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Home My WebLink AboutXR2023-1994 - Permits�EWPO,QT City of Newport Beach II III III I IIII III IIIIIIIIIII II II' II COMB Permit : XR2023-1994 Community Development Department- Building Division X R 2 0 2 3 1 9 9 4 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0615-2022 r+� = Permit Counter Phone: (949) 718-1888 Issued Date : 07/20/2023 .s.newportbeachca.gov/civic Final Date: CqG/FORN�P 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 BLK LOT 11 Description: DELTA 1- *ADDITIONAL SCOPE* REPLACE FIREPLACE (REV2022-1503) *CHANGE OF CONTRACTOR* Owner: YONG PARK Contractor : Architect Address : 23 PEPPERTREE Address : Address NEWPORT BEACH, CA 92660 Phone: (909)730-7390 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant : YONG PARK Bus Lic: Engineer Address : 23 PEPPERTREE Bus Lic Expire : Address NEWPORT BEACH, CA 92660 Phone: (909) 730-7390 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : YONG PARK Policy No: Designer: DUFFEK DESIGN & DEVELOPMENT Address: 23 PEPPERTREE W. C. Expire: Address : 1437 GLENNEYRE ST NEWPORT BEACH, CA 92660 LAGUNA BEACH, CA 92651 Phone: (909) 730-7390 Phone: (949) 369-5646 x0 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : 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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that t 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 end Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to fiID 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 not more than five hundred dollars ($500). 11 1, 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 Im roved 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 Coda: The Contractors' State License Law does not app 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 least one year prior to completion of the improvements covered by this permit, I.cannot iegallt sell a structure that I have built as an owner build if I has not been constructed' ensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request w°he i application i .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Do LICENSED CONTRACTOR'S DEC I hereby affirm under penally of perjury that I am licensed um visions o hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 'ARNING: 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 15100,000i, IN A001TION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th erformance of the work for which this permit Is issued. Policy No. 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' rance carrier and policy number are: Policy Number 1e of Agent certify that, in the performance of the work for which this permit is issued. I shall not if I should become subject to the workers' com7 eris previsions ofBaGliorr3701 lature of ApplkaPfl of perjury that there is a construction lending agency Date any person in any manner so as to become subject to the workers' compensation laws of California, and afire Labor Code, I shall forthwith comply with those provisions. mance of the work for which this permit Is issued (Section 3097, Ci i1 Code). _enders Name Lender's Address 3y 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 laws relating to building construction. I authorize representatives of this city or countile IA anter the ab pro spectlon purposes. Signature of Property Owner or Authorized -Agent _ Pont Property Owner's or Authorized Ay ACTION DATE ! C OF NCE W17tt CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIO SPART 510FTITLE40ANDAQMD RULE I PERMIT EXPIRED PERMIT CANCELLED nAliff EXTENDED PERMIT FINAL CERTIRCA7E OF OCCUPANCYISSUED LJ I SI IRM TTFD Ara .' TO5, N0' __— r, /T��01nD VIKJ ASBESTOS NOTIFICATION 15 P POSE(o SIG RE; �' i_— C;G Name 6Z/