HomeMy WebLinkAboutXR2023-0227 - Permits��EWPoRT City of Newport Beam"nt_Buildin Division 111�1 111111111111111111111111111111111111111111111111111111COMB R/ jt : XR2023-0227
Community P P g II X R 2 0 2 3 0 2 2 7 II
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0178
Permit Counter Phone: (949) 644-3288 Issued Date : 02/22/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area :`
q<ipopN� newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
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 7 ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 10 ROCKY POINT RD
Legal Desc : N TR 7386 BLK LOT 90
Description: SFR - DEMO POOL `METHOD "B"
Owner: AMIR AKHAVI
Contractor: EVERETT ANTHONY DEV INC
Architect
Address : 10 ROCKY POINT RD
Address : 31103 RANCHO VIEJO RD #D250
Address
CORONA DEL MAR, CA 92625
SAN JUAN CAPISTRANO, CA 92675
Phone:
Phone: (714)745-1121
Phone: -
Con State Lic : 856746
State Lic
Lic Expire : 03/31/2023
Applicant : Robert Rodgers
Bus Lic: BT30071154
Engineer:
Address: 31103 rancho viejo rd
Bus Lic Expire : 02/28/2023
Address
san Juan capistrano, CA 92675
Phone: (714) 403-0918
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No: 9273370
Designer
Address:
W. C. Expire : 3/24/2023
Address:
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $8,000.00 ,
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 : 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 46-44
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
>ecllon 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
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slain License Law (Chapter 9 (commencing. with Section 7000) of Division 3 Dither Business and
'rofossions Code) or that he or she is exempt from ficensure 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
at more than five hundred dollars ($500).
1 L, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portionsofthe 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
nprovements 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
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
pply to an owner of property who builds or improvesthereon, and %he contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from ticensure under the Contractors State License Law for (he following reason:
'ry my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, ( cannot legally
oil 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:Uwww.leginfo.ca.gov/colaw.html,
signature of Property Owner or Authorized Agent -____, Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section j 0) vi3 of the Business and Protestions C_od ee_ nl y license is In full force
nd effect. License Class License No Date 'rl rf Contractor Signature
��I
YORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO S^.CURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AUDITION TO THE
OST OF COMPEN3.:AGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hPr�hy affirm JndEr,lenany 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
crfonaance 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 policy number are:
Policy Number
of Agent
Date
cal:ify that, in the nerfdrmance of 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 agree
if, should becJm.: subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply width (hose provisions,
iau re of.Af plicart �i�%%—��iz, Date
areby 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).
Wer's Name Lenders Address
my signature below, I certify to each of the following:
I are 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 counter the above -identified property for inspection purposes. ` l
not vo nr DrnnaR rl bno, nr A.Ah_n,_A Anm 1 /��%� -: O, n, 6, lhnriv ,k 6imni'e Tlnme ���- )�.1 •u.i \ rlo}a �/` � '
DATE 13Y t-DECLARAMON OF CONIPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
j REGULATIONS. PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICAr-E OF '��7 D/��— PRO 5EOOEMOLITION
OCCUPANCYISSUED I. SIrNATllRE:. 1i_ _—./
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