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HomeMy WebLinkAboutXR2023-1993 - Permits�EWv0 �T City of Newport Beach 1111111111111111111p1111111111111111111111111111111p111jjCOMB Permit : XR2023-1993 Community Development Department- Building Division X R 2 9 2 3 1 9 9 3 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 06I5-2022 G x Permit Counter Phone: (949) 718-1888 Issued Date : 07/20/2023 .m+ newportbeachca.gov/civic Final Date: cg4coa��" Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 4 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 : 23 PEPPERTREE Legal Desc : N TR 15479 BILK LOT 11 Description : SFR KITCHEN & (7) BATHROOM REMODELS, NEW STAIRS RAILING 1000 SF -CHANGE OF CONTRACTOR' Owner: YONG PARK Address : 23 PEPPERTREE NEWPORT BEACH, CA 92660 Phone: (909)730-7390 Applicant: YONG PARK Address : 23 PEPPERTREE NEWPORT BEACH, CA 92660 Phone: (909)730-7390 Owner/Builder: YONG PARK Address : 23 PEPPERTREE NEWPORT BEACH, CA 92660 Phone: (909)730-7390 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone Designer: DUFFEK DESIGN & DEVELOPMENT Address : 1437 GLENNEYRE ST LAGUNA BEACH, CA 92651 Phone : (949) 369-5646 x0 Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 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 item(s) {Section 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior torts 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 exempt from ticensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 property, 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 it was not built or Emproved for the purpose of sale). I. 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 r.�ply 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). LJ I am exempt from ticensure 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 least one year prior to completion of the Improvements covered by this permit, I cannot legail sell a structure that I have built as an owner -builder if A has not been constructed in its emir 'eonsod contra stand that a copy of the applicable law, Sactio 7044 of the usiness and Professions Code„ is available upon request whet this application is submitte e f eb s' . eginfo.ca.gov/calow.html, Signature of Property Owner or Authorized, Dat -% a LICENSED CONTRACTOR'S DECLARA I hereby affirm under penalty of perjury that I am II ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod , and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARKING: 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 ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COtlE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintaina certificate or 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 th rerformance of the work for which this permit is issued. Policy No. JI 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' compensatiol isurance carrier and policy number are: :arriar Policy Number Expiration Date Jame of Agent Phone # -11 certify that, inthe performanoo or the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre. rat, if I should beccmV s bfect to the workers' co pen provisions of Sectio 0. Labor Code, I shall forthwith comply with those provisions. re of Applica Dale HECLA rECLARATfGN GA f T�RU TION L ING A hereby affirm un ally o erjury that there is a cons ruc I �the of the Work for which this permit is issued {Section 3097, Ci I Code), pnder's Name Lenders Address ly 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 ciounty ordinances and slat ws relatin to building construction. I authorize representatives of this city oy H o-enter�he ao vo=+?�^TMiad n:,,, ert'r Inspection purposes. ACTION VFCM4WJZNCE WITH CODE OF FEDERAL PART 61 OF T€T,-� ROLE D ALRE.,TOS NOTIFICATION TO PER MfT CANCELLED PERNfli EXTENDED Q_fD PERNfIi FINAL Ati:BEST TIF3CATION 15 NbT APPLI(:AalfTq CERTIFICATE OF �� 2 POSEgO OLITION /� OCCUPANCY ISSUED J /�J/� %I I i� SFG T �/- FOR OFFICE USE ONLY