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Home My WebLink AboutXR2023-2576 - PermitsCity of Newport Beach �"�EWPO,PT 0. A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U5. r Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic FoaN P Combination Type - SFP Work Class - Repair 11111111111111111111lill1111111111111111111111111111 jj COMB Permit: XR2023-2576 Plan Check No : PC2023-0240 Issued Date : 09/13/2023 Final Date: Permit Status: Issued 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: 8 CRUISERS BLUFF Legal Desc : N TR 16422 BLK LOT 21 Description: SFR - RE -ROOF 5 SQ COMP SHINGLES (UNDER SOLAR PANELS) Owner: LE CHUCK TRUC TRONG TR Address : 8 CANYON RIM 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 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 Architect Address Phone: State Lic Engineer: Address Phone Designer: ORANGE COUNTY CONTRACTING Address : 24 EXECUTIVE PARK STE #230 IRVINE, CA 92614 Phone : (714) 514-1517 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone : PC - Ne rt Coast PROCESSED BY: it SPECIAL CONDITIONS: $5,000.00 0 0 0 i "6'C�'p�a''°e+ OWNER -BUILDER D I 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 Items) 'action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement that lie 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 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 penally 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 U all of of (_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, U ioass 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 it was nat built or nproved for the purpose of sale). 1 1, as owner of the property, am exclusivaly contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ppiy 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason' iy 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, all a structure that I have built as an owner -builder if It has not been constructod 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 is submitted or at the following Web site: http:liwv v.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized AgentDate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofi Divisia 3 of the Business and Professions Cod and m Ii,4prise is In full force nd effect. License Class :P License No 10 23 6 27 Date Contractor Contractor Signal VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU HOUSANO D06Lpe3_(530 ,000j, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR COnE, INTEREST', AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: a 1 have and will maintain a certificate of consentto self-insuie for workers' compensation.. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th D rmanco of the work for which this permit is issued. Policy No. Aane 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' compensatia ce carrier and policy number are: :artier �,%A_-)- Policy Number 4�7NU WC-O/J�4$Lf (, Expiration Date (I �8' Z2!, 0 lame of Agent Phone q 31 certify that, in the performance of Abe 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 California, and agre iat, if I should become subject to the wodlkar5,-#;ompereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant hereby affirm under panalb/.af perjury tha hors is a can Iction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Roder's Name llI _ Lender's Address ly my signature below, I certify to each of the following: I am Ins 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 county to e�nte/rip tiove-identif d property for inspection purposes. '�/ Lionature of ProDerty Owner or Authorized Auet1U 1� �Prinl Property Owner's or Authorized Agent's Nan _f AVV, -fit/ r—To nR- ACTION DATE BYE DECLARAT€ E CON IAMCE W171i CODE Of FEDERAL FOR Of FICE USE ONLY REGULAI`1(�NSPART OF TITLE 40 AND AQMO RULE. 1 1403 PERMtT EXPfRED 1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO P€RMITEXTENOED IJAQMo T ION5N01 APPLICABLE r0 Y CERTiFCATE OF OCCUPANCY ISSUED ✓1 ` PROPOSED DEMOLITION i SIGNATURllii ilr-1✓