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Home My WebLink AboutXR2024-5843 - Permits�gWPORT City of Newport Beach II IIIII I I IIII I IIIII III III I IIIII II COMB Permit : XR2024-5843 c� b Community Development Department- Building Division X R 2 0 2 4 5 8 4 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 07/31/2024 U i newportbeachca.gov/civic Final Date: CCgCIFORN�P Combination Type - SFP Permit Status: Issued Work Class - ADDITION/ALTERATION INACTIVE Inspection Area : 6 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: 6 PAVONA Legal Desc : N TR 15337 BLK LOT 14 Description: SFR REMOVE AND REPLACE (4) WINDOWS AND (1) PATIO DOOR W/ RETROFIT Owner: KYUNG AHN Contractor: RENEWAL BY ANDERSEN LLC Architect: Address : 6 PAVONA Address : 22982 ALCADE DR, 100 Address NEWPORT COAST, CA 92657 LAGUNA HILLS, CA 92653 Phone: Phone: (714)259-5120 Phone: Con State Lic : 990416 State Lic Lic Expire : 07/31/2025 Applicant: GO PERMITS LLC Bus Lic: BT30046925 Engineer: Address: 105 BUTTONBALL LN Bus Lic Expire: 04/30/2025 Address GLASTONBURY, CT 06033 Phone: (860) 952-4112 Workers' Compensation Insurance Phone Carrier: OLD REPUBLIC INSURANCE CO Owner/Builder : Policy No: MWC31415821 Designer: Address : W. C. Expire : 10/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/NewRl sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he 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 3rofessions Code) or that he or she is exempt from Iicensure 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 lot more than five hundred dollars ($500). 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, 3usiness 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 mprovements 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 mproved for the purpose or 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 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 licensure under the Contractors' Slate License Law for the following reason: 3y 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 -builder 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 3rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. 31gnature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally 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 tnd effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Ie100.0001. IN ADDITION TO THE :DST 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 for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' Comperes Trance carrier and policy number are: Policy Number Date ne of Agent Phone H certify that, in the performance of the work for which this permit is issued, I shall not employ any pension in any manner so as to become subject to the workers' compensation laws of California, and I, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Heby 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 3097, Civil Code) Iders Name Lenders Address my signature below, I certify to each of the following: LI A ■ �pm I am the property owner or authorized to act on the property owner's behalf. `►� f,,ljl ,`�i P{(r+�—'. 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 stale laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AO 1403MD RULE PERMITEXPIRED PERMITEXTENDED CERTIT IFICATE OF PROPOSED DEMOLITION NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEL K7Ijy UASBESTOSNIFICA OCCUPANCY ISSUED SIGNATURE: