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Home My WebLink AboutE2023-0281 - PermitsCity of Newport Beach p ect. Community Development Department- Building Division e 10b Civic Center Drive, Newport Beach, CA 92660 yh ?' Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections 111�111 11111111111111111111111111111111111111111111 111jjElectrical Permit Plan Check No: Work Class : Other Issued Date : 03/29/2023 Inspection Area : 6 E2023-0281 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 : 3 VIA BURRONE Legal Desc : N TR 14070 BLK LOT 58 TR NO 14070 LOT 58 FOR OF LOT AND FOR OF LOT K Description: ELEC DOOR ALARMS FOR DROWNING PREVENTION Owner: PHAM HONG-LIEN T TR H T Address : 3 VIA BURRONE NEWPORT COAST, CA 92657 Phone: (949)226-2789 Applicant: JOTIKA TRUONG Address : 18700 MAIN ST #102 HUNTINGTON BEACH, CA 92648 Phone: (714)200-8817 Owner/Builder: PHAM HONG-LIEN T TR H T Address: 3 VIA BURRONE NEWPORT COAST, CA 92657 Phone: (949)226-2789 Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Contractor Address Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Hazard Zone : YES Occupancy Groups: U 0 Z mil 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 checkmarri I have placed next to the applicable items) (Section 7031_5, Business and Professions Code: Any city or county that requires a perrdit to construct, alter, improve, demolish, or repair any structure,prior to tls issuance, also required 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 licensure andthe 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 more than five hundred dollars ($500). s owner of the property, or my employees with wages as their sole compensation, will do I all of or (] 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 t vements are not intended or offered far sale. IF, however, the building ar improvement is sold w€thin one year of completion, the Owner -Builder will have lha burden of proving that €t was not built or ved for the purpose of sale)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 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: By my signature below I acknowledge that, except for my so I 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, sell a structure that 1 have built asan owner -builder if it In eon 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 I' ion is submitted Or at the following Web sitoihtip:!/www.leginfo.ca.govlcalaw..html. r LICENSED of Property Owner or Authorized Agent- pate�� LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am Ilcen and provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business and Professions. Code, and y license is In full force and effect License Class dense No Date Contractor Signature NORKERS' COMPENSATION DECLARATIO NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t3100,000), IN AOOrnON TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE& hereby affirm under penalty of perjury one of the following declarations: -11 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 3TOO of the Labor Code, for th )erformance of the work for which this permit is Issued. Policy No.. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: Policy Number to of Agent _ Date 11 certify that, in the performanc 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 agre .hat, if I should beco bjeet the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 3IECLureof AppBaant i Date 11..�_ .� _ "' III- fZZ 3ECLARATCON REGA Lit � T CTION LENDING AGENCY ��' _mm�.'��. hereby affirm under penalty of en that there is a construction tending agency -for the performance of the work for which this permit is issued (Section 3097, £iv' Code). -Roper's Name Lender's Address 3y my signature below, I certify 4deach of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I h ve provided is correct. I agree to comply withall applicable city and counP or ' noes and state laws rotating to building construction. I authorize representatives of this city or coon en the above -identified property for inspection purposes. Si nature of Property Owner or Authorized A eN Print Property Owner's or Authorized A ent's Na /'-N N.Ka'u ate J Le ACTION DATE BY D RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �G LATIONS PART 61 OFTITLE. 40 AND AOMD RULE PERMIT EXPIRED PERMIT EXTENDED PERMITFtNAL CERTIRCATE OF OCCUPANCY;SSUED " NOTIFICATION U ASaESfOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION C w T w O ✓ b Q Ow w 3 D C O C V L L C m L O C .O„ Lo O� 'O n @ m O C N L ro .07 T] E Z o do`o "v$da o mi. o mcn o o mD Eo N O V LL N ° i9 O L O y E 0 Q o.E coo Z Fc�3�w �o �o� "pcy.� moom wm ad.°>, u o c°dro Q �ov'ammc Lan °d w tmio �oE CO nm `mr �'oo eaoo"�, c� �c U cV�i Ecc m W a «'c c a C_ c p F, °7 > cm cud p > oNmEmm om 3 .cm 3c3`mN�`m rl x u°J'i 2 - y .�c m u\ nmm0 M TE a 'ym 3umim O0mm d; O �, E � 3maTi Lro}-!°�^'�cC>mL'� , �mcTi. 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