OCCUPANCYIS5UED
NOTIFICAT€ON I5 NOT APPLICABLE TO