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Home My WebLink AboutXR2023-2158 - Permits04", olmm Oif Newport Bevelopment Pamhnt-Building Division jj�11111111111111111111111111111111111111111111111111111111COMB Permit:XR2O23-2158 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 08/04/2023 newportbeachca.gov/civic Final Date: CombCombination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area: 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 : 320 ANADE AVE Legal Desc : A TR EAST NEWPORT BLK A BLK LOT 41 Description: SFR - REMODEL KITCHEN, BATHROOM, & POWDER ROOM 156 SF COMBINED Owner: Jessica Linnea Robson Contractor: HUNG LE CONSTRUCTION Architect Address : 320 Anade Ave Address : 19742 WESTWINDS LANE Address Newport Beach, CA 92661 HUNTINGTON BEACH, CA 92646 Phone : (949) 413-7526 Phone : (714) 916-3725 Phone Con State Lie : 964509 State Lie Lie Expire : 08/31/2025 Applicant: HUNG LE CONSTRUCTION Bus Lie : BT30082300 Engineer Address : 19742 WESTWINDS LANE Bus Lie Expire : 08/31/2024 Address HUNTINGTON BEACH, CA 92646 Phone: (714) 916-3725 Workers' Compensation Insurance Phone: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9032301 Designer: Address : W. C. Expire: 10/30/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,480.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two-UnitResidential PROCESSED BY: /tI SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 Items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the permit to filo a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Caw (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure 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 five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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 properly, 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 R was not built or improved for the purpose of sale). 0 1, 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 app€y to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I 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 feast one year prior to completion of the improvements covered by this permit, I cannot legal) sell 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 theapplicable law, Section 7 of the Business and Professions Code:, is available upon request when this application is submitted or at the following Web site:htip:/Avww.leginto.ca.gov/celaw.htmi. Signature of Property Owner or Authorized Agent to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7the Business and Profession C . a my license is In full force and effect. License Class License No Date 0- U 7 L Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS 1S100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TD60F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm underpenalty of perjury one of the following declarations: I have and will mainlaln 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 to performances of the work for which this permit is issued. Policy No, I 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` commensatio insurance carrier and policy number are: Carrier S%�� -T7'CN D Policy Number Expiration Date Name of Agent _ Phone H j Di certify that in the performance of k work r Which this permit is Issued. I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should become subject to th orke ensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Zc�l, �r\f�^/ /�/ r,!! Signature of Applicant _ Cate— `'� j / S ^� DECLARATION REGAR ING C RUC ON LENDING AGENCY I hereby affirm under p I per}ury have Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ner's behalf. I have read this application and the information I have pr, ide is comect. I agree to comply with all applicable city and county or inan s and state laws relating to building Construction. I authorize representatives of this city or county to en r e ab -identitled property for inspection purposes. / ,� v r( /� / '- Q ! n Signature of Pro ertOwner or Aulhorzed Aganl Pent Property Owner's or Authorized Agent Is Name L1 J Date Q aT ACTION DATE BY DECLA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION —7-6� RE .ATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PEMiT EXTENDED PERPoHT FINAL CERTIFICATE OF OCCUPANCY ISSUED 1403 SUBMITTED ASBESTOS NOTIFICATION TO u v J u- PRROOPSOSED DEMOIO irICA TI( NI'N01"APPLICABLE TO SISNATUREr 4