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Home My WebLink AboutXR2024-0988 - PermitsygWPORT City of Newport Beach 1111111111111111111111111111111111111111111111111111111111111111 COMB Permit : XR2024-0988 h @ Community Development Department - Building Division X R 2 0 2 4 0 9 8 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: U s Permit Counter Phone: (949) 718-1888 Issued Date .±� newportbeachoa.gov/civic Final Date: Cq(/Fp RN�� Combination Type - SFP ELEC Permit Status: Applied Work Class - Other Inspection Area : 2 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: 4 HARBOR ISLAND Legal Desc : N TR 802 BLK LOT 4 TR 802 LOT 4 ALL -INC BET SAME Description: SFR (4) 24" X 24" PILASTERS 611" HI. FOR ENTRY GATES INSIDE P/L. INCL ELEC "CITY STANDARD` Owner: 4 HARBOR ISLAND LLC Address: 1520 YORBA LINDA BLVD, G547 YORBA LINDA, CA 92887 Phone: Applicant: THE HATFIELD COMPANY Address : 10048 SAN PABLO CT FOUNTAIN VALLEY, CA 92708 Phone: (909)851-4228 Owner/Builder: Address : Phone Contractor: THE HATFIELD COMPANY Address : 10048 SAN PABLO CT FOUNTAIN VALLEY, CA 92708 Phone: (909)851-4228 Con State Lic : 421768 Lic Expire : 04/30/2026 Bus Lic: BT30082275 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: NORGUARD INS CO Policy No: RIWC430157 W. C. Expire : 8/2/2024 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: 15, Front: 15, Side: 4, Side: 4 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY J 1 '. SPECIAL CONDITIONS: Architect: Address : Phone: State Lic Engineer: Address: Phone: Designer: THE HATFIELD COMPANY Address : 10048 SAN PABLO CT FOUNTAIN VALLEY, CA 92708 Phone : (909) 851-4228 Construction Valuation : $4,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirrif under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the chisclunariff(s) I have placed next to the applicable iterms) (Section 7031.5, Business and Professions Code: Any city or county thad requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its 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 be or she is exempt from licensure and the basis for the alleged Exemption- Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 11 1, 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. Business and Prafessions 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 bulit or improved for the purpose of sate). E3 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 my to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). I am exempt from licensure under the Contractors' State License Law for the 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 prior to completion of the improvements covered by this permit, I cannot legailt self 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 Professions Code, is available upon request when this application is submitted or at the following Web site:httpitAvwwleginfo.ca.govlcalaw.htmi. 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)of Division 3 of the Business and P sii;eo So is in full force and effect. License Class License No DatAj. Zz L, 2z Contractor Signatui --V ) NORKERS'COMPENSATION DECLARATION VA NANNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUi AN EMPLOYER TO CFUMINA PENAQ.TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tIlIOD,"in, IN ADOPTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 371NOF THE LABOR CODE INTEREST, AND ATTORNEYS FEES. herebyaffirm under penalty of perjury one of the following declarations, I h.ve and Will maintain a certificate of ccrisent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided tar by Section 3700 of the Labor Cods, for Mi mince of the =to which this permit is issued. Policy No. P 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' competroatior nsl have "trier and policy number are Policy Number Date lame of Agent — Phone # 11 Certify that, I, the performance OF a w rk I w h this ermi i issued, I shall not employ any person in any manner stt as to become subject to the workers' Compensation laws of California, and agrai subject to or rs' Dead pr suns of Section 3700 of the Labor Code, I shall Forthwith comply wth those provisions. marce of S w r' mt, if I should becomesuldITIL"D or rs isa igrature of Applicant Date of RTION E I " 0 ' EN ECLARATION REGA�Di CONSTRUCTION hereby affirm under penalty of perjury that there is a onstrue on lending agency for the performance of the Work for which this permit is issued (Section 3097, C?Code). ora!K's Name Lender's Address y MY Signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the property or 1 3 behalf� I have read this application arid the in I have III, 11TS 'rec 6:4f 4 ands " I agree to comply with all applicable city and County crl us a aws Ire a building construction. I authorize representatives of this city or county to an 4 gifif-A Inspection purposes, vlo ZV!"eadypr ezz in 04,avl . , - /,-_ ACTION I DATE 1 BY PaNAINT EXPIRED PERMITFINAt 111'61(16/2ql DL -Poil CERTIFICATE OF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1401 UASEESTC* NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOU ITON FOR OFFICE USE ONLY