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Home My WebLink AboutXR2023-2707 - Permits04". City of Newport Beach 111111p11111111111p11111p111111111111111111111111111p 11 COMB Permit:XR2023-2707 Community Development Department- Building Division X R 2 0 2 3 2 7 0 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1233 Permit Counter Phone: (949) 718-1888 Issued Date : 09127/2023 newportbeachca.gov/civic Final Date: CoCombination Type - SFP ELEC Permit Status: Issued Work Class - Alteration 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 : 7 CHADBOURNE CT Legal Desc : N TR 11450 BLK LOT 14 Description: DELTA 1 -REPLACE LIGHTS IN LIVING ROOM AREA, SHOW HVAC ON PLANS Owner: JUNJUN WANG Address: 7 CHADBOURNE CT NEWPORT BEACH, CA 92660 Phone : (949) 320-1339 Applicant: ARASH HOSS Address : 30902 CLUBHOUSE DR 20G LAGUNA NIGUEL, CA 92677 Phone: (949)313-9191 Owner/Builder : Address : Phone: Contractor: BUILDERWELL Address : 9630 RESEARCH DR IRVINE, CA 92618 Phone: (949)232-0555 Con State Lie : 1022234 Lie Expire : 01/31/2025 Bus Lie: BT30071153 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9290529 W. C. Expire: 1/8/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY:• SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: ARASH HOSS Address: 30902 CLUBHOUSE DR 20G LAGUNA NIGUEL, CA 92677 Phone: (949)313-9191 Construction Valuation : $30,000.00 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 items) Section 7031.5, Business and Professions Code: Any city or county that requires a po It to consloti alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to 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 700() of Division 3 of the Business and rofessions 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). 1 1, 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 cr offered for sale (Section 7044, Business and Professions Coda: 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 it was not built or nproved for the purpose of sale). 1 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 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). I 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 for at least one year prior to completion of the Improvements covered by this permit, I cannot legal all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable taw, Section 7044 the Business and 'rofesslons Code., is available upon request when this application is submitted or at the following 'Web site:http:liwww.leginfo.ca.gov/calaw.html. .ignatum of Property Owner or Authorized Agent _ ,_„ _ Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ense, is In full force nd effect. License Class License No D ( R%i 2fi Q041$ (t",mgnature VORKERS' COM'.PENSATION DECLARATION INO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D$M,0001, IN ADDr10N TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR LODE, INTEREST, AND ATTORNEY SI FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a cerdhcale of consentto self -insure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ;oliTance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date ]I certify that, in the performance of the work for whi 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 egret at if I should become subject to the workers' co e tlan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant ;;_ T _.._..._: Date, m /0 ,��i 2 _ARATION REGARDING CONSTRUC.._.. N LENDING A ENCY 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). ender's Name Lender's Address y any signature below, I certify to each of the following: I am this 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. Butltorze representatives of this city or courtly to enter th ov�dentifled property for inspection purposes. n ACTION DATE BY DECLARATION OF COMPLIANCE. WITH CODE OF FEDERAL REGULATIONS PART 61 of TITLE 40 AND AQNID RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED LJ_ I SUBMITTED ASBESTOS NOTIFICATION TO ....__.. _..... ......... PERMIT CANCF lE0 I .... .. ........... 1.. ..yy. __.` ...—_��r...__��_.�___ __._....- lJEPA PERMIT FXTFND�D _ 0AQMD PCRNHT FIhiAL I�1w ...... ....._ ...... ASBE5T05 NUl'IFICAfION 15 NDl"APPLICAetE 10 CERTIFICATE Of III PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: