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Home My WebLink AboutXR2023-2886 - Permits�EwaoRT City of Newport Be?ch Community Development DepaIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-2886 ement-Builc'ing Divsicn 100 Civic Center Drive, Newpon Beach CA 9�660 Plan Check No : PC2023-2513 n : Permit Counter Phone: (949) 713-1880 Issued Date : 10/12/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP ELEC Permit Status: Issued Work Class -Alteration - Inspection Area : 5 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: 2200 BAYSIDE DR Legal Desc : A TR CORONA DEL MAR BLK D CORONA DEL MAR BLK D POR Description: SFR GARAGE REMODEL** WORK IN PROGRES** NEW CONCRETE SLAB (400 SF) Owner: GEORGE WONG Address : 2231 MOCKINGBIRD DR ROUND ROCK, TX 78681 Phone : Applicant: JANE WONG Address : 2200 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone : (512) 913-2368 Owner/Builder : JANE WONG Address : 2200 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone: (512)913-2368 Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-B U,R-3 Front: 24, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 3 Architect Address Phone: State Lic Engineer: Address : Phone Designer: JANE WONG Address : 2200 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone: (512)913-2368 Construction Valuation : $15,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION ' , , I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicateJ beta.v ty the cteckmirk(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 pirmir to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter b (commencng wit; I Section 7000) of Division 3 of the Business and 'rofessions 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and Vie Structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through -emplmBes' or pirsonA effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of coniplsiion, We OwnPl-BUi der will Taae tha burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not yyhfto-an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: iy my�ignature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when thi$ application igsubmitted c1ratIhe following Web site:http:/1www.leginfo.ca.gov/calaw.html. D 2, signature of Property Owner or Authorized Agent �L) %lR, dii?,l Date [ .ICENSED CONTRACTOR'S DECLARATION— T hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00),of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 77116 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th 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: Policy Number of Agent Date ]I 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 agre Ial, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ __ _ Date ,ECLARATION RE ING CON UC L A CY hereby affirm under penalty of perjCW that there is a construc lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name Lenders Address y 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 slate laws relating to building construction. I authorize representatives of this city or county to enter th bove-identified property for inspection purposes. 1� �rl ionature of Property Owner or Authorized Aoent � A -A / Aulv&4 . Print Property Owner's or Authorized Accent s Name �: %/�la iQ, Lti Dale 0&* If'2 ACTION DATE BY DECLORATION OF COMPLIANCE WfrCODE OF FEDERAL I FOR OFFICE USE ONLY v RFGULATIONS PART ES OF TITL AND AQMD RULE 1403 I SUBMITTED ASBEST05 NOTIFICATION TO PERMIT EXTENDED UA PERMIT FINAL SBESTDS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /1 P OPOSED DEMOLITION /,/f-� OCCUPANCY ISSUED I U SICNATURE_ %/A . . . / 111. . 2.+2,