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HomeMy WebLinkAboutXR2022-3236 - Permits�gWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U22-3236 c� @ Community Development Department- Building Division X R 2 0 2 2 3 2 3 6 �y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3097 Permit Counter Phone: (949) 644-3288 Issued Date : 03/09/2023 k N Z Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 °9c,Foa"`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM 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 : 15 LE MANS Legal Desc : N TR 15935 BLK LOT 46 Description: SFR -ADD NEW SUNROOM AND EXTEND MASTER BDRM 395 SF, CONVERT EXIST'G GARAGE TO POOL BATHRM 200 SF REMODEL 380 SF Owner: TSAI KATHY Address : 7 TIDE WATCH NEWPORT COAST, CA 92657 Phone: (909)456-5805 Applicant: TSAI KATHY Address: 7 TIDE WATCH NEWPORT COAST, CA 92657 Phone: (909)456-5805 Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 V-B U,R-3 Front: 10, Side: 5, Side: 5, Rear: 10 X PC - Newport Ridge SPECIAL CONDITIONS: Contractor: GOLDEN ESTATE CONSTRUCTION INC Address : 1142 SOUTH DIAMOND BAR BLVD #890 DIAMOND BAR, CA 91765 Phone: (909)859-9018 Con State Lie : 968576 Lie Expire: 12/31/2023 Bus Lie : BT30080904 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: NATIONAL+LIABILITY+AND+FIRE+INSURAN CE+COMPANY Policy No: A9WC307346 W. C. Expire: 4/6/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories: 2 Architect Address Phone: > State Lie: Engineer : YAO ZHANG . - , Address : 1040 S OTTERBIN AV, B_ _ • _ > ROWLAND HEIGHTS, CA 91748 �> > Phone: (909)569-2069 Designer: PEGGY QI Address : 4195 CHINO HILLS PKWY, 601 CHINO HILLS, CA 9170J Phone: (626)208-7292 Construction Valuation : $150,000.00 Added/New/TI sq. ft. Bldg: 595 Alteration sq. ft. Bldg : 380 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 595 t 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 applicable ftem(s) (Section 7031, 5, Busiross and Professions Code: Any city or county that requires a permit to Construct, alterr In prove, 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) cf Division ofthe Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penally of not more than five hundred dollars ($500)., 0 1, as owner of the property, or my employees with wages as their sale compensation, will do U all of Or U portions of the work; and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' $fate 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 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 0improved for the purpose of sslo). 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 hasusure under the Contrectors` State License Law for the following By my signature below € 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 spit B structure that I have built as an owner-buildor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable taw, Section 704A of the Business and Professions code, is available upon request when this application is submitted or at the following Web site:http:7lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professio /N7y7license is in full force Iand effect. Lrc i i,.c Class License No Date5O . .' �,- Contractor Signature WORKERS' COMPENSATION DECLARATION 77�� WARNING: FAiLUCE TO LECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION TO THE ,I LOS r o^ COMPEi.SAf raN, DAMAO" As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES, II hereby affirm under penalty of perjury one of the fallowing dectarat§ens; 'D t Lave and vi'" n einten a certificate of consent to self -insure for wo(kers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Vrror:;tance of the »i rk forwhich this permit is issued. Policy No, Shc Have and wiN nair) 0 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 �TCL;.,nca carder i. e col cy number are: ,cn led Policy Number Expiration Date of Agent _ _. Phone# I1 certify that, In the performance of 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 agree ha,, it I should bcome "Vect to theyrarkr:.rs`svm,{yye-nsaban provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G( > 'lgnature of Applicant>e::3 )ECLARATION REGARDING CONSTRUCTIO LENDING AGENCY' hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code). _Undei s Name Lenders Address 3y my signature below, 1 certify to each of the following: I am Ure 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 ail applicable city and county ordinances and state taws relating to building construction. I authorize representatives of this city or coup to enter the owe -identified property for Inspection purposes. ii gnature of ProB Owner or Authorized Rent Print Pro e Owner's orAvthorized A ent's Na ACTION DATE BY DECrARATO OF COMA LIANCE W1'744 CODE OF FEDERAL FOR OFFICE USE CN LY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT FINAL CERTINCAIEOF OCCUPANCY ISSUED NO71PICATION 15 NOT APPLICABLE TO 1 3