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Home My WebLink AboutXR2024-0517 - PermitsCity of Newport Beach I �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0517 D4, n Community Development Department- Building Division I X R 2 0 2 4 0 5 1 7 { , n Plan Check No 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71B-1888 Issued Date : 03/0412024 newportbeachca.gov/civic Final Date: cgp`,P' Combination Type - SFP 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 : 1901 PORT CARDIFF PL Legal Desc : N TR 6623 BLK LOT 44 Description: SFR - R/R WINDOWS & DOORS (21 WINDOWS, 1 SLIDER, 1 DOOR) Contractor: J M 1 AND ASSOCIATES INC Architect Owner: HUY PHAM 1901 PORT CARDIFF PL Address : 2046 MEYER PLACE Address Address : NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 Phone Phone : (917) 886-1569 Phone : (714) 350-9527 Con State Lie : 951957 State Lie Lie Expire : 09/3012024 O Applicant: GAB2046 Bus Lie: BT30069739 11130/2024 Engineer: Address MeyerPI Address : 2046 Meer PI Bus Lie Expire : Costa Mess, CA 92627 Workers' Compensation Insurance Phone: Phone: (714) 350-9527 Carrier: SIRIUS AMERICA INSURANCE COMPANY Policy No : WC7400101 Designer Owner/Builder : W. C. Expire: 4/29/2024 Address Address : Phone: Phone: NO Construction Valuation : $48,000.00 Code Edition : 2022 Fire Sprinklers : NO Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : 1 Alteration sq. ft. Bldg : Occupancy Groups : U,R-3 No of Units : 2 Added/New sq. ft. Garage : D Bldg Height: No of Stories : TOTAL sq. ft. 0 Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills 7`,/�/� PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am axe orpt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) j(Sectiort 7031.5, Business end Professions Code: Any city or county that requires a permit 10 construct, alter, improve, dernaleh, 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 licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subyects the applicant to a civil penalty of not more than five hundred dollars ($500). rl I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 Improvements 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 quit or Improved for the purpose of sale). 1:1 1, 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 apply 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 lcensure under the Contractors' State License Law for the following reason: _ By my signature below I acknowledge that. except for m -o at least P—'— P -----� p Tt—____. 9 p y personal residence in which I must have resided For at (east one year riot to corn lotion of the €m. rovements Dovared by this permit, I cani still a structure that I have built as an Gwnor 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 following Web site.http:l/,~.leglnfo.ea,gov/calaw.htmL 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 7 O) of 'Va o 3 of the Business and Pro s I , and. my license is In full force and effect. License Class License No Date` Contractor. Signature .� NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $BALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (In06,000), tN AOonION TO THE :DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and wilt maintain a certificate of consent t0 self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh, )erformance of the work for which this permit is issued. Policy No. ZI have 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' compensatior isurance carrier and policy number are! of Agent Policy Number Expiration Date Phn.e H certify that, inthe performance of if I should become subiact to the for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLAreGfONFlj t_ FData�—' tECLARATION REGA �. CO' STi:.UCTION LENDING AG �NCV hereby affirm underpenalty of perjury Trial there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). endei s Name Lenders Address y my signature below, 1 cenify to each 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 have provided is correct. I agree to comply with all applicable city and county ordin nces and slate laws relating to building construction. I authorize representatives of this city or corm}�'�°�enter }�'fala above -identified property for inspection purposes. / 3gnature of Property Owner. or ,-..ro Authodzed Anpo / I�1 _ „__..,_ . ,. _ DATE I BY PERMIT EXPIRED PERMITCAh'CELl ED PER,ld7T EXTENDED PERNNT fINAt Iz CERTIFICATE OF / OCCUPANCY ISSUED _— DECLARATION OF COMPLIANCE Ve'ITdi CODE OF FEDEI REGULATIONS PART 6.1OF T[TLF 40 AND AOMD RULE TO APPLICABLE TO FOR OFFICE USE ONLY LO p xW 0 H X Z aa Uo O W m� 00 nv m- O WSz> 0— p"A'000m Cl ~ y� 0 X U Q W W �Am� r LL W A�a3 oW O ' � - H 0 LU Y U O o 0 C0 E m E z E a) a m 0 0 a J 0.- m m y m 0 y `o a) w ° Eu 7 'C a)Q'� � C ,N 0 C rv1/ U E m »� a) ++ '7 O 16 G V E N i ca L ° m� o _a) U a N N°m 3m oa w aa) o� af)i Co N n m Nw 0 a :°o ° ° 0. �C.0c cc m N E a L O O -° .O t C �� N x° o j N N N L X 00 'vU-- O E C m C M S O C O N- 3 c Q. m C w � N E °ai m oa°i om°caby am° cc 0 wy C U a c 3 N �O E E O N `m C O� o co E� a.� aom `m°0) 0 aa) N � '� O N E j y N G -c c Cl)_ a Y a 3 m° 3 ° a) 63 m m" m ° R a L a L o .. 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