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Home My WebLink AboutXR2023-3432 - Permits�EWPoRT City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiuiiiiiiii II COME Permit : XR2U23-3432 o� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2927 W^ i Permit Counter Phone: (949) 718-1888 Issued Date : 1210512023 <a. newportheachca.gov/civic Final Date: C9(rFORN\P Combination Type - 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 : 5306 SEASHORE DR Legal Desc : P BK 383 PG 5 PAR 1 UN 1 PARCEL 1 OF PARCEL MAP 38 Description: DUPLEX- REMOVE UNPERMITTED BEDROOM IN GARAGE & DOOR, RELOCATE FIRE RATED DOOR. *123-3031* Owner: JEFFREY HO Contractor : Architect Address : 5441 GOLDEN ROD CR Address : Address HUNTINGTON BEACH, CA 92649 Phone: (714) 206-7582 Phone : Phone Con State Lic : State Lic Lic Expire Applicant: JEFFREY HO Bus Lic: Engineer Address : 5441 GOLDEN ROD CR Bus Lic Expire : Address HUNTINGTON BEACH, CA 92649 Phone : (714) 206-7582 Workers' Compensation Insurance Phone Carrier: owner/Builder: JEFFREY HO Policy No: Designer Address : 5441 GOLDEN ROD CR W. C. Expire : Address HUNTINGTON BEACH, CA 92649 Phone : (714) 206-7582 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U.R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 Flood Zone : X 0 ! Use Zone : R-2 - Two -Unit Residential c PROCESSED BY: .� SPECIAL CONDITIONS: Y �' I hereby affirm under penally 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 tterri Section 7031.5, Business and Professions Code: Any city or county that requires a permit I construct, alter, inn prove, demolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement that ho 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure Is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7344, Business and Professions Code: The Contractors' Stale License Law does not poly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason �y my signature below I acknowledge that, except for my personal residence in which I must have resided feral least one year prior to completion of the Improvements covered by this permit, I cannot legal ell a structure That I have built as an owner-buJder it ithas not bee\ constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code is available upon request when this application Isdsubmftted or at thefplWe6 site:http!lwv,w.eglnfo,ca.gov/caaw.him. .ignature of Property Owner or Authorized Agent _ �— - _ _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am.Kar sad-Lmer provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class = License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU2UECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE mMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYe 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 W Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' compensa Trance carrier and policy number are Policy Number Expiration Date of Agent _ Phone .it _ certify that, in the performance of 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 Calffomia, and . If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097, Civil Cade). antlers Name Lender's Address _ y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 GoU!Ji ordinances and state laws relating to building construction. I authorize representatives of this city or county o enter)la above identified-prooperly for inspection purposes. a /)c, _ vl � ienature of Property Owner or Authorized Agent— I—T P�inl Property Owner's or Authorized Auent's Name f- l ACTION 1 DATE PERMIT EXPIRED PERMIT CANCEL t ED PERNTITFINAL CERTIFICATE OF 9P OCCUPANCYISSUEO DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICE REGULATIONS PARTFI OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO S,GNATURE: NOTIFICATION 15 NOTAPPLICABLE TO J=/512