HomeMy WebLinkAboutXR2022-2061 - Permitse`��WPoR�
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive Newport Beach, CA 92660 g
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Permit Counter Phone: (949) 644-3288 E
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Inspection Requests Phone: (949) 644-3255 -
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
6 q, 171. r 7-- 6414h"r
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COMB Permit : XR2022-2061
Plan Check No: PC2022-1902
Issued Date : 04/13/2023
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: 7 NERVAL
Description: SFR ADD 30 SF & REMODEL 369 SF
Owner: BAHRAM BAHREMAND
Address : 7 NERVAL
NEWPORT COAST, CA 92657
Phone: (951)236-1233
Applicant: CAL PRO ENGINEERING AND DESIGN INC
Address: 303 BROADWAY ST, 209
LAGUNA BEACH, CA 92651
Phone : (949) 715-9990
Owner/Builder: BAHRAM BAHREMAND
Address: 7 NERVAL
NEWPORT COAST, CA 92657
Phone: (951)236-1233
Legal Desc : N TR 15935 BLK LOT 4
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire :
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer : CAL PRO ENGINEERING AND DESIGN
INC
Address : 303 BROADWAY ST, 209
LAGUNA BEACH, CA 92651
Phone: (949)715-9990
Designer:
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$30,li=
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Tl sq. ft. Bldg :
30 ......
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
369
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage :
0 0
TOTAL sq. ft.
30 a
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone:
PC - Newport Ridge
.. ,
PROCESSED BY:
SPECIAL CONDITIONS:
'
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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
the permit to file a signed statement that he or she is licensed pursuant to thin 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 lieensure 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 ore 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 U 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 thepurpose of sale).
El 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
apply 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),
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 rior to completion of the improvements covered by this permit, 1 cannot legalll
soil a structure that I have built as an owner -builder if it has not been. constructed in its enfir b licensed contractors. I,090efstand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is Belpre site: t - mfo.ca,9ovlcalaw.html.
Signature of Property Owner or Authorized Agent i Date
LICENSED CONTRACTOR'S DECLARATION 71
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class. _ License. No Date Contractor Signature
VORKERS'COMPENSATION DECLARATION
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDUION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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 th
erformance of the work for which this permit is Issued. Policy No.
11 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' compensatjol
lsurance carder and policy number are:
:amier Policy Number Expiration Date
llaammee of Agent Phone #
11 certify that. in the performance of the work for which this permit is issued, I sh of era - ny person in any Iner so as to become subject to the workers' compensation laws of California, and agre
tat, if I should become subject to the workers' compensation provisions of S to of r Gode, I sh, rthwilh comply with those provisions.
ignature of Applicant Dale.....
,CM AOATI^Ki DC!`AOr11MY2 rHIAICTOIfr`TI(lAI l CAIrIIM(] M1I']CAI 7
ireby 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).
iders Name Lender's Address
MY signature btlLY., i certify to each of the following:
I cio..,ie proye.t; Jwner or authorized to act on the property owner's behalf.
I have read this 3;)FP.afion and the information I have provided is iE
t.
I agr€e to comp' f with all applicable city and county ordinances a o laws rel t to building construction.
1 authorize repResentetives of this city or county toe fied pr for inspection purposes. yy�� //
ri:lure of Prooertv Owner or Authorized Accent //J� Print Property Owner's or Authorized Accent's Name �ZTSX mz iy v,
ACTION ( DATE
BY "'
DE2CARAStON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PER.'QIT EYPIREOU
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
-. .___-... ..._.___-..__
F FfY IT LXFENDED
1
6JAQMD
PERMIT FINAL
ASR ESTOS NOTIFICATION UCABL TO
CERTIFICATE OF
(s '1 S-2S
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PROPOSED DEMOLITION
OCCUPANCYISSUEA
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