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HomeMy WebLinkAboutXR2023-0737 - PermitsatiWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II COMB Permit: XR2U23-U737 0� p Community Development Department - Building Division X R 2 0 2 3 0 7 3 7 f ty" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0610 Permit Counter Phone: (949) 718-1888 Issued Date : 06123/2023 o. newportbeachca.gov/civic Inspection Area : 3 CgC1FOQN`P Combination Type - SFP ELEC Work Class - Other 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 Description : 1863 BONAIRE WAY Legal Desc : N TR 3282 BILK LOT 24 SFR DETACHED SOLID PATIO COVER 320 SF Owner : LINSKY JEAN C TR J C Address : 1863 BONAIRE WAY NEWPORT BEACH, CA 92660 Phone Applicant: RICHARDROCHA Address : 313 DIANA PL FULLERTON, CA 92833 Phone : (714) 9814575 Contractor: K-H ILL CONSTRUCTION Address : 861 NORTH KIRBY DR LA HABRA, CA 90631 Phone: (562)458-6114 Con State Lie : 1060000 Lie Expire : 11/30/2023 Bus Lie: BT30081207 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Architect Address Phone: State Lie: Engineer: ZHANG YAO Address: 15375 BARRANCA PKWY, H106 IRVINE, CA 92618 Phone: (949)788-0424 Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone: X Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) C? I PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the. checkmark(s) I have placed next to the applicable item(s) Section 7031.6, 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, 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, lusiness 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 rlprovements are not intended or offered for sets. 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 n roved 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 Lava 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' Stale License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: _ ly 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 legally ell a structure that I have builtas an owner -builder if it has not been 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:httpJlwww.leginfo.ce.govlcataw.htmi. ;Ignature of Property Owner or AUthOliZGd Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of D talon 3 of the Business and Prof essio Ode nd my license is In full force find effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 31 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 3700 of the Labor Code, for IN 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 Code, for the performance of the work for which this permit is Issued. My workers' rence carrier and policy number are: Policy Number Date �la a of Agent Phone # ertify that, in the performs 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 agret tat, if I should become sub Ito a workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply With those provisions. lignalure of Applicant Date 2 MCLARATION REG DIN STRUCTION LENDING AGENCY hereby affirm and pe of perjury that there Is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097 ender's Name Lender's Address ly my signature heiow, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I navy read thib HpiAcation and the Information I have provided is Correct. I agrea to coiaply e;th all applicable city and coup or finances nd state laws relating to building construction. I authorize representatives of this city or Goanh/vtO a er th ove-Identified property for inspection purposes. flonature of Prooe,ty CAner or Authorized AoenY Print Property Owner's or Authorized Agent's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 LUl SUBMITTED ASBESTOS NOTIFICATION TO NOT APPLICABLE TO CERTIFICATEOF OSED OCCUPANCY SUED 1 1 SIONPATURI Civil Code).