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Home My WebLink AboutXR2023-1588 - Permits�EWPORr City of Newport Beach IIG III IIIIII III IIII IIIIIIIIIIIIIIIIIII�I II COMB Permit: XR2023-1 5588 OF.. e Community Development Department - Building Division X R 2 0 2 3 1 5 8 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1422 - ? Permit Counter Phone: (949) 718-1888 Issued Date : 06/12/2023 \P newportbeachca.gov/civic Inspection Area : 1 c9<icoa" Combination Type - SFP Work Class - Other 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 : 2105 BALBOA BLVD E Legal Desc : N TR 948 BLK LOT 57 Description: SFR ROOF DECK REPLACEMENT ON FIRST AND SECOND FLOOR; CHANGE OUT WINDOW L/L; INSTALL GLASS RAILING Owner: CHRISTINA LYON Contractor: THNC INDUSTRIES INC Architect: Address: 2105 BALBOA BLVD E Address : 26895 ALISO CREEK RD STE B453 Address NEWPORT BEACH, CA 92661 ALISO VIEJO, CA 92656 Phone: Phone : (949) 413-5602 Phone: Con State Lie : 897750 State Lie Lie Expire : 06/30/2025 Applicant: THNC INDUSTRIES INC Bus Lie: BT30049271 Engineer Address : 26895 ALISO CREEK RD STE B453 Bus Lie Expire : 12/31/2023 Address ALISO VIEJO, CA 92656 ' Phone: (949) 413-5602 Workers' Compensation Insurance Phone: Carrier: CYPRESS+INSURANCE+COMPANY Owner/Builder : Policy No: THWC225191 Designer Address : W. C. Expire : 10/12/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $50,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 0 Flood Zone: X Use Zone: R-1�Sinng�lle--Unit Residential ^r'C� 9 NO CONSTRUCTION t- UCTION NOISE PROCESSED BY: (%� ON THE WEEKEND 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 Item(s) ;Section 7031.5, 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 :he permit to rile 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 �rotessions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any. violation of Section 7031:6 by any applicant fore 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 (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 70", 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 mprovemems 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 mproved for thepurpose of sale). 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 ra ly 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 licensureunder the Contractors' State License Law for the following reason: _ By 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 legally sell a structure that 1 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 Professions Code., is available upon request when this application is submitted or at the foltowing Web sde:http:f/www.feginfo.ca.gov/celaw.htmh Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 } f visio 3 of the Business and Pr ss�ns Code an @ my jtcense is In full force. and effect. License Class License No Date contractor Signature INORKERS' COMOSAISATION DECLARATION NPWNI� FAILURE TC rE ,,IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100A601. IN ADDITION TO THE COST OF CCMPENSATIO:I, PAAAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEYS 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for fix orr%nce of tha Ao;k 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 permitis issued. My workers' carder and poii' ,y number are: Policy Number Date me of Agent —vnone N I certify that, in tf,6 perfoirmance 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 California.. and egret t, It I shxuld be.ome oubject to the works pen' ion visions of Sectidn 9.00 of the Labor Code, 1 shall forthwith comply with those provisions. / q !nature of Applicant �' Dale l.� r IY. l.� •7 CLARATION REGARDING C— OMMUCTION LENDING AGENCY 3reby 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). tiler's Name Lender's Address my signature below. I certify to each of the rollowing: 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. I agree to comply with all applicablecity and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county tg.enter the e�,degtIL property for inspection purposes. ACTION I DATE. BY I OfCLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED i 1 U i SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA NOTIFICATION IS NOT APPLICABLE TO CERI-IFICAtEOFPROPOSED OCCUPANCYIS5UED I,�SIGNATURI