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Home My WebLink AboutXR2023-0570 - PermitsaWPo City of Newport Beach Community Development Department Division COMB Permit : XR2023-0570 O- y p P 9 X R 2 0 2 3 0 5 7 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2357-2018 Permit Counter Phone: (949) 644-3288 Issued Date : 03/01/2023 c •�` r Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 9��F00.N` newportbeachca.gov/inspections Combination Type - SFP 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 : 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 U X 37 LF & 60 LF INSIDE P/L, 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: (714)260-5987 Phone: Phone: Con State Lie: State Lie: Lie Expire Applicant: VAN DUONG Bus Lie : Engineer Address : 13880 HARBOR BLVD # 6 D Bus Lie Expire : Address GARDEN GROVE, CA 92843 Phone : (714) 260-5987 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: (714)260-5987 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 PROCESSED BY: SPECIAL CONDITIONS: DELTA 2 - REVISE PLAN TO REMOVE ENCROACHING WALL OWNER -BUILDER 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 checkmark(s) I have placed next to the applicable itemfs) (Section 70315, 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 tho 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 liceusure 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 not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 personal 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 it was not built or improved 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' Stale 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). 0 1 am exempt from licensure under the Contractors' State License Law for the following reason By 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 Improvements covered by this permit, I cannot legally soil 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 the applicable law, Section 7044 of the Susinoss and Professions Code, is available upon request when this application is submitted or at the following Web siteihttp:Il"v.teginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _,_, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect, License Class License No Date Contractor Signature COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBUECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,000i, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate Of consent to sell -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth erformance 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent certify 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant uare____ CLARATIGN REGARDING CONSTRUCTION LENDING 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). Apr's Name Lender's 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. stature of ProDerty Owner or Authorized Auont Print Property Owner's or Authorized Agent's Name. ACTION I DATE BY DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED ( LJ I SUBMITTED ASBESTOS NOTIFICATION TO — P€AMIT C4NCEtfED LPLT A ____. ._. .......�_.__MQ_M. PERMIT EXTENDED � I ,nqM D,_____ PERMIT FINAL _ --j- \ /7 _ NOT I FICA I IS NOT APPLICABLE T4 �2 CERTIFICATE OF �j V PROPASBESTOS OSED DEMOLITION OCCUPANCY ISSUED SIGNATURE; Date