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Home My WebLink AboutF2022-0474 - PermitsCity of Newport Beach ¢a��=PoRr p @ Community Development Department - Building Division F ,+ •� 100 Civic Center Drive, Newport Beach, CA 92660 2. Permit Counter Phone: (949) 644-3288 C9�rF00.N�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other iiiiiiiiiCOMB Permit : F2022-0474 Plan Check No : PC2022-2272 Issued Date: 1012712022 Inspection Area : FIRE 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 : 3918 COAST HWY E Legal Desc : N TR 17386 BLK LOT 1 Description: MFR (3918, 3920, 3922, 3924, 3926, 3928) TWO WAY COMMUNICATION DEVICE Owner: CHIENYUAN-LING Address : 108 dry creek irvine, CA 92602 Phone: Applicant: H C I SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 R2 X RM - Multiple Residential SPECIAL CONDITIONS: Contractor: H C I SYSTEMS INC Architect Address `. 1354 S PARKSIDE PL Address: ONTARIO, CA 91761 Phone: (909)628-7773 Phone: Con State Lic : 905493 State Lie Lie Expire: 02/29/2024 Bus Lie: BT30042287 Engineer: Bus Lie Expire: 02/28/2023 Address Workers' Compensation Insurance Phone: Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 Designer: W. C. Expire: 3/2/2023 Address Phone: LISCHE MARCELO ERNESTO 2152 DUPONT DR #255 IRVINE, CA 92612 (949)955-1010 Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg No of Units: 6 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. : DUPLICATE $60,000.00 0 I hereby affirm under penalty of perjury that 1 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 item(s) 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 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 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 of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 'usiness 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 nprovements 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 �n roved for the purpose of sale). 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 pply 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). ] I am exempt from licensure under the Contractors' Slate 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 legall, all a structure that 1 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfb.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions Of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (3700,000j, IN ADDITION TO l OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 erformance of the Work for which this permit is issued. Policy No. ]I 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 Isurance carder and policy number are: Policy Number Expiration Date Agent Phone # 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 with those provisions. Of Date Ireby 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). Ides s Name Lenders Address 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 t0 comply with all applicable city and county ordinances and state laws relating to building Construction. I authorize representatives of this city or County to enter the above-identifled property for inspection purposes. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Aaent's Name ACTION DATE I BY DECLARATION OF COMPLIANCE I REG3ULATIONS ART 61 OFTITIE 0 AI D AOMD RULE CODE OF AL FOR OFFICE USE ONLY PERMITENPIRED i I I UISUBMITTEO ASBESTOS NOTIFICATION TO PERMITCANCELLED PPA PERMITEXTENDED PERMITFINAL R;U,1�71d'�-t F-Wyucy UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED I PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: PERMIT FEE DETAILS FOR PERMIT F2022-0474 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Building Permit Fee - Fire $274.00 $274.00 10/27/2022 CC EPL $274.00 H C I SYSTEMS INC Building Plan Check Fee - Fire $226.00 $226.00 09/12/2022 Check $226.00 H C I SYSTEMS INC Drawing Fee $42.00 $42.00 10/27/2022 CC EPL $42.00 H C I SYSTEMS INC GRAND TOTAL: $542.00 $542.00