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Home My WebLink AboutXR2023-2020 - Permits�6WPORT City of Newport Beach II IIIII I IIII IIII'llll ll�l lllllllllllll II COMB Permit : XR2023-2020 4 Community Development Department - Building Division x R 2 0 2 3 2 0 2 0 100 Civic Center Drive, Newpo,I Beach, CA 92660 Plan Check No u 1 z Permit Counter Phone: (949) 718-1888 Issued Date : 07/24/2023 .r. newportbeachca.gov/civic Final Date: cq<,FoaN�" Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 : 1600 DOROTHY LN Legal Desc : N TR 1973 ELK LOT 33 Description: SFR MASTER BATHROOM REMODEL *CTY STD* 104 SF (NO STRUC CHANGES) Owner: THEODORE LI TRUST Address : 1600 DOROTHY LN NEWPORT BEACH, CA 92660 Phone: (949)874-6418 Applicant: LISA LI Address : 1600 DOROTHY LN NEWPORT BEACH, CA 92660 Phone: (949)874-6418 Owner/Builder : THEODORE LI TRUST Address : 1600 DOROTHY LN NEWPORT BEACH, CA 92660 Phone: (949)874-6418 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: IN Architect Address Phone: State Lic Engineer Address Phone: Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO 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 : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: O/B AUTH SCANNED $30,000.00 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) indicated below by the checkmark(s) I have placed next to the applicable itern(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any struo.dre, pries to its issuance, also requires the applicant for tic 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 exempt from licensure, 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 Tot more than five hundred dollars ($500).. 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Coda: 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. It, 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 bullt or oar the purpose of sale). , 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 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). 71 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 leas( one year prior t0 completion of the improvements cov ed by this permit, to annot legally sell a structure that I have built as an owner-bwider' it has not been constructed in its entirety by Licensed contractors. I understand that a copy of the applicable law, actin 7044 of the Business and Professions Code, is available upon request a his appl' atiba is submitted oral the fo owing Wela site:httpalwww.leginio.ca.govlcalavantml. Signature of Property Owner or Authonzed Age __ LICENSED CONTRACTOR'S DECLA..RA ION I hereby affirm Lnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio 7 00) of Division 3 of the Business and Pr essions Code, and my lieenseis in full force and eHert. License Class License. No D Contractor Sig e 0ORKE.RS' COMPENSATION DECLARATION NARNINn: 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 ($f 00,000), IN ADDITION TO THE COST OF LOMPENSATIUN, DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm under-.De,ially of perjury one of the following declarations: D I have and will maintain 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 lh performance of tiro work for which this permit is issued. Policy No. hevs 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' rgnre carrier and policy number are: Policy Number Date m of ,Agent Phone# ca 6,y that, in the )Prtormance 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 works ' compensation laws California, and agre t, if I should become subject o th4 workers' comperisalio provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. nature of Applic T__,_ � z'Z�, _�� CLARATION IR RDING CO STRUCTION 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 Cade). idar's Name Lenders 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 1 have provided is correct. I agree to comply with all applicable city and comity ordinances and state laws relating to building construction. \ / I authorize representatives of this city or county to ed(er the above-identifie property for inspection purposes. ..r 0...,.o.r n,.,.,e " A. nH..a � er,r a C. _ l o.:.,r orn.,a.r., n� n. A. "I--- yea A,, 1 ACTION DECLARATION OF COMPLINCE WITH CODE OF FEDE i DATE. % BY REGULATIONS PART 61 OFA ATITLE 40 AND AQ ID RULERAL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED PERMIT DEPA ......__.._ ............._.........__ -- PERM I EXTENDED ugQMD PERMiTFINAL (�3� LJ CERTrfrCATE OF [�U.REo NOTIFICATION 15 NOT APPLICABLE 10, OCCUPANCYISSUED EDDEO\IGNATi1� _