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Home My WebLink AboutXR2023-0876 - Permits�E,WPpRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °+circaN�P newportbeachca.gov/inspections Combination Type - Work Class - Other III 111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0876 Plan Check No Issued Date : 04/04/2023 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: 15 VINCENNES Description: SFR YARD DRAINAGE (CITY STANDARD) Owner: JOHN LEE QIAN YANG Address : 35 TRIPLE LEAF IRVINE, CA 92620 Phone Applicant: HL CONSTRUCTION INC Address: 7 MIMOSA IRVINE, CA 92612 Phone : (626) 215-0412 Owner/Builder : Address : Phone Legal Desc : N TR 15717 BLK LOT 43 Contractor: HL CONSTRUCTION INC Address : 7 MIMOSA IRVINE, CA 92612 Phone : (626) 215-0412 Con State Lic : 1092729 Lic Expire : 06/30/2024 Bus Lic : BT30080766 Bus Lic Expire : 02/29/2024 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 9328210 W. C. Expire : 11/19/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer Address Phone Construction Valuation : Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that; am exempt from the Contractors' Slate. License Law for the reason(s) indicated below by the checkmark(s) I have placed nexthi 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 provisions of the Contractors` Stale License Law (Chapter 9 (commencing with Section 7000) of Division 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 7031,5by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($50D). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offeredforsale (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 mprovements 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 T proved 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 Ippty 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 I am exempt from licensure under the Contractors' State, License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for least one year prior to completion of the improvements covered by this permit, ( cannot legally ,oil a structure that I have built as an ownor-builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and )rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:liwww.legmfo.ce.govtcalaw.html, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter g (commencing with Section ) of Division 3 Of the Business and Prole ens Code, and my license is In full force Ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION TO THE :CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 IN Vrformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as requirod by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent 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 California, and agrer iat. if I should become si,bje t to the workers compensation provisions of. Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,Ignature of Applicant Y Data o4ZJ/ia Z 3 IECLARATION RI�GAl G STRUCTI LE�AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit Is issued (Section 3097, Civil de). ender's Name Lenders Address yy 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 Intel motion I have provided is correct. I agree to comply with all applicable city and GounVAKdmances and stale laws relating to building construction. �/ I authorize representatives of this. city or county to erthe above -Identified pro m� erly for inspection purposes. , 0a / ianature of Property Owner or Authorized Anent Print PfoOartv Owner's or Authorized Arent's Na e Mil N � a� is 04/Y'/A ACTION I DATE 1, BY V DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE P_ERMITEXPIRED I3 SUBMITTED ASBESTOS NOTIF t ri0N TO PERMIT CANCELLED _ DEPA _ PERMIT EXTENDED �nOMD PERMIT FINAL 7—TI ! u ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIRCATE OF .OS 3 PROPOSED DEMOLITION OCCUPANCY155UED E! 151GNATURE