HomeMy WebLinkAboutXR2022-2008 - Permits0��6 )P0R o Commuan yDa elopronetI De
Bepartme chnt- Building Division II II I I III II I III I II I I I II COMB Permit : XR2O22-2008
fir' o 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1841
City
> r Permit Counter Phone (949) 644-3288 Issued Date : 08/30/2022
Inspection Requests Phone. (949) 644-3255 r� ems, f%N rl— Inspection Area : 6
newportbeachca.govhnspections P 9:N ,� 4 s P
Combination Type - SFP ELEC
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 WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 10 BELLEVUE Legal Desc : N TR 14885 BLK LOT 22
Description: SFR REMOVE WALL BETWEEN FAMILY & LIVING ROOM AND REPLACE (2) WINDOWS .W/ SLIDING DOOR
Owner: HALEH TAFTEH Contractors - Architect
Address : 10 BELLEVUE NEWPORT COAST, CA 92657 Address : Address
Phone : (949) 892-0916 Phone : Phone :
Con State Lic : State Lic
Applicant: HALEH TAFTEH Lic Expire :
Address : 10 BELLEVUE NEWPORT COAST, CA 92657 Bus Lic: - Engineer : MAJID DAVID KHORRAM
Phone : (949) 892-0916 Bus Lic Expire : Address : 13181 CAMELBACK IRVINE, CA 92618
Workers' Compensation Insurance Phone : (949) 275-5070
Owner/Builder : HALEH TAFTEH Carrier :
Address : 10 BELLEVUE NEWPORT COAST, CA 92657 Policy No ; Designer
Phone : (949) 892-0916 W. C. Expire: Address
Phone:
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $20,000.00
Type of Construction : V-B Fire Hazard Zone : Yes, as determined by the state. 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
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS: VHFHSZ, LANDSLIDE, NEAR FUEL MOD
OWNER -BUILDER DECLARATION
I hereby Bittern under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(°)
(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 ho or she is licensed pursuant to the provisions of the Contractors' Slate License Lpw (Chapter 9 (commencing with Section 7000)of Division 3 of Ule Business and
Profasslons Code) or that he or she is Exempt from Iloansure and the basis for the Staged exemption. Any violation of Secti n 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more hail five hundred dollars ($500)
isaotas owner of the property, of my employees with wages as their sole compensaton, will ado 0all of or (_) portions oft a work,and the stricture is not Intended or offered for sale (Section 7044,
Business and Professions Coder 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 tba
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 the purpose of sale),
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
5ply 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 are Exempt from licensure, under the Contractors' Slate 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 y ar prior to completion of the improvements covered by this permit, I.Gannot Iegalh
sell a structure that I have built as an owner -builder if It has not been constructed In its entirety by licensed Oonlroblers. I unc ersland 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�htipalwww,leginf).ca.gov/Galow.html.
Signature of Property Owner or Authorized Agent. Dale
LICENSED CONTRACTOR'S DECLARATI N
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ONision 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI as AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADOITTON TO'
OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby afflrm under penalty or perjury one of the following declarations:
J I have and will maintain a certificate of consent to sell -insure for workers' compensation; Issued by the Director of Industrial. Relations as provided for by Section 3700 of the Labor Code, for
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 pe formance of the work for which this permit is issued. My workers' oompensa
Isurance carrier and policy number are:
Policy Number
Date
Is of Agent I Phone A
certify that, in the performance of the work for which this permit Is issued, I shall not employ any person in any manner a as to become subject to the workers' compensation laws of Califomla, and
It I should become subject to the workers' compensation provisions or Section 3.700 of the Labor Cbde, Ishall forthwith comply With those provisions.
naCLARATIGN IREGA DING CGNS RUC ION LENDING AGENCY
Ireby affirm under penalty Of perjury that there Is a construction lending agency for the performance of the work for
ider's Nens. Lenders Address
my srgnauu"? "low, I certify to each of the following:
am the L,ro^rdy owner or authorized to act on the properly owner's behalf.
1 have repo lT°s application and lha information I have provided is correct.
I agree to Comply with all applicable city and county ordinances and state laws. (elating to building construction.
I authorize representatives of this city or county to enter {1pe, above-Ipdt nt-if'rad property for Inspection purposes.
nalura nfl PrbnPnV Owner or Aul'hnnved Anent i, K - rwF-�a Print ProdertV Owner's
DatePC 8 / 901 Z -A-
Permit is issued. (Section 3097, Civil Code).
\ .L .+-" Data
ACTION DATE BY i DECLARATION OF COMPLIANCE WITHI CODE OF FEDERAL FOR OFFICEUSE ONLY
REGULATIONS PART 61 OFTITLE 40AND AQMD RULE
1403
Fc,fidlT EXPIP60 LJ I SURMITTEO ASBESTOS NOTIFICATVON TO
PER1JIfT CANi:Et1 ED CPA All required alarms, latchesgates and fenceswhich serve as part of a: pool/spa barrier, shall
I PeHMiT EAfENOED AQMD be In place prior to approval tofill pool/spa & shall remain In place & be maintained for the
PERMIT FINAL 1� ASBESTOS NOT 15 NOT APPLICABLE TO life of the PC 01.
CERTIFICATE OF —.ZS L/L./` PROPOSED DEMOLITION
OCCUPANCYfS5UE0 SIGNATURE: Y' 1-4_+1 Il