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Home My WebLink AboutXR2023-1420 - Permits�dsxPoRr City of Newport Beach Q b Community Development Department - Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 .►newportbeachca.gov/civic cq[/FORN�P Combination Type - MFP ELEC MECH PLUM Work Class - Alteration X R 2 0 2 3 1 4 2 0II COMB Permit : XR2023-1420 Plan Check No : PC2023-1296 Issued Date : 06/01/2023 Inspection Area : 4 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: 64 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 REMODEL KITCHEN AND 2 BATHROOMS, REPLACE PATIO DOOR AND WINDOW 400 SF *STOP WORK 123-1630* Owner: KHONSARI FERAIDOUN TR F & N KHONSARI Contractor : Architect TR Address : 10 SAN SEBASTIAN Address : Address NEWPORT BEACH, CA 92660 Phone: (714)875-5330 Phone: Phone: Con State Lie : State Lie Lie Expire Applicant: DAVE CHAMBERLAN Bus Lie : Engineer Address : P.O. BOX 473 Bus Lie Expire : Address SURFSIDE, CA 90743 Phone : (714) 875-5330 Workers' Compensation Insurance Phone: Carrier : Owner/Builder: KHONSARI FERAIDOUN TR F & N Policy No: Designer: JEFF HOBBS KHONSARI TR Address : 10 SAN SEBASTIAN W. C. Expire: Address : 24041 ZANCON NEWPORT BEACH, CA 92660 MISSION VIEJO, CA 92692 Phone: (714)875-5330 Phone: (714)609-1793 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $40,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 8 Alteration sq. ft. Bldg : 400 Bldg Height : No of Stories: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: AE; X Use Zone: PC - Big Canyon PROCESSED BY: Ekes SPECIAL CONDITIONS: STOP WORK 123-1630; AX FLOOD ZONE; LANDSLIDE; LIQUEFACTION ZONE 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 Item(s) (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 lie or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 0 (commencing with Section 7000) of Division 3. or the Business and Professions Code) or that he or she is exempt from licensure 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). mr CI 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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' Slate 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 -Builder will have the burden of proving that it was not builtor r ffI roved for the purpose of sale).. 'L.! I, 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 Lawdoes not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensors under the Contractore Slate License Law for the following reason: By my signature below 1 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 legalry sell a structure that I have built as an owner -builder if it has not been construcIP0 in its entirety by licensed Contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code., is available upon request when this ap' tion r allowing Web steihttplhvww.leginfo.ca.govlcalaw.htmi. Z Signature of Property Owner or Authorized Ac t �Z Date LICENSED CONTRACTOR'S DECLAR 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 Professions Code, and my licenseisIn full force and effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNN. RMES UP TO ONE HUNDRED THOUSAND DOLLARS (910e,000), IN ADDRION TD THE COST OF COMPENSATIONS DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ ( have and will maintaina 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 th performance of the work for which this permit Is issued. Policy No. :1I have :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' compensatiol isurance carder and policy number are: ;arrier Policy Number Expiration Date Jam of Agent Phone N rtify that. in the performance of the work for which this permit is Issued; I shall not employ any person in any manner so as to became subjectto the workers' compensation laws of California, and ogre hat, if I should become subject t the - nsa visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, signature of Applicant Dater / z )ECLARATION R A STRU TI LENDING AGENCY hereby affirm unde ensity 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). .enders Name Lender's Address )y 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 tl.is application and the information I have provided is correct I agree to cor.ipf; Mth all applicable city and county ordinances and slate laws relating to building construction. 13' daorize rearsacntattves of this city or county toe ter the above d prop inspection purposes. i ,i aafure of Prc- en• Owner Authorized A rant - Print Pro a Owner's or Authorized Agent's Name �� -Date 3C7ION DATE BY DECLARATIOrIOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61:OF TITLE 40 AND AQMD RULE FERAorl EXPIRED PERMIT EXTENDED F'W,I?T F:NAL CERTIEICAYE OF OCCUPAP'CYiSSUCD TO