The URL can be used to link to this page

Home My WebLink AboutXR2023-2607 - PermitsPo", City of Newport Beach 11111111i111�111111111111111111111111111111111111111 iijjjjCOMB Permit : XR2023-2607 p� d Community Development Department- Building Division X R 2 0 2 3 2 6 0 7 > j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 949 Ph t Permit Co unter one: 718-1888 } S ( i Issued Date : 09/16/2923 e.. newportbeachca.gov/civic Final Date: c94 FoaN�P Combination Type - SFP PLUM Permit Status: Issued `w Work Class - Demolition Inspection Area : 2 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 : 123 CRYSTAL AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BILK 2 LOT 14 Description : DEMO SFR 416 SF. 1 BEDROOM. SEWER CAP INCLUDED Owner: 123 CRYSTAL GROUP LLC Address : 2901 W MACARTHUR BLVD SANTA ANA, CA 92704 Phone: Applicant: NATALIE TANG Address : 17272 NEWHOPE ST, Suite K FOUNTAIN VALLEY, CA 92708 Phone : Owner/Builder : Address : Phone Contractor: KEYSTONE D C S INC Address : 17272 NEWHOPE ST, STE K FOUNTAIN VALLEY, CA 92708 Phone: (714)791-3771 Con State Lic : 1013293 Lic Expire : 04/30/2024 Bus Lic: BT30076080 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9157538 W. C. Expire: 4/21/2024 Architect Address Phone: State Lic: Engineer: Address : Phone Designer: TIMOTHY NGUYEN Address : 17272 NEWHOPE ST FOUNTAIN VALLEY, CA 92708 Phone: (714)883-6001 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: _ E�y qr p C . No CONSTpjUotION NOISE SPECIAL CONDITIONS: ON THE WEEKEND is I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the eheckrnark(s) I have placed next to the applicable items) Section 7031.5. Business and Professions Code; Any city or county that requires a permit to construct, oiler, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for in 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 rarsesions Code I 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 of more than five hundred dollars 1$500). Z 1, 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, 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 it was not built or nproved for the purpose of sale). 7 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 poly 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 exemptsure under the Contractors' State License Law for ilia following reason .... _..... __ ___.,— from IVicen iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year r prior to completion of the improvements covered by this permit, I.cannot legall, ell a structure that I have built as an ownor-builder if it has not been constructed in its ontiroty by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.legmfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Dit'sion 3 of the Business and Profe aions ode, and. my license is In full farce rideffect. License Class License No Date 3Contractor Signatuc VORKERS' COMPENSATION DECLARATION vkl ARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP To ONE HUNDRED THOU ANO DOLLARS ($100,000), {N ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3t06 OF THE LASOR 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 'ormanca 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` compensa trance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit Is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become subject t wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Al __ ��_ _____ Dat ✓ I �/ �/ v L.7� CLARATION REGACONB TI LENSING AGENCY areby 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). rdFir`s Name Lender's Address my signature below, I certify 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 provided Is correct. i agree to comply with all applicable city and county ordinances and stale laws relating to building construction. C7'" 1 authorize representatives of this city or county to ent ove-identified property for inspection purposes. ` /^,,(D� V �� nature of ProDenv Owner or Authorized Anent N � Print Property Owner's or Authorized Aoent's Nan--6" V Y" 1 /s'�— Date ACTION I DATE. 1 BY PERMIT EXPIRED PERMIT CANCEtlED PERPOIT EXTENDED Lv�� CERTIFICATE OF OCCIPANCY15SUED DECLARATION OF CCIRI'PL1R I)I T01 CODE OF FEDE. RFCUI.ATION5 PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION IS NOI APPLICABLE TO PROPOSED FOR OFFICE USE ONLY