HomeMy WebLinkAboutXR2023-1635 - Permits047't'.
City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1635
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660Plan Check No : PC2022-2915
Permit Counter Phone: 1949) 718-1888 Issued Date : 06/14/2023
newportbeachca.gov/civic Inspection Area : 6
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 : 26 VIA CORALLE Legal Desc : N TR 15079 BLK LOT 35
Description: SFR PARTIAL REROOF, T/O 1 LYR OF TILE, INSTL 1 LYR OF 30# FELT, REPLACE SHEATHING AS NEEDED, INSTIL 25 SOS OF COMP (CLS W ASSEMBLY)
Owner: DIEP NGUYEN
Contractor: ABOVE ALL CONSTRUCTION
Architect
Address : 26 VIA CORALLE
Address : 1643 ELLIOT DRIVE
Address
NEWPORT COAST, CA 92657
RIVERSIDE, CA 92507
Phone:
Phone : (951) 742-7156
Phone
Con State Lic : 933062
State Lic
Lic Expire : 12/31/2023
Applicant: ABOVE ALL CONSTRUCTION
Bus Lic : BT30074721
Engineer
Address : 1643 ELLIOT DRIVE
Bus Lic Expire : 06/30/2024
Address
RIVERSIDE, CA 92507
Phone: (951) 742-7156
Workers' Compensation Insurance
Phone:
Carrier: CYPRESS INSURANCE COMPANY
Owner/Builder :
Policy No: ABWC449842
Designer
Address :
W. C. Expire : 2/1/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : YES
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS: VHFSZ- CLS 'A' ASSEMBLY REQ
$8,625.60
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indical d below by the checkmark(s) I have placed next to the applicableitem(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demall h. 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 exemptfrom licensure and the basis for the alleged exemption. Any violation of Section'7031.6 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
Business and Professions Code: The Contractors' State License Law does not apply to. an owner of property who, through am
Improvements are not Intended or offered for sale. IL however, the building or Improvement is sold within one year of comp of
Improved for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bt
a ply to an owner of property who builds or Improvesthereon, and who contracts for theprojects with a licensed Contractor pi
I am exempt from licensure under the Contractors' State License Law for (he following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yeE
sell a structure that I have built as an owner -builder if It has not been constructed in itsentirety by licensed contractors. I undo
Professions Code, isavailable upon request when this application is submitted orat the following Web site:hltp:lfwww.leginfo.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe' ry that I am licensed under provision o Cfiaptef 9 (commencing with Sec ion 7 00 of Q' ision 3 of the Busi nd Professjons Qgde, and my license is in full force
and effect. License Class _ [ �'� License. No �� Z to �� � Contractor i nature i/Y�jj�
NORKERS' COMPENSATION DECLARATION
k, and the structure is not intended or 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, I cannot
that a copy of theapplicable law, Section 7044 of the Business and
fcelaw.html.
Date
FANNING: 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 (s100,00in, IN ADDITION TO THE
OST OF COMPENS>" 111', 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: I
I I t ve and NA @amlain a certificate of consent to self -insure for workers' compensation, issued by the Director of Ir4iustrial Relations as provided for by Section 3700 of the Labor Code, for th
eerrformance of, the urk for which this permit is issued. Policy No.
lr, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the part
ormancB of the work for which this permit is issued. My workers' compensafiol
surance carder and ouficy number are: ,y(//r��
varier ,ri Policy Number LTSClrli'/ T / D7� Expiration Dale
lame of A ant' _ Phone #
!I :artfty that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so
ist aif I sold became subject to the workers' compensation provisions of Section 3700 of the Labor Code: I shall forthwith c
at. if I should bec
of _ -- _
n?r-Ir, affirm under pemaltyy of perjury that there is a construction lending agency for the performance of the work for
endor s Name LendersAddress
y 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 taws relating to building construction.
I authorize representatives of this c'''ttwqve or county to r tth/�' Bove -identified property for inspection purposes.
ignature of Property Owner or Authodzg�Agant t// I... Print Prooertv Owner's
to become subject to the workers' compensation laws of California, and agree
ply with those provisions.
permit is issued (Section 3097, Civil Code).
ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE .0 EONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTIFICATION TO
PERMITEXTENDED LJrjCIMD
PCRMTFiNAL - SBESTOS NOTIFICATIONS NOT APPLICABLE TO
CERTIFICATE OF PROP�`''''��(�''( EIVI 1 ON
OCCUPANCYaSUEO SIGNA
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