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Home My WebLink AboutF2023-0103 - Permitso�a_WpoRT City ofmm d Caunit y 100 Civic ( ? S Permit Cot .,.. Inspection c9Gico FN�P newportbe Work PERMITS NO CONSTRI Job Address: 1576( Description: SFR- Owner : DANIEL KA Address : 1615 S DEb SALT LAKE Phone Applicant: HEDRICK FI. Address : 13309 CENT CHINO, CA c Phone: (909)613-00 Owner/Builder : Address : Phone Code Edition : Type of Construction : Occupancy Groups: Bldg Height : Building Setbacks : Fi Flood Zone : X Use Zone : R PROCESSED BY: SPECIAL CONDITIONS Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII II COMB Permit : F2023-0103 Development Department- Building Division F 2 0 2 3 0 1 0 3 Inter Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0445 iter Phone: (949) 644-3288 Issued Date : D2/28/2023 tequests Phone: (949) 644-3255 Inspection Area : 1 Type - SFP Alteration IRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE ON RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS BLVD Legal Desc : N TR 518 BLK I LOT 20 _L (26) FIRE SPRINKLER HEADS MITTER Contractor; HEDRICK FIRE PROTECTION ;HIRE DR Address : 13309 CENTRAL AVE Y, UT 84108 CHINO, CA 91710 Phone : (909) 613-0083 Con State Lie : 925132 Lie Expire : 11/3012024 PROTECTION Bus Lie : BT30046569 _ AVE Bus Lie Expire : 03/31/2023 10 Workers' Compensation Insurance Carrier: SECURITY+NATIONAL+INSURANCE+COMPA NY Policy No: SWC1387021 W. C. Expire : 4/16/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 2. 9, Side: 3, Side: 3, Rear: 0 - Single -Unit Residential LIQUEFACTION; HIGH -DENSITY Architect Address Phone: State Lie : Engineer : Address: Phone: Designer: HEDRICK FIRE PROTECT11DI1 Address : 13309 CENTRAL AVE CHINO, CA 91710 Phone : (909) 613-0083 Construction Valuation : $9,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 NAO CONSTRUCTION NOISE ON THE WEEKEND I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) cllon 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 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 of the Business and fessions Code) or that he or she is exempt from lieensure 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;mess 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 rovements 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 builtor roved for thepurpose 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 ty to an Owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from lieensure under the Contractors' State License Law for the following reason: _- _ ,y 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 coven 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 taw, Section 'rofessions Code, is available upon request when this application issubmittedor at the following Web site:httplfwww.leginfo.ca.gov/calaw.html. Ignature of Property Owner or Authorized Agent ate - .ICENSED COW rRACTORIS DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9' (commencing with Section. 70 0) f Wi 1 3 of the,Business and Prof so C nd erfnrt. Licer3e Crass License No Date Contractor Signature Ihis permit, I cannot of the Business and license is In full force NORKERS' CC',%,PEi4SAT1ON DECLARATION VWCING: tAILURE TO'aECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO' ONE HUNDRE 11T11USAND DOLLARS ($100,0001, IN ADDITION TO THE _3ST CF COMPENSATION, 4AMAGEs AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES - hcrebg affirm under peralty of perjury one Ditto following declarations: I h ve and wig' ma:ntain 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 )e,G ,nonce of the w�04 for which this permit is issued. Policy No. Dhave 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 nur--Ince carrier a id pcl:ay number are: -arrier Policy Number Expiration Date Vzme of Rgem Phone # -it certify that, in'the perfor a e of the work for which this permit is issued. I shall not employ any person in arty manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become su lect D the Drkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >ignature df Applkiani __ 'date: Z z�_z3 DECLARATION REGARDIN 0 RU ION LENDING AGENCY hereby affirm under penal 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). _ender's Name Lender's 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 caw rdi nce and state taws relating to building construction. I authorize representatives of this city or county Gouty ve-Identified pr party for inspection purposes. ��1,3�� 2_ Signature of PropertyOwner or Authorized Again Print. Property Owner's orAuthonzeo A ent's Name lT Date Go — ACTION DATE BY (ENCLARATiON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS. PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED 1 SUBMITTED. ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERM17EX NDED TQAQMD _ 91C(FQ_,11, PERMITFINALE5T05 NOl �y'.'�'�PCICABLE �'O CER7lFlCATf OF {1 pft0905FD DEMO✓OCCUPANCYISSUED jWY s#GNAFURE:.