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HomeMy WebLinkAboutXR2023-3568 - Permits4E,WpoR, City of Newport Beach II III IIII IIII IIIII IIIIIII I II II COMB Permit : XR2O23-3568 p4 1 ' e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-3023 S Permit Counter Phone: (949) 718-1888 Issued Date : 12/20/2023 newportbeachca.gov/civic Final Date: C9�rF00.N�P Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 6 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 : 18 GENEVE Legal Desc : N TR 9862 BLK LOT 1 Description : DEMO SFR POOL. METHOD B Owner: SOCAL RE FOUR LLC Contractor : Architect Address : 18 GENEVE Address : Address NEWPORT BEACH, CA 92660 Phone: (714)386-9375 Phone: Phone: Con State Lic : State Lic Lic Expire Applicant : QING XU Bus Lic : Engineer Address : 464 WHITE CAP LN Bus Lic Expire : Address NEWPORT BEACH, CA 92657 Phone : (714) 386-9375 Workers' Compensation Insurance Phone Carrier : Owner/Builder : SOCAL RE FOUR LLC Policy No: Designer: Address : 18 GENEVE W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: (714)386-9375 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Harbor View Hills arm PROCESSED BY: s SPECIAL CONDITIONS: C f �.3 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. But exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) '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 file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and nrofesslons 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 penalty of lot more than five hundred dollars ($500).. I, as owner of the property, or my employees with wages as the'Ir sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements are not intended or offered for sale. Ir, 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 mproved 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 apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law), LD. 1 am exempt from licensure under the Contractors' State License Law for the following reason:-- 6y 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, 1 oannol legail! sell a structure that I have built as an owner -builder if it has not been constructed i ' s entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code„ is available upon request when tf Is ap I d�rs icsutim tl the following Web site:http:liwww.leginfo.ca.govlcalaw.html. / Signature of Property Owner or Authorized Agent .�_ ��..�. / _Dater LICENSED CONTRACTOR'S DECI�R, m I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION ✓YARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Et00,000), IN ADDITION TO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T03 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm under penalty of perjury one of the following declarations: J I have and wilf 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 performance of the work for which this permit is issued. Policy No. Ell 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` compensa' insurance carrier and policy number are: Policy Number of Agent Date certify that. in the performance 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wIlh those provisions. Signature of Applicant _ _ _ _ Date_ T )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address ly my signature below, I certify 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 ordinances and state s relating to building construction. I authorize representatives of this city or county t�Tthe:above ed property for inspection purposes. ii nature of Property Owner or Authorized Agent - ✓ Print Property Owner's or Authorized Age nt's Nang ACTION DATE { BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY G RFGULATIONS PART 61 OFTD`LE40ANDAOMD RULE PERMfTEXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERNTITEXTENDFD LJA M _ PLRAOIT FINAL J ESTOS Note 7FICA'ItON 15 NOT APPLICABLE TO CERTIFICATE Of OPOSE0 DEMOLITION OCCUPANCYISSUED I �` 71GNATURE'