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Home My WebLink AboutXR2023-1520 - Permits04) City of Newport Beach 111IIIpIII111111111111111p1111111111111p11111111111111 jj COMB Permit:XR2023-1520 Community Development Department- Building Division X R 2 0 2 3 1 5 2 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 06/0612023 newportbeachca.gov/civic Inspection Area : 1 CCombination Type - SFP Work Class - Other 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 : 332 COLTON ST Legal Desc : N TR.772 BILK 14 LOT 12 TR 772 LOT 12 BLK 14 ALL (EX NELY 4 F T) AND NELY Description: SFR WINDOW/DOOR CHANGE OUT (6/3) Owner: BRAEDON DUNG Contractor: PACIFIC SHORES DISTRIBUTING Architect Address: 332 COLTON ST Address : 10573 ELLIS AVE. Address NEWPORT BEACH, CA 92663 FOUNTAIN VALLEY, CA 92708 Phone: (714)496-4214 Phone: (714)841-2228 Phone: Con State Lie : 1078177 State Lie Lie Expire : 07/31/2025 Applicant: PACIFIC SHORES DISTRIBUTING Bus Lie: BT30076070 Engineer Address : 10573 ELLIS AVE. Bus Lie Expire : 06/30/2024 Address FOUNTAIN VALLEY, CA 92708 Phone: (714) 841-2228 Workers' Compensation Insurance Phone: Carrier: COMPWEST INSURANCE CO Owner/Builder : Policy No: CWWCP100067178 Designer: Address : W. C. Expire : 10/25/2023 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $16,455.14 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 AddedlNew sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: �� o #," r— T SPECIAL CONDITIONS: f Lzc OR 1 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 items) 9acifon 7031.8, 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 to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrectors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption Any violation of Section 7031.6 by any applicant for a permit subjacts the Applicant to a civil penalty of of more than five hundred dollars ($500). 1, 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, usiness 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 4 was not built or IT roved 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 ly to an owner of property who builds or improvesthereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensum under the Contractors' State License Law for the following reason: _ •y my signature below I acknowledge that, except tot my personal residence in which I must have resided for at least one year prior to completion of the improvements CCvmRd by this permit, I cannot legall) oil astructure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofassions Code, is available upon request when this application is Submitted brat the following Web site:httpliwww.teginfo.ca.gov/ceiaw.html. 8gnature of Property Owner or Authorized Agent Date .ICENSEA CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section'. 0 n 3 of the Business and ass - ry Ilrie isirThfli force nd effect. License Cliss License. No Dete Contractor Signature l7 VORKIERS' COMPENSATION DECLARATION 'ARNING' FAILURr TC SEC.IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (11400.088): M ADDITION TO THE OST OF COMPENLATIO(r DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE, INTEREST, AND ATTORNEt"'S FEES, he eby affirm under penalty of perjury one of the following declarations: I 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 Cade, for me of the work for which this permit Is issuad. Policy No.. :and w'I rlsint.An 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' compensa carrier and policy number are: re of Agent ea.t;P, that, in the p If t should bLco,ne Tatars of Aoolicant Policy Number Expiration Date Phone IS for which It is it isissued, I shall not employ any person In any manner so as to become subject to the workers' oompansatioD laws of Califomia, and Agra eons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat �ll0��3 tN L R40 ENCY hereby affirm under penalty of l'rerjury that there n construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), ender's Name Y my signature below, I certify to each of the. rollow ing: I am the property owner Or auttionaed 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 ordinanc no state.. I allthortze mpmsentatives of this city or Gounwo.4mer tWa-I tday ifteS 041111110 PERAUTFINAL CERTIPCATEOF l OCCUPANCY ISSUED to building construction. sr inspection purposes. PUANCE WITH CODE Or FEDERAL OF TITLE 40AND AQMD RULE FOR OFFICE USE ONLY A,LCL ,,( A(is- lc(! _ . 1