HomeMy WebLinkAboutXR2023-1288 - Permitsoqr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1288
Community Development Department -Building Division X R 2 0 2 3 1 2 8 8
r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1147
Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023
.�.. newportbeachce.gov/civic Inspection Area : 1
c9c,roaN`P Combination Type -'._ ° �r^,
Work Class - Alteration 7 i1 °'�' W '� 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 : 128 34TH ST Legal Dose: A TR NEWPORT BEACH CITY BLK 33 LOT 18
Description: DUPLEX INSTALL (N) 22"X24" MIN ROQQF A CESS HATC}}ii FOR ROOF MOUNTED HVAC, NO FRAMING CHANGES. LOCATED U OR GREATER FROM EDGE.
(N)THIGH WOOD SCREENING. i 1*t,41 tF>r lN) R/Ls
Owner: Gina Kim
Address : 5557 East Santa Ana Canyon Road #215, #215
Anaheim, CA 92807
Phone: (714)420-4843
Applicant: Gina Kim
Address : 5557 East Santa Ana Canyon Road #215, #215
Anaheim, CA 92807
Phone: (714)420-4843
Owner/Builder: Gina Kim
Address : 5557 East Santa Ana Canyon Road #215, #215
Anaheim, CA 92807
Phone : (714) 420-4843
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
Contractor :
Architect
Address :
Address
Phone:
Phone:
Con State Lie :
State Lie
Lie Expire :
Bus Lie :
Engineer
Bus Lie Expire :
Address
Workers' Compensation
Insurance
Phone:
Carrier :
Policy No:
Designer: Gina Kim
W. C. Expire;
Address : 5557 East Santa Ana Canyon Road #215,
#215
Phone: (714) 420-4843
Fire Sprinklers :
NO
Construction Valuation :
$7,000.00
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
No of Units :
2
Alteration sq. ft. Bldg :
4
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0 ,
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION
NO CONSTRUCTION NOISE
ON THE WEEKEND
DECLARATION'
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated
>echou 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish
io permit to fic a signed statement that he or she is 9iconsed pursuant to Vic provisions of the Contractors' State Licunse Law (
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the w
Business and Professions Code:. The Contractors' State License Law does not apply to an owner of property who, through empl,
nprovements are not intended or offered for sale, If, however, the building or improvement is sold withinone year of completiol
gproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bust
pply to an ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractorpi
] I am exempt from licensuure under the Contractors' Slate License Law for the following reason.
ly my signature below I acknowledge that, except for my personal residence in. which I must have resided for at least one year 1
ell a structure that I have bull[ as an owner -builder if it has not been constructed In its entirety by licensed contractors. I unders'
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/twww.leginfo.ca
ilgnature 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 7000) of Divi
nd effect. License Class License No Date
PORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 1
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Inds
erformance 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 perforr
iswance carrier and policy number are:
farrier Policy Number
Slow by the checkmark(s) I have placed next to the applicable items)
or repair any structure, prior to its issuance, also requires the applicant for
hap[er 9 (commencing with Section 7000) of Division 3 of the Business and
31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not Intendedor offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State. License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, 1 cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Professions Code, and my license is in full force
Contractor Signature
CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOmON TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers
Date
ie of Agent I Phone If
certify that In the perform nce of the work for which this permit is issued, I shall not employ any person in any manner so a.. to become subject to the workers' compensation laws of California, and agra
if I should become su e t t the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply with those provisions.
ialure of Applicant _ _�." „_,..,,,.-,_ v_ Dale L
•, wowTl(tw 6{/�wp�l 11VOT�J 1/�T]!1\I r {\IhF\II"� .w f!Cl1AV
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the proppr'y cwner or authorized to acton the property owner's behalf.
I have read I,* eD�lx a@on and the information I have provided Is correct.
I agree to comply with all applicable city and count o dinances and state laws relating to building construction.
I aull orize represeri atives of this city or county t 11er o -I ntl'ed property for inspection purposes.
natu e of Property Owner or Authorized Agent Print Property Owner's or Authori;
ACTIOid
DATE
BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
P'"ill^T iXP)REO
''..I SUBMITTED ASBESTOS NOTIFICATION TO
PLKA:17 ANCELLE€1
CPA
PtkNl,"rTENDEO ..
QMD -- —_
PtRMf7 FINAL
O 2Z
CLn--CA�E OF v
J2 r ASBESTOSNOTIFI TION IS NOT APPLICABLE TO
PROPOSED DEMOU ' n—
OCC7?.GICYI5SUEJ
3 SIGNATURE: L� I//
is issued (Section 3097, Civil Code).