HomeMy WebLinkAboutXR2023-1757 - PermitsWNoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-1757
p Community Development Department - Building Division X R 2 0 2 3 1 7 5 7
r �,` h "4. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2768-2019
= Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023
,�.. newportbeachca.gov/civic Inspection Area : 5
°9<`;r�,RN`" Combination Type -
Work Class - Other
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 : 404 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BLK 334 LOT 6
Description: MFR REPAIR BEAM AND SIDING AT GARAGE *STOP WORK" 119-3291(RENEW EXPIRED PERMIT)
Owner: MOHAMMED SADEGHI
Address: P.O. BOX 7113
NEWPORT BEACH, CA 92658
Phone : (626) 531-1914
Applicant:
MOHAMMED SADEGHI
Address:
P.O. BOX 7113
NEWPORT BEACH, CA 92658
Phone:
(626)531-1914
Owner/Builder:
MOHAMMED SADEGHI
Address :
P.O. BOX 7113
NEWPORT BEACH, CA 92658
Phone:
(626)531-1914
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
V-B
Front: 15, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS:
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
a� 7
Architect
Address ;
Phone :
State Lic
Engineer: HAKEMIFAHIM
Address : 26982 MARBELLA
MISSION VIEJO. CA 92691
Phone: (714)427-9778
Designer:
Address:
Phone:
NO Construction Valuation : $65.00
NO Added/New/TI sq. ft. Bldg : 0
2 Alteration sq. ft. Bldg:
2 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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 Hem(a)
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
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commencing with Section 7000) of Division 3.of the Business and
'rofessrons 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
'6ZQRt more than five hundred dollars ($500).
s Owner of the property, or my employees with wages as their sole compensation, will do Xrit of or (_) portions of the 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-Bullderwill have the burden of proving that 4 was not built or
nproved for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Co ractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pj7ly to an owner of property who builds or Improves thereon, and W mots for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J t am exempt from Bcensure under the Contractors' State
ly my signature below I acknowledge that, except for my pan
ell a structure that I have built as an owner-buil r' It has
'rofessions Code, is available upon request when is ap
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATI N
the following reason:
in which 1 must have resided for at least one year
:tad in its entirety by licensed contractors. I undon
d orat the following Web siteihttPJlwww.leigmfo.ol
of the rmprovemente covered py this permit, I cannot k
the applicable law, Secti n/7044 of the Business and
nAf L_ z7—z.3
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 Professions Code and my licensees in full force
Ind effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO OKE HUNDRED THOUSAND DOLLARS (11100,000), SI ADDITION TO THE
:OST OF COMPENSATION; DAMAOFS AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEW 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 IndUSIT161 Relations as provided for by Section 3700 of the Labor Code, forth
errormance of the work for which this permit is issued. Policy No..
have :and will maintain workers' compensstk;n, ras required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Rance carder and policy number are:
Number
of Agent
p
Date
I certify that, in the pe Orman t e a rmiC is issuad, I shall not employ any Person in any manner so as to became subject to the worksfI' - pensatiomlaws of California, and agree
I, If I should be object t sa€ion provisions of Section 3700 of the. Labor Code. I shag forthwith comply With those provisions.
(nature of Applicant Dat
CLARATION REGA C TI LENDING AGENCY
areby affirm under ally of perjurythat there is a construction lending age the performance of the work for whichthispermit is issued (Section 309 , 'vie Code).
ides s Name order's Address
my signature below, I certify to each of the fDlloviaig:
I am the property Owner or authorized to act on the property Owner'
I have read this application and the information I. have provided. re
I agree to. comply with all applicable city and c n prom a e is Sting to building construction.
f authorise representatives of this city or cOurtty ant 6 ed property for inspection purposes. rX �f�i I /
nature of Pro art Owner or Authorized ant Print Property Owner's or Authorized Aaent's Nam 'v rl Xidr..
BY ,] ARA11ON OF COM PLIANCE WITH C,ODF OF FEDERAL FOR OFFICE USE ONLY
�Vll RE CATIONS PART SI OF TITLE 40 AND AQMO RULE
r r �-0MV_
k5i UA N VIiFH:Af1. T r C4raEE TO
CERTIFICATES OF -7 j� f PROPOSED I LfTION
OCCUPANCY ISSUED l I almuwn lee. i