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Home My WebLink AboutXR2022-2159 - Permits�EWPoar City of Newport Beach II III I I I I I II I II II III II II p`�,a Community Development Department - Building Division COMB Permit:XR2022-2159 Fi n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No y.. Permit Counter Phone: (949) 644-3288 Issued Date : e8/10/2022 o-. Inspection Requests Phone: (949) 644-3255 c ,� �- F..y � "... vae ""` °94cci> newportbeachca.gov/inspections t r_ - Inspection Area : 3 Combination Type - SFP Work Class - Alteration 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 : 60 CORMORANT CIR Legal Dose : N TR-12212BLK LOT 11 Description: SFR REPLACE ROOF UNDERLAYM ENT 5.4 SUARES W/ SYNTHETIC UNDERLAYM ENT& REINSTALL (E) ROOF TILES (FOR FUTURE SOLAR ARRAY) Owner: DARREN LU Contractor : KLC Construction - Architect Address : 6D CORMORANT CIR NEWPORT BEACH, CA Address : Address 92660 Phone: Phone; (714)702-47BO Phone: Con State Lie : 601217 State Lie: Applicant : KLC Construction Lie Expire : 08/31/2024 Address: -Bus Lie: BT30072048 - Engineer: Phone: (714) 702-4780 Bus Lie Expire : OB/30/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier:- STATE COMPENSATION FUND Address : Policy No : 9234343 .Designer Phone: - W. C. Expire : 7/3/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO - - Construction Valuation : $12,500.00 Type of Construction : V-B Fire Hazard Zone No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 540 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 _ - f;Y Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: B Flood Zone : X Use Zone: PC - Bayview PROCESSED BY:� -- SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placednext to the applicable ttem(s) ;Section 7631.5. Business and Professions Code: Any City or county that squires 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 orshe Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000)of Division 3 of the Business and professions Corte) or that he or she is exempt from licensors and the basis for the alleged exemption. Any vlolatlon of Section 7031,5 byany applicant for A permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, army employees with wages as their sole compensation, will do („_) all of or (_,} portions of the Work, and the Structure Is not Intended or offered far sale (Section 7044, Business and Professions Code: The Contractors' $late License Law does not apply to an owneraf property who, through employees' or personal effort, builds or improves the property: provided that lie Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner-Builderwill have the burden of proving that it was not built or L�m roved fatthe purpose of sale). ,J I, asowner of the property, am exclusively contrasting with. licensed Contractors 10 construct the project (Section 7044, Business and. Profession$ Coda; The Contractors' Stale License Lawdoes not a-'pfply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 'J 1 am exempt from licensors under the Contractors' Slate License Law for the following reason'.,,__ By my signature below I acknowledge that, except for my personal residence in which I must have ruslded for at least one year pmr to completion of the improvements covered by this. permit, I.cannot legally soil a structure that I have built as an owner-bulldar if it has not boon constructed In its. entirety by licensed contractors, I understand that a copy of the, applicable law, Section 7044 of the Business -and Professions Code, is available upon request when (his application is submitted or at the following Web site:hltp:'//www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent_ Date LICENSED CONTRACTOR'S DECLARATION I herebyaffirmunder penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000 of Oivi too 3 of the Business and Professlons ode nit my license Is in fullforce and effect. License Class License No Date 0 Il o 'r..�2t Contractor Signature SC > WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001.1N ADDITION TO THE COST OF COMPENSATION{ DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABORCOCE, INTEREST, AND ATTORNEYS FEES hereby affirm under penalty of perjury one of the following declarations: -11 haveand will maintain a cedllisate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th DerJnrmance of the work for which this permit Is issued. Policy No. have and will maintain workers' compensation insurance, asrequiredby Section 3700ofthe Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: ier. Policy Number Expiration Date is of Agent Phone ff certify that, In the performance If I should become subjAA401 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 'kers' compensanom provisions Of Section. 3700 of the Labor Code, I -shall forthwith comply With those provisions. Dafe,� Dg�l�lY3z.2- 3mby affirm 'under penally of perjury that there Is a construction lending agency for theperformance,of the work for which this permit is. issued(Section3097, Civil Code). ider s Name . Lenders Address my.iignaturo be;cN, i certify to each of the following: I am tine propeiy owner or authorized 10 act on the property owner's behalf. I have read tl s. application and the information I have provided is correct.. 1 Agree to CLmply VIL11 all applicabla city and County ordi nca and stale laws relating to building construction. I authorize repres^ntalives of this city or cdunty4o e�&e eve -identified property for Inspection purposes. DATE i BY I DECLARATION OF COM P UANCC WITH CODE OF FEDERAL i I REGULATIONS PART 61 OF TITLE 40ANV AOMD RULE PERMIT EXPIREI' PERM.r CANCELCD PERMIT UTENL D PERMIT FINAATE CERT7FlCATEOF OCCUPANCY ISSUED I SUBMITTED PROPOSED TO NOTIFICATION IA NOT APPLICABLE TO FOR OFFICE USE ONLY X All required alarms, latches gates and fenceswhichserve as part of a pool/spa barrier,shall be In place prior to approval tofill pool/spa &shall remain in place & be maintained for the life of the pool. PERMIT FEE DETAILS FOR PERMIT XR2022-2159 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Building Permit Fee - Valuation $293.50 $0.00 Green Building Fee $1.00 $0.00 GRAND TOTAL: $294.50