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HomeMy WebLinkAboutXR2022-2231 - Permits�EWPoRT City uoif yNewport t Beach nt- Building Division II III I I I II I II I III II III I I II COMB Permit : XR2U22-2231 0Comm ntDevelopmenDepartme 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0769-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 8/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 newportbeachca.gov/inspections Combination Type - MFP Work Class - New 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 : 51 SEA ISLAND DR Legal Desc : N TR 8444 BILK LOT 1 UN 1 TR 8444 LOT 1 UNIT 1 OF PROJECT LOC ATED ON AP Description: MFR INTERIOR ALT - RMV PARTIAL WALL BETW KITCHEN/DINING RM. R/R 12 RETRO-FIT WINDOWS/SLIDERS *CHG OF CONTRACTOR* Owner: CAMRON KIAFAR Contractor: NEWPORT PROPERTY SERVICES INC Architect Address : 12447 N 119TH ST SCOTTSDALE, AZ 85259 Address : 4 SUNSET COVE NEWPORT COAST, CA Address: Phone Applicant: NEWPORT PROPERTY SERVICES INC Address: 4 SUNSET COVE NEWPORT COAST 92657 Phone: (949)591-8778 Owner/Builder : Address Phone: 92657 Phone: (949)591-8778 Con State Lic : 1076056 Lic Expire: 05/31/2023 CA Bus Lic: BT30076656 Bus Lic Expire : 09/30/2022 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No : TWC4114900 W. C. Expire : 5/17/2023 Code Edition: 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : No Occupancy Groups : R-2 No of Units : 9 Bldg Height: No of Stories: 2 Building Setbacks : Flood Zone : AE; X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: *CHANGE OF CONTRACTOR* Phone: State Lic Engineer: MOBED MEHDIABADI SASAN Address : 3842 HENDRIX ST IRVINE, CA 92614 Phone: (310)433-7927 Designer: Address: Phone: Construction Valuation : $0.00 Added/NewITI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 ,NSrL— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031,5, Business and Professions Code: Any city Or county that tequires 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 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). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) at[ 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 [hat the improvements are not intended or offered for sale. If, however, the building Gr improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not bullI or im roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct ilia project (Section 7044, Business and Professions Code: The Contractors' Stale 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), 0 I am exempt from licensure under the Contractors' State License Law (or 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 legall} salt 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:httpalwww.leginfo.ca.govlcalow.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 (oommencing with Section 7000) of Division 3 of the Business and Profess,G td�'atsd-m •ense Is In full force and effect. License Class License No Date Contractor Signatur _ WORKERS' COMPENSATION DECLARATION WARNING: 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 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: © I 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 the pexormance of the work for which this permit is issued. Policy No. 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' carrier and Dollev number are: Policy Number Expiration Date of Agent -11 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agree hat.. if I should become subject tote dcersLc ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, 3lgnatureofApplican _ ,-,V,.___,,,,,.,., a _0 )ECLARATION RE N ONSFRUCTION LENDING AGENCY hereby affirm under penalty of perjury thatihere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivi1 Code). _enders 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the ve-ide roper y for inspection purposes. _ 31nature of Property Owner of Authorized Agent Print Pruperl Owner's or Authorized Agent's Name \ - j"v S o�ln Date Fi Z ACTION DATE RY j DCCLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY k REGULATIONS PART 61 OF TITLE 40 AND AO.MD RULE PERMIT EXPIRED I 1 1 U I SUBMITTED ASBESTOS NOTIFICATION t) P€RNUT EXTENDED PERMIT FINAL /f3 j ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OFIf [ ROPOSED DEtyIODTION� _-----. OCCUPANCY ISSUED SIGNATURE: Y �Ll�`_ All required alarms., latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.