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Home My WebLink AboutXR2023-0130 - Permits04'. City of Newport Beach 111111p1111111111111111111111111111111111111p11111111111 COMB Permit:XR2023-0130 Community Development Department - Building Division X R 2 0 2 3 0 1 3 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0137 Permit Counter Phone: (949) 718-1888 Issued Date : D7/11/2023 newportbeachca.gov/civic Final Date: ComCombination Type - SFP ELEC MECH PLUM 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: 2067 PORT BRISTOL CIR Legal Desc : N TR 6623 BILK LOT 22 Description: SFR CONVERT (E) 1-CAR GARAGE TO JADU 223 SF Owner: GUPTA ARUN TR A GUPTA SEP PPTY TR Address : 610 9TH ST HUNTINGTON BEACH, CA 92648 Phone: Applicant: Frank Wancho Address : 23577 El Cerrito Aliso Viejo, CA 92656 Phone: (714)319-4996 Owner/Builder : Address : Phone Contractor: 0 C BUILDERS GROUP INC Address : 600 W SANTA ANA BLVD 4114A-499 SANTA ANA, CA 92701 Phone: (714)417-7771 Con State Lic : 1052090 Lic Expire : 06/30/2025 Bus Lic: BT30071659 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9256608 W. C. Expire: 6/28/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 2 Bldg Height: No of Stories : 2 Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: If I Architect Address Phone: State Lic: Engineer: TRUONG PHONG Address : 3000 E BIRCH ST BREA, CA 92821 Phone : (949) 254-2751 Designer: Frank Wancho Address : 23577 El Cerrito Aliso Viejo, CA 92656 Phone : (714) 319-4996 $50,000;0o, 0 223 0 0 Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : 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 is 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 rofessions Code) or that he or she is exempt from licensors 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 Lit more than five hundred dollars ($500). I, as owner of the property, Cr my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, IUSiness 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 not built or nproved for the purpose 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason' fy 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 ownor-builder it it has not Dean constructed in its entirely 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:ilwww.leginfo.ca.gDv/calaw,html. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of p ry that I am Ilcensed under provisions.of C 91jtr (commencing with Sectio ,.0 f� D'vi; n 30! i u mess and Pratesy�'ops tde. • d my tic se is in full force nd effect License Class License No j W D e on for Signature ll/ VORKERS' COMPENSATION DECLARATION ' 'J 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($f , 001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirn. under :penalty of perjury one of the following declarations: J I have anH wit' 'r,aintain 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, forth erfcrrianca of tie work for which this permit is issued. Policy No. ![Dha,e 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. Nly workers' compensatio TdL::,nce carrier and olicy 1 umber are: �i Q'y n may. :arrler i�;i l^(7� Policy Number �' t �'-.J�.,tp ht !1 Expiration Date lame of Agent Phone If 31 certfy that, in the performance of the werk for wh' h 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 afire gal, It I shoal�b8,�.Jo suly�CONS totwe keys' corn n atfon provisions of Section 3700 of the Labor Cede, I shall forthwith comply with those provisions. —1 'ligaalare of Aast _ _ ate i t l � � �"2__ IECLARATIO' GARDiNU END G AGENCY hereby affirm un Pr penalty of perjury that there i obstruction lending agency for the performance of the work for which this permit is issued' ISectlon 3097, Civil Code). ender s 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 andthe information I have provided is correct. - I agree to comply with all applicable city and county ordinances and stat ws relating to building constr ion. 1 authorize representatives of this city or county n r([flh�e akLlove- en fie property for inspection purposes. II��/� denature of PfOD MN Owner or AuthorireZl.Aaeri� f V /1 F Print Prooertv Owner's or Authorized Ahezl3s Name Y' it !' 4` i l,'f I F' I tl 19r� y`- r),tA/ ACTION DATE \BY I USCLARATiON OF COVIULIANCE VV TH CODE OF FEDERAL I FOR OFFICE USE ONLY [ REGULATIONS PART lit OF TITLE 40 AND AQNID RULE PERMITCANCELLED PERMIT EXTENDED PERNHT FLNAL CERTIFICATE OF OCCUPANCylSSUED NOTIFICATION 15 NOT APPLICABLE '1`0