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Home My WebLink AboutXR2023-3425 - Permits�EwaoRr City of Newport Beach 1111111111111111111111111111111111111111111111111111111 IIIJ JillCOMB Permit: XR2023-3425 0� s Community Development Department - Building Division X R 2 6 2 3 3 4 2 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO Permit Counter Phone: (949) 718-1888 Issued Date : 12/04/2023 u newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 8 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: 1525 HIGHLAND DR Legal Desc : N TR 3851 BLK LOT 13 Description: SFR -CITY STANDARD DRAINAGE. RJR CONCRETE DRIVEWAY W/ PAVERS Owner: RICHARD STRICKLEN Contractor: WHIELDON CEMENT WORKS Architect Address : 1525 HIGHLAND DR Address : 1466 N CABRILLO ST Address NEWPORT BEACH, CA 92660 ORANGE, CA 92869 Phone: (661)978-2722 Phone: (949)795-7670 Phone: Con State Lic : 356087 State Lic Lic Expire : 11/30/2025 Applicant : WHIELDON CEMENT WORKS Bus Lic : BT30083153 Engineer Address : 1466 N CABRILLO ST Bus Lic Expire : 12/31/2024 Address ORANGE, CA 92869 Phone: (949) 795-7670 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9086849 Designer Address : W. C. Expire: 9/1/2024 Address-' Phone: hone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg / Occupancy Groups : U No of Units : 1 Alterations ft. Bld �. „ q• g Bldg Height: No of Stories : 0 :"\ Added/New sq, ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 �' Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ''• PROCESSED BY: ; SPECIAL CONDITIONS: 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 Rem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alley. Improve, demolish, 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 lieensure 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 not more than five hundred dollars ($500). El I, as owner of the property, or 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, 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 built or Improved for the purpose of sale). 0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 11 I am exempt from lieensure under the Contractors' State License Law for the following reason: By my signelum below I acknowledge that, except for my personal residence in which I must have resided fora! toast one year prior to completion of the improvements covered by this permit, I cannot legall! soil a structure that I 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 following Web site;http:!lwww.leginfo.ca.govlce law.html. Signature of Property Qwneror 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 00) of Division 3 of the Business and Prof sss ns Cpdq. my license is In full force and effect. License Class License. No Dat 2-H-23 Contractor Signatu NORKERS' COMPENSATION DECLARATION NARKING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU83ECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVAL FINES UP TC ONE HUNDRED THOUSAND DOLLARS [E100,0001, 1N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TQS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. ---hereby affirm under penalty of perjury one of the following declarations: ttt have and will maintain a certificate of consent. to selNnsure for workers' compensation, Issued by the Director of Industrial Reietiens as provided for by Section 3700 of the Labor Code, for th ter m��are of the work for which this permit is Issued. Policy No. Ui 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, My workers` eompensatim reu nee carrier and policy number are: tar Policy Number Expiration Date d-a7me of Agent Phone f} JI 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 Califorria, and agree hat, if I should become subject rkel5' r;q e $atiofrp unions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ilgnature of APplica �V ti�� Cat 2 Z )ECLARATION RB ING CONSTRUCTION LENDING AGENCY hereby 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). .endar's Name Lander'.s Address 3y 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state a relating to building construction. I authorize representatives of this city or county to enter the ve= n' & propert for inspection purposes, �L l 3 nature of Property Owner or Authorzed A p ent �6 •/"o/ Print Pro e Owner's or Authorized Agent's Name iHti`fl W r'I Fe(elGr1 Date ACTION DATE BY DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED I I SUBMITTED ASBESTOS NOT:FICA,-ION TO _ .� ---ME - PERMIT CANCELLED _ _ EPA i1ry�II InOMD __ PERMIT FINAL / (q 23 !//y//j� t„U ASBESTOS NO TIFICAi10N_I5 N07APPL-IC—ABLE iO CERT(F(CATE OF WJ PROPOSED DENIOLITION OCCUPANCYISSUED SIGNATURE: