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HomeMy WebLinkAboutX2022-0693 - PermitstiWPo City of Newport Beach COMB Permit:X2U22-U693 II III I II I II i II II II I III II p4a a Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0610-2022 z }rPermit Counter Phone: (949) 644-3288 at Issued Date : 07/22/2022 .ate Inspection Requests Phone: (949) 644-3255 C9C/F00.N�P ' newportbeachca.gov/inspections - Inspection Area Combination Type - 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: 12 CATANIA LegalDesc: Description: SFR FRONT RETAINING WALL 42 LF (INSIDE P/L) *STOP WORK* MARKERS ON SITE ��.. Owner: LIANGLI LIU Contractor: cz,' /y5i Architect Address : 12 CATANIA NEWPORT COAST, CA 92657 Address : Address: - Phone: (626) 759-1488 Phone: Phone: Con State Lie : 'State Lie Applicant: LIANGLI LIU Lie Expire: Address : 12 CATANIA NEWPORT COAST, CA 92657 Bus Lie: - Engineer: DI YANG Phone: (626) 759-1488 Bus Lie Expire : Address: 2050 CONCOURSE SAN JOSE, CA 95131 Workers' Compensation Insurance Phone: (408) 888-7336 Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Carrier : Policy No: Designer: W. C..Expire Address Phone: Fire Sprinklers : - NO Construction Valuation : $3,500.00 Fire Hazard Zone 'f N No of Units : 0 Added/New/TI so- ft. Blda 0 SPECIAL CONDITIONS: OWNER BUILDER FORM ATTACHED e •� s a� e w o a a a •a a a� a � >.w - aaa •` 9 ©VJ r way L I hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have Placed next to the applicable hernial coon 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 permit to fife a.: signed statement that he or she is licensed pursuantto tha provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3,of the Business and fessions Code) or that he or she is exempt from tieensure 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 more than five. hundred dollars ($500): r I; as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the wont,: and the structure is not Intended or offered for sale (Section 7044, :mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or ! proves the property, provided Oil the !rovements 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 yoved for the:. purpose of sale)., ,t`as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Goda: The Contractors' State License Law does not Ily 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 exempt from licensure under the Contractors' State License Law for the following reason: 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, I cannot. legal Tn under penalty ofperjury that`I a Ikons d under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business :and Professions Code, Ad my license is in full force License Class License: No Date Contractor Signature V COMPENSATION DECLARATION .URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIC FINES. UP: TO ONE HUNDRED THOUSAND DOLLARS tSIOOD001. IN ADDITION TO THE 11HISATION. DAMAGES AS PROVIDED FOR M SECTION 37Oe OF THE LABOR CODE. INTEREST. AND ATTORNErS, FEES. hereby affirm under penalty of perjury one of the following. declarations: 3 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 erfomtance of the work for which this permit is issued. Policy, No. 11 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. Myworkars' compensa isurance carrier and policy number are: :arries _ -_-. Policy Number Expiration Date certify that. in the performance of the work for which this permit is issued. I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agr L it I should DECO e a teat to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wilh those provisions. 6i/ Y1 /ems Yi natureof Appilcan Datu CLARATION 1 G CONSTRUCTION LENDING AGENCY _ Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit: is., Issued (Section 3097, I Code). ides Name. .Lender's Address my signature below, i certify, to each of the following: I am the property owner or authorizao to act on the pri I have read this application and the information I have I agree to comply with all applicable city and county of I authorize representatives of this city or col Ij�y Vent CERTIFICATfOF I�_�-2L • -� — OCCUPANCyf55UED a FOR OFFICE. USE ONLY - All required alarms, latches gates and fences which serve as partofa pool/spa barrier, shall be In place prior to approval to fill poollspa & shall remain in place & be maintained for the pshonrfCATION IS NOT APPLICABLE TO life of the pool. e • o a• en oe • • n..c cc•