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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 /51