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).