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Home My WebLink AboutF2023-0128 - Permits�EWPoRT City of Newport Beach Q,: Community Development Department - Building Division gy„ y 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 644-3288 {��Ss Inspection Requests Phone: (949) 644-3255 wi�aH`P. newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111111111111111111111111111111111111111111COMB Permit: F2023-0128 Plan Check No : PC2022-3164 Issued Date : 04/07/2023 Inspection Area r I 12-J 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 Description : SFR FUEL MODIFICATION Owner: GATES TARA C TR Address : 15 DARTMOUTH NEWPORT BEACH, CA 92660 Phone : Applicant: RICH ROCHA Address : 313 DIANA PL FULLERTON, CA 92833 Phone: (714)981-4575 Owner/Builder: Address : Phone Legal Desc : N TR..15409 BLK LOT 56 Contractor: K-HILL CONSTRUCTION Address : 861 NORTH KIRBY DR LA HABRA, CA 90631 Phone: (562)458-6114 Can State Lie : 1060000 Lie Expire : 11130/2023 Bus Lie : BT30081207 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height: No of Stories Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: ZHANG YAO Address: 15375 BARRANCA PKWY, H106 IRVINE. CA 92618 Phone: (949)788-0424 Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : $1,000.00 0 0 0 cr��a I hereby affirm under penalty of perjury that I am exempt from the Contractors' Site License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemis) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct. SAID, improve, demolish, or repair any structure, prior to As 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 licensors 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 ($500). ❑ I:, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -builder will have the burden of proving that it was not built or improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and. Profassam; Coda; The Contractors' State License Law does not Sooty to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Site License Law). I am exempt Gum licensum under the Contractors' State License Law for (he following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year phar to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http:/Avww.feginfo.ca;gov/calaw.html. Signature of Property Owner or 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 7000) f ivis' h 3 of the Business and Professions ' ,and my license is in full force and effect. License Class License No Da 7 Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, IRTEREST, AND ATTORNeir s FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and wit 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 the 3erformari 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' rance carrier and policy number are! a of Agent :artify that, in the performance if I should become subject to I store of Applicant _� Policy Number Expiration Date for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compBns�tlon law of California, and agree yk mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' -- Datey_�/ Z ,u i eNinivn AncA11^v M baby 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). rder'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 I have provided is correct. I agree to comply with all applicable city and county pippin as tad state laws misting to building construction. I authorize representatives of this city or counfp t I an e o Identified property for inspection purposes. Si nature of Property Owner or Authorized Age Print Property Owner's or Authorized A ent's Name Date 2 ACTION DATE. RY I CLARATION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY '= REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 PERMITEXPIRED ^� � I SUBMITTED ASBESTOS NOTIFICATION TO _ ._.._.... VEFMIT CANCELED I EPA CERTINCAIrii OCCUPANCY SUED �/ �' �/ j �e PROPOSED a O SERE DEMOLITION tS7N. 15 N0T APPLICABLE TO