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HomeMy WebLinkAboutXR2023-1918 - Permits�EwaoRr City of Newport Beach II III I I I IIII III III II III III I II COMB Permit : XR2023-1918 p4 Community Development Department- Building Division x R 2 0 2 3 1 9 1 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1690 D Permit Counter Phone: (949) 718-1888 Issued Date : 07/13/2023 mow.. T newportbeachca.gov/civic Final Date: Combination Type - SFP PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 3 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 : 1661 ORCHARD DR Legal Desc : N TR 4307 BLK LOT 48 Description : SFR PLUMBING AND DRYWALL REPAIR IN KITCHEN'123-2204` Owner: JIAN LIU Contractor : Architect Address: 1661 ORCHARD DR Address : Address NEWPORT BEACH, CA 92660 Phone: (626) 818-4981 Phone : Phone Can State Lie : State Lie Lie Expire Applicant : MARK WILLIAMS Bus Lie: Engineer Address : 1224 BALBOA BLVD W, B Bus Lie Expire : Address NEWPORT BEACH, CA 92661 Phone : (781) 330-2124 Workers' Compensation Insurance Phone Carrier: Owner/Builder : JIAN LIU Policy No : Designer: Address : 1661 ORCHARD DR W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: (626)818-4981 Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: r, 1 y..f �i MARK WILLIAMS v. 1224 BALBOA BLVD W, B NEWPORT BEACH, CA 92661 (781)330-2124 NO Construction Valuation : $10,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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) )have placed next to the applicable ftem(sl (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 provistons of the Contractors' State 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or U 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' 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 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 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). Ell am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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, !.cannot legail� sell a structure that I have built as an owner -build r if't has not been strutted in its entirety by kcenscd contractors. I understand that a copy of the applicable law, Sectioll 7044 of the Business and Professions Code., is available upon request whe..j s applicatio subm tte r at the following Web site:http:tl w .leginfo.ca.gov/calaw.btml, f� Signature of Property Owner or Authorized Agent Do LICENSED CONTRACTOR'S DECLARATt I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000)of Division of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARMING: 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 ($100,000), IN ADDITION TO T DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEV's FEES. hereby affirm underpenalty of perjury one of the following declarations: I 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 erformance 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' rance carrier and policy number are: far Policy Number Expiration Date of Agent It certify that, in the performance of the Work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ist, if I should becom bject to the w ' compe/ptlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gnature of Applicant / ` �� Delay. rECLARATFON REGA D'. CONSTRUCTION LENDING AGENCY —7� hereby 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, Ci I Code). enders Name Lender's Address ,y my signature below, I carl.ify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provi ed is correct. I agree to comply with all applicable city and o my ordin cas and state laces relating to building construction. J I authorize representatives of this city or cou toe. th Bova-i ntlfledproperty for inspection purposes. �/1�1 / Ilonaiure of Prooertv Owner or Authorized Aaent Print Property Owner's or Authorized Aaenfs NameA 1 IG✓ f� r) �`a r"" d Date / �' j ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTfffCATE OF OCCUPANCYISSUED DATE BY !3 DECLARATIONOF COMPLIANCE W17H CODE OF FEDERAL I FOR OFFICE USE ONLY i RFGULATION5 PART 51 OFTITLE 40 AND AQMD RULE I HrATION N07PLICABL£ 1`0 � v