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Home My WebLink AboutXR2023-0112 - PermitsaE.wvo�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-o112 Community Development Department- Building Division X R 2 0 2 3 0 1 1 2 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 02116/2024 tea. newportbeachca.gov/civic Final Date: CgEIFp0.N\P Combination Type - SFP Permit Status: Reissued Work Class - Window and Door Change Out ONLINE Inspection Area :V PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FR M ORjGiNAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYSJN ALL AREAS Job Address Description : 36 FAENZA Legal Desc : Replace 1 set of French Doors with new set of Renewal by Andersen French doors into existing openings. Like for like changeouts. Owner: JESSE POHSI TR CHEN CHEN Address : 36 FAENZA NEWPORT COAST, CA 92657 Phone Applicant: RENEWAL BY ANDERSON LLC Address : 22982 ALCALDE DR LAGUNA HILLS, CA 92653 Phone : (949) 273-1390 Owner/Builder : JESSE POHSI TR CHEN CHEN Address : 36 FAENZA NEWPORT COAST, CA 92657 Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Contractor: RENEWAL BY ANDERSON LLC Architect Address : 22982 ALCALDE DR Address LAGUNA HILLS, CA 92653 Phone : (949) 273-1390 Phone Con State Lie : 990416 State Lie Lie Expire : 07/31/2025 - Bus Lie : BT30046925 Engineer Bus Lie Expire : 04/30/2024 Address Workers' Compensation Insurance Phone: Carrier: OLD REPUBLIC Policy No: MWC31415823 Designer W. C. Expire : 10/1/2024 Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/Newts sq. ft. Bldg No of Units : Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : 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) (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 provisions of the Contractors` State License Law (Chapter 9 (Commencing with Section 7000)of Division 3 of the Business and .Professions Code) or that be or she is exempt from leensure 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 �Inot more than five hundred dollars (:$500). M 1, as owner of the propE:ty, or my en,ployces With wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended proffered for sale (Section 7044, Business and ProfessinrF r;oop: The SatL 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 iwanded c r offecec' for Sale. If, however, the building orimprovernant Is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale). ,_ 13 1, 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 bi,ildF or I+nmo%esthe-eDn, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from ,icensure cndnr the CDmractcrs' State License Law for the following reason' By my signature below I acknowledge Cat, cx^ept for my uersonal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I Qannot legal[, sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I Understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/IWWW.Ieginfo.ca.gov/calaw.fitmi. 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 7000) f� the Business and Pro s IonCode, and my license is In full force and effect. License Class License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. A40 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and wilt maintain B 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 In performance 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/car I r'�aann",d oli�" +mrnber are, ter UrK ()f t ) 1, c,-.. Policy Number Expiration Date is of Agent Phone # 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 s�j{{bect to thew keys' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant_M _ _ _ Data 1)b I 0 CLARATION REGARDING NSTRIfCTION LkNDING 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), rises Name Lenders 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 whim all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this City or county �/�r9/�er i�e bove•P:d/�ntifed prop^erly for inspection purposes. / / f,�1 ,, nature of Property Owner or Authorized Agent r c 1 v/I t/�---� ` Print Property Owner's or Authorized AUent's Name "L i.c�{,L 044 c A"Ol a"^/ Date C-f �o /7 ACTION EXPIRED CERTr`(CATE OF OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TrrLE4C AND AOM1AD RLILF. NOTIFICATION TO NOTIP1CANON 15 NOI APPLICABLE TO .Q 3 .y.. m 0— i� N fA Y .v0 Q1Co -0 a y a5 � 0 C U p, mYUJ 0 co U 5R .m M m x acai3u-0i CL mow oy L m W r m a 0 m as as - s t. 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