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Home My WebLink AboutXR2023-0569 - Permits�agWPoRT City of Newport Beach p @ Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 U i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq[/FnRN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111��III��111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0569 Plan Check No : 2357-2018 Issued Date : 03/01/2023 Inspection Area : 1 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 : 4313 CHANNEL PL Legal Desc : A TR CANAL SECTION BLK 143 LOT 7 CANAL SECTION LOT 7 BLK 143 (AND NELY 4.42 FT LOT Description: SFR BLOCK WALL 6' X 45 LF INSIDE P/L (REV21-0966), 11/14/22 talked with GC 3yr deadline approval, working on wall to date. (RENEW EXPIRED PERMIT) Owner: VAN DUONG Contractor : Architect Address : 13880 HARBOR BLVD # 6 D Address : Address GARDEN GROVE, CA 92843 Phone: (T IO)fW-5497 Phone: Phone Con State Lic : State Lic Lic Expire Applicant : VAN DUONG Bus Lic: Engineer Address : 13880 HARBOR BLVD # 6 D Bus Lic Expire : Address GARDEN GROVE, CA 92843 Phone: Workers' Compensation Insurance Phone Carrier : Owner/Builder: VAN DUONG Policy No: Designer: Address : 13880 HARBOR BLVD # 6 D W. C. Expire: Address GARDEN GROVE, CA 92843 Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups: U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential nn �� ii -�O CO NSTRUC �� 11 rr°^�� i iON IVO iSE PROCESSED BY: (ate SPECIAL CONDITIONS: jib T HE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate license Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s) Ilion 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 file a signed statement that heor she is licensed pursuant to lho 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 licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wegas as their sole compensatlon, will do (_) all of or (_) portions of the work, and the structure is not Intendedor offered for sale (Section 7044, mass and Professions Code: The Contractors' State License Law does not apply Io an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovepTenis 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 bVill or pwed 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 ly to an owner of property who builds or Improve% thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. a I am exempt from Rcensure under the Contractors' State License Law for the following reason: ry my signature below I acknowledge that, except for my personal residence in which I must have resldeti at least one year prior to completion of the improvements covered by this permit, I cannot ieg oil a structure that I have built as an owner -builder if it has not been constructed in it;... i oty by licensed co�ractors. I understand that a copy of the applicable law, Section 7044 of the usiness Ed rofesslons Code, is. available upon request when Ihi applic lion iswEmitted or ha f to Ing Web siis_:htt¢atwww.leginto.ca.govlcafavr.html. ql 2 Iignatum of Properly Owner or Authorized Agent - ( 'E� �`J ` Date V .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions QLC hapter (commencing with Section 7000) D' sad Business and Professipm Code, andaty license is In full for" nd effect License Class License No Date ro z�ontractor Signature VORi<ERS COMPENSATION DECLARATION // / o IARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. ANDSHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES eR TOONE H ED THOUSAND 60l (f e,eeel, l OST OF COMPENSATIDN DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEes, heretry affirm under nenalty of perjury one of the following declarations: ! : ha:c and M.11 ma:ntain 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 orformance of the wP& for which this permit is issued. Policy No. -it 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' compansa Isurance carrier a:id policy number are :crrlar Policy Number Expiration Date Jame of Agent ______ Phone# 11 Csdlfy 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 hat, 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 REGARDING CONSTRUCTION LENDING AGENCY heeby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued- (Section 3097, Civil Code). .enders Name Lender's Address iy 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. ^ .v 1� l have this application and the information I have provided correct. ng cons tion. I agree to comply with all applicable city and county ordinances and state fa to building c to c U••9/ �r I authorize representatives of this city or coon n er a&ova-Id ed Fly for inspection purposes, r it nature of Property Owner or Authorized Agent t�'f�l rml•Prc etr Owner's or Authorized Agent's Name Date1`� ACTION DATE. 8Y 'DECLARATION OF COMPL NCE WITH CbDF. OF FEDERAL FOR OFFICE USE ONLY ' REGULATIO SPART FTITLE40ANDAQMDRULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMtTCANCEtEED A__ iiiMITEXTENDED _ r-rEPt.� _ I InQMD PERMIT FINAL S Z.ASBESTOS _ NOTILICATION IS NOT APPLICABLE TO CERTIFICATEOr PROPOSED DEMOLITION OCCUPANCY15SUED SIGNATURE: Cf7 LO W x z N wo N 0") �7y 00 W to U a W co H Aporn my z~� o G Z � A � O F�a m ai A � O o� Hc l N U U O ° U v O OM c iF P, t