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Home My WebLink AboutXR2023-1226 - Permits�gWPOR� City of Newport Beach II IIII III I IIIIIIIIIII IIII III IIIIIII II COMB Permit : XR2023-1226 o� Community Development Department- Building Division X R 2 0 2 3 1 2 2 6 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1083 Permit Counter Phone: (949) 718-1888 Issued Date : 05/19/2023 u y r newportbeachca.gov/civic Inspection Area : 6 c'7rcoaN`P Combination Type - SFP ELEC MECH Work Class - Addition/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 WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 42 CHANDON Legal Desc : N TR 14565 BLK LOT 4 UN 28 TRACT 14565, LOT 4 OF PROJECT 936 -46 LOCATED ON Description: ATT SFR 2ND STORY INFILL WITHIN (E) FOOTPRINT TO CREATE LOFT 96 SF; CONVERT DEN INTO BEDROOM 140 SF Owner: ARASH DOWLATSHAHI Contractor: LOFTCRAFTERS INC THE Architect Address : 42 CHANDON Address : 8 HAMMOND #102 Address NEWPORT BEACH, CA 92657 IRVINE, CA 92618 Phone: (714) 600-5590 Phone : (949) 456-1234 Phone: Con State Lic : 463944 State Lic Lic Expire : 08/31/2024 Applicant: BEN LOEWEN Bus Lic: BT30020595 Engineer: YAGHI SHUCRI I Address : 8 HAMMOND, 102 Bus Lic Expire : 09/30/2023 Address : 112 E. CHAPMAN #D IRVINE, CA 92618 ORANGE, CA 92866 Phone: (949) 456-1234 Workers' Compensation Insurance Phone: (714) 997-9120 Carrier: EMPLOYEE SERVICE GROUP Owner/Builder : Policy No: C69981355 Designer Address : W. C. Expire: 11/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $30,694.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 96 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 140 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 96 Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY SPECIAL CONDITIONS: ep d J � r�!�'.f`+ tle-, I{^ " . . 1 $ �I IS � L� 0 «d R 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 applicable items) (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 the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) Gf Division.3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 -guilder will have the burden of proving that it was not built or Improved for the purpose 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 ,aP,pfy 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 Bcensure 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 legall, sell a structure that I have built as an owiror-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 siteihttp:liwww.leginfo.ca.govlcalavahtml. 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 Profes ' FIB Codes nd m Iicens fs In t II for and effect. License Class License No Date- �ontector Signature U WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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, forth e rmance 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 Cade, for the performance of the work for which this permit is Issued. My workers' .Carriar and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and I. if I should becom subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REG R ING CCNSiRUCT'ION LENDING AGENCY eteby 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). Ider's Name Lenders Address my signature below, I certify to each Of ilia 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 slate laws relating to building. construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. ! rt, nature of Prnoerty Owner or Authorized Anent % — Print Proeertv Owner's or Authorized Anent s Name % lS `11LA� `�tiJ l Date DATE By 7 DECLARATION OF COMPLIANCE W17H CODE OF FE / 11 REGULATIONS PART 51 OFTITLE 40 AND AQMO RULERAL I FOR OFFICE USE ONLY PERMIT EXPIRED -L' I SJBMITTCD ASBESTOS NI) DFICd.I ON TO PERMIT CANCELLED PERN7T EXTENDED € CAQMO PERiMITFINAL p ],'ASBESTOS NOT FICATION 15 NOT APPLICABLE TO CERTIFICATE OF pro"� I% PROPOSED DE OLITION f� �,�,(D. OCCUPANCYISSUED 1 SI.iNAT11R� �O. Ii I1V 0."i1'_'.R:.r1LDp