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HomeMy WebLinkAboutXR2022-2283 - Permits�EwPoRT City of Newport Beach IIII�I���I�I�II��I��I�I�I��I��I�II�����III II 4 @ Community Development Department Division COMB Permit : XR2U22-2283 O y P P 9 X R 2 0 2 2 2 2 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2134 D 2 Permit Counter Phone: (949) 644-3288 Issued Date : 1110312022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 newportbeachca.gov/inspections 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 : 5 VIA NAPLES Legal Desc : N TR 14070 BILK LOT 69 TR NO 14070 LOT 69 POR OF LOT AND FOR OF LOT L Description: SFR EXPAND (E) UPPER DECK, REMOVE PILASTERS AND NEW DECK 672 SF W/ DRAINAGE �< y Owner: EUISUN CHUNG Contractor: MUDD INDUSTRIES INC Architect Address : 5 VIA NAPLES Address : 23042 ALCALDE DRIVE, STE. F Address NEWPORT COAST, CA 92657 LAGUNA HILLS, CA 92653 + e Phone Applicant: MUDD INDUSTRIES INC Address: 23042 ALCALDE DRIVE, STE. F LAGUNA HILLS, CA 92653 Phone: (949) 716-7002 Owner/Builder: Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: 2019 V-B U,R-3 X PC - Newport Coast Phone: (949)716-7002 Con State Lie : 851763 Lie Expire : 12/31/2022 Bus Lie: BT30080011 Bus Lie Expire: 12/31/2022 Workers' Compensation Insurance Carrier: TECH NOLOGY+INSURANCE+COMPANY+INC Policy No: TWC4081187 W. C. Expire : 3/1/2023 Fire Sprinklers: Fire Hazard Zone No of Units : No of Stories PROCESSED BY: -- SPECIAL CONDITIONS: Phone: State Lie: Engineer: MARCUS YAN Address: 365 FLOWER LANE MOUNTAIN VIEW, CA 94043 Phone: (888)311-3015 Designer: Address : Phone : NO Construction Valuation : $25,000.00 YES Added/New/TI sq. ft. Bldg: 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors State license Law for the reasons) 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 he or she is exempt from licensors 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 ponsity of not more than rive hundred dollars ($500), I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or persona[ effort, builds or improves the property, provided that the improvements 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 itwas not built or improvedfor the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply 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), J I am exempt from licensure under the Contractors' Stale License Law for the following reason y my signature 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 impro' all 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 theapplicab rofessions Code, is available upon request when this application is submitted or at the following Web sile;httplAvww.leginfo.ca.gov/calaw,htmi. Ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the. Business and Pre nd effect. License Class License No Date if I / Z 2 Contractor Signature COMPENSATION DECLARATION rents covered by this permit, I cannot law, Section 7044 of the Business and Date and my licenseis in full force IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE '.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T05 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 31 have and will maintain a certificate of consent to self- insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for in erformance of the work for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number of Agent Date I certify that, in the art rmance 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 -works ' co pereation taws of California, and agra t, if I should becom abject to the workers' compensation provisions oP Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '.nature oAppUcant �/. Data II �3�2 Z, CLARATION REG DI CON .RUCTION LENDING AGENCY areby affirm under penalty perjury that there is a construction lending agency for the performance of the work forwhich thispermit is issued (Section-3097, Chi Cade). ider's 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 with all applicable city and c un ordinances and state laws relating to building construction. I authorize representatives of this city or count enter the above -identified property for inspection purposes. ,t r mature of Prooertv Owner or Authorized Agent y,�/��, Print Property Owner's or Authorized Aoent's Name A r�. J l u C r ' �`C- Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I ft ULATIONS PART 61 OF TITLE. 40 AND AOMD RULE PERMITEXPIREO LJ I SURMITTFO 05RESTM NOTIOCATION TO _ PERMITCANCELLED 77-- TtE�pp _ PERMITEXTENOED — -- —y LJACf 1D J ♦ v _ _ P[RMITFINAL 11E5TO N. TIFICATION 15 NOT APPLICABLE to CERTIFICATE OF r" '— ROPOSEOD OLITIO OCCUPANCYISSUEO SIGNATURE: �((''� LLI x m z Lo x F Z ¢ L)o O W U M v 4 O Z Azov m0 z°0 as G Z0 U U. Oc7coco m ' Z~ � W r a m° .0 Lr cWi a W C LU U) LLI r (D L] /S a) LLI U C) o CO) a) �i m o c m N N N N p o Y i � m r m m .. 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