HomeMy WebLinkAboutXR2023-2575 - Permits�gWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XRZOZ3-2575
p� d Community Development Department - Building Division X R 2 8 2 3 2 5 7 5
r. 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0549
u T S Permit Counter Phone: (949) 718-1888 Issued Date : 09/13/2023
o- newportbeachca.gov/civic Final Date:
C9��F00.N�p Combination Type - Permit Status: Issued
Work Class - Repair Inspection Area : 5
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 : 16 SIDRA COVE Legal Desc : N TR 15810 BILK LOT 3 UN 73 TRACT 15810, LOT 3 OF P
Description: MFR - RE -ROOF 5 SQ COMP SHINGLES (UNDER SOLAR PANELS)
Owner: LE HUONG THIEN TR H T LE SEP PPTY TR
Address : 16 SIDRA CV
NEWPORT COAST, CA 92657
Phone
Applicant:
PARKER JONES
Address :
24 EXECUTIVE PARK, STE 230
IRVINE, CA 92614
Phone:
(714)514-1517
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
Contractor: ORANGE COUNTY CONTRACTING
Address : 24 EXECUTIVE PARK STE #230
IRVINE, CA 92614
Phone:
(714)514-1517
Con State Lic
: 1023627
Lic Expire:
02/28/2025
Bus Lic :
BT30061755
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: STARNET INS CO
Policy No: BNUWC0159546
W. C. Expire : 4/8/2024
2022 Fire Sprinklers :
V-B Fire Hazard Zone
U,R-3 No of Units :
No of Stories
X
PC - Newport Coast
PROCESSED BY:
Architect
Address
Phone:
State
Lic:
Engineer:
MORALES DOUGLAS
Address :
20751 KELVIN LN
ALSO VIEJO, CA 92656
Phone :
(949) 285-5104
Designer: ORANGE COUNTY CONTRACTING
Address : 24 EXECUTIVE PARK STE #230
IRVINE, CA 92614
Phone: (714)514-1517
NO Construction Valuation : $5,000.00
NO Added/New/Ti sq. ft, Bldg : 0
2 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
SPECIAL CONDITIONS: ~
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 items)
Section 7031.5. Business and Professions Cade: 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
he 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
?rofessions Code) or that he or she is exemptfrom 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
lot more than five hundred dollars ($500).
1 I, 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,
3usiness 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
mprovements are not intended or offered for sale. I I, 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
mproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7344, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensureunder the Contractors' State License Law for the following reason _.
3y 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 legall)
.oil in 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 the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ll"w.leginfo.ca.gov/calaw.html.
>ignaturn of Property Owner or Authorized Agent Date
_ICEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penally of pery'u that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Pr sions Code my (ilea 's In full force
Ind effect. License Class 9 License No l ozS G 27 Date AiPqL13Z22 Contractor Signatu aw
VORKERS' COMPENSATION DECLARATION
rARi FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OF TO ONE FUND O TROuSAND DOL R&*" a3j, IN ADDfT10N TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent. to SOHAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Gode, forth
' ance of the work for which this permit is issued. Policy No.
e rr,eand 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' compensation
ce carrier and policy number are: !2
er �s�, rv.a..rl- Policy Number 1 /Quwc C) [S95 yes Expiration Date
lame of Agent Phone .N
certify that, to the performance of the work for which this permit is issuad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
1, if I should become subject to the worke. ' pensakon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
nature of Applicant_ _ _ __ __ 0 A -1�3 _
CLARATION REGARDING CTIO:N LE G AGENCY'
areby affirm under penalty iury that there a construction ding agency for the performance of the work for which this permit's issued tsection 3097, Civil Code).
tiler's Name Lender's 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 I have provided is correct.
f agree to comply with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or count to enter perty for inspection purposes.
nature of Property Owner or Aulhorzed AGen-r r— n�rooertv Owner
PEAMiT EXPIRED
PFRMIT CAh CFL E'
PER701T EA' EADED
PERMIT FINAL __...
CERTIFICATE OF
OCCUPANCYISSUED
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PROPOSED
COMPLIlyo4CE WIT{{ CODE OF FEDERAL
F TITLE 40 AND AQMD RULE
TO
NOI FiCAJ ION 15 NOT APPLICABLE TO
FOR OFFICE USE ONLY
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Date