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Home My WebLink AboutXR2022-3220 - Permits�E.wvoRT City of Newport Beach Community Development Department - Building Division Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 °g4Foa"�P Inspection Requests Phone: (949) 644-3255 newportbeachce.gov/inspections Combination Type - SFP Work Class - Alteration 111111111111111111111111111111111��11111COMB Permit : XR2022-3220 Plan Check No : 1638-2020 Issued Date : 01105/2023 Inspection Area : 3 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 : 2405 CLIFF DR Legal Desc : P BK 56 PG 49 PAR 1 Description: DELTA 2 TO ADD ROOF DECK RAILING (ADDITIONAL SCOPE) Owner: REISSRAY TR Contractor: GOLDEN STAR GENERAL Architect: CONSTRUCTION INC Address : 2405 CLIFF DR Address : 57 HUMMINGBIRD LANE NEWPORT BEACH, CA ALISO VIEJO, CA 92665, CA 92665 Phone: Phone: (949)533-5405 Con State Lic : 1027091 Lic Expire : 05/31/2023 Applicant: GOLDEN STAR GENERAL CONSTRUCTION Bus Lic: BT30073141 INC Address : 57 HUMMINGBIRD LANE Bus Lic Expire : 10/31/2622 gOZ3 ALISO VIEJO, CA 92665, CA 92665 Phone: (949) 533-5405 Workers' Compensation Insurance Carrier: OHIO SECURITY INSURANCE COMPANY Owner/Builder : Policy No: XWS61599540 Address : W. C. Expire : 7/10/2023 Phone: Code Edition : 2019 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: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Address : Phone : State Lic Engineer: LEE ALEX CHIH-SHEN Address : PO BOX 3501 LONG BEACH, CA 90803 Phone: (562)439-9000 Designer: Address Phone: Construction Valuation : $40,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 V Y�!\lift-L1Y14•Y�� Yw.vre„vm.+v,• 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 703L5, Business and 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 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 )!censure 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 Tot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L), all of or L) 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 'mprovemenls 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 'mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). D I am t•xempt from licensure under the Contractors' State License Law for the following reason: -- Br my siy.Tature 4cicx: ' 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.cannal legally sell a stucture 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 law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:http!/www.leginfo.ca.gov/calaw,html. Signature of Prme.'IJ ^_caner or Authorized Agent Data L:CENS_D CONTRACTOR'S DECLA..RATION I hereby affirm urd penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sackog7Oy) f Di ision3of the Business and Pro io^s Oode, and y license is In Full force anoeirect. LicenscClans License No DaContractor Signature et x WORKERS' COMPENSATION DECLARATION WARNING: -AIW RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE CJST OF C 3MPEN5: TION, O/ MAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I I;cr *cy ciirm under penalty of perjury one of the following declarations: ❑' I have and will malnlain 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 pe ormance of the work for which this permit Is issued. Policy No. Phave 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 nsurance carrier and policy number are: Policy Number Date area of Agent 11 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' an ensatlon laws of California, and agre Sat if I should becomes jest to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '9 Pp 0 _ihS> N NO ' I nature of A lipani Data i gnature of Ap REG tit NSTRUCTIO. EN01 GAGE Y 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 Code). encipi s Name Lender's Address y my signature below, I oertlfy to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the Information I have provided is correct. I agree to comply with all applicable city and o Tty ordinances and state laws relating to building construction. 1� I authorize representatives of this city or Court o oUter-Ina aboveridentif add property for inspection purposes. fl /... _ _ ^ V J ACTION DATE By I DECL 0.T€ON.Of COMPLIANCEWIiH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE PERMIT PERMIT EXTENDED PERiN1T FINAL CERTIFlCATT OF OCCUPANCY ISSUED ASBESTOS IS NOTAPPLICABLE TO 3