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Home My WebLink AboutXR2022-3288 - PermitsEWno r, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 in S Permit Counter Phone: (949) 644-3288 r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIII111111111111111111111111111111111111111111111111I 11COMB Permit : XR2022-3288 Plan Check No : PC2022-3164 Issued Date : 04/07/2023 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: 15 DARTMOUTH Legal Desc : N TR 15409 BLK LOT 56 Description: SFR ATTACHED SOLID PATIO COVER 400 SF & DRAINAGE Owner: GATES TARA C TR Contractor: K-HILL CONSTRUCTION Address : 15 DARTMOUTH Address : 861 NORTH KIRBY DR NEWPORT BEACH, CA 92660 LA HABRA, CA 90631 Phone Applicant: RICH ROCHA Address : 313 DIANA PL FULLERTON, CA 92833 Phone: (714)981-4575 Owner/Builder: Address : 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 Policy No: EXEMPT W. C. Expire : Architect Address Phone: State Lie Engineer: ZHANG YAO Address: 15375 BARRANCA PKWY, H106 IRVINE, CA 92618 Phone: (949)788-0424 Designer: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone : PC - Bonita Canyon PROCESSED BY: Q. SPECIALCONDITIONS. 0 0 0 OWNER -BUILDER DECLARATION 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 planed next to the applicable item(s) Section 7031-5, Business and Professions Code: Any city or county that requires a permit to consiruuk alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for no permit to file a signed statement that lie 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 lot more than five hundred dollars (S500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended cr 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. If, however, the building or improvement is sold within oils year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). 1 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 Ipp€y 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 Iicensure under the Contractors' State License Law for the following reason: iy 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; ,ell 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 Irofessions Code, is available upon request when this application is submitted or at the following VVeb site:http:liwww,leginfo.ca.govicalaw.html. Ignature of Property Owner or Authorized Agent Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OQ) Di ' ion 3 of the Business and Pr si ode, and my license is In full farce and effect. License Class License No Daf r/ Contractor Signatur » VORKERS' COMPENSATION DECLARATION % rARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS 15100,000j, IN ADDRION 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: I I 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 th 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' compensatiol rance carrier and policy number are: ier Policy Number Expiration Date is of Agent Phone # )rtlfy that, inthe performance of the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation ws of California, and agre I should become subject to the ^ or rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r/ ature of. Apphcanylr Datr�_ ., ..... ., ..,.,. ..,._...... _,.,.,.,., 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). -anii Name Lenders 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 I have provided is correct. I agree to comply with all applicable city and county oral r. ces and late s relating to building. construction. !/ I authorize representatives of this city or count to ant e a v Ide d property for inspection purposes. 3i nature of Property y Owner or Authorized Age Print PropertyOwner's or Authorized Agent's Name G� Oats _ ACTION DATE Byw OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY p R.GuLA710N5 PART 61.OF TITLE 40 AND AQNID RUIE 1403 PERMiTEXPIRED LJI SUBMITTED ASBESTOS NOTIFICATIONTO PERMrT CANCELLED EhPA ..__�_ ....t..._ �._. PERMfifXTENDfD_S QTA'D PER4I+T FINAL �OASBESTOS NOIIPICATION 15 NOT APPLICABLE IQ CERT(FICATE OF �t 1 ( PROPOSED DEMOLITION OCCUPANCY ISSUED i SIGNATURE::