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
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POSEgO OLITION /�
OCCUPANCY ISSUED
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FOR OFFICE USE ONLY