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Home My WebLink AboutXR2023-0950 - Permits�EWPO,?T City of Newport Beach IIIIIIII�IIIIIIIIIIIIIIIIIIIIIII p� A Community Development Department -Building Division X R 2 0 2 3 0 9 100 Civic Center Drive, Newport Beach, CA 92660 ~ - Permit Counter Phone: (949) 644-3288 u c P Inspection Requests Phone: (949) 644-3255 gt,ppµN newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 5 0 II COMB Permit: XR2023-0950 Plan Check No: PC2023-0846 Issued Date : 0411312023 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: 2912 CAROB ST Legal Desc : N TR 5018 BILK LOT 114 t Description : SFR BLOCK WALL `t HI MAX X 111 LF'123-0759' MARKERS ON SITE Owner: SHARAM KALOUSTIAN Contractor : Architect Address : 2912 CAROB STREET Address : Address NEWPORT BEACH, CA 92660 ... �. Phone : (323) 855-6792 Phone : Phone Con State Lic : State Lic Lic Expire Applicant: SHARAM KALOUSTIAN Bus Lic : Engineer : LACHER TODD " Address : 2912 CAROB STREET Bus Lic Expire : Address : 1201 N TUSTIN AVE NEWPORT BEACH, CA 92660 ANAHEIM, CA 92807 Phone : (323) 855-6792 Workers' Compensation Insurance Phone : (714) 630-6100 Carrier Owner/Builder : SHARAM KALOUSTIAN Policy No: Designer: Address : 2912 CAROB STREET W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone : (323) 855-6792 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 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: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (600D indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: �,l N e t hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 is 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) of Division 3 of the Business and 'rofossions 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). Ei I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not .poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from Iicensure under the Contractors' Stale License Law for (he following reason: _ ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year poor to completion of the improvements covered by this permit, I cannot legal] ell a structure that I have built as an owner-buildar if it has not been constructed in its entirety by licansed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code., is available upon request when t licahon i$ submitted t the following Web siteihttp://www.leginfo.ca.govlcalaw.htmi, 1 2 ,Ignature of Property Owner or Authorized Agent t .� L�/�,Qyf7�— Da(g� qJ 1 J 0223 .ICENSED CONTRACTOR'S DECLARATI N fit r 1 ' hereby affirm und.- ^malty 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 license is in full force nd effect. Licence Class License No Date Contractor Sionature V! P..K'HRS' CnMoENSATION DECLARATION IARNING: FAILURE TO PE` "PE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00a1, IN ADDITION TO THE OST OF ]CMPENSATIOH, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herety affirm under penalty of perjury one of the following declarations: .( I have and wli roam-ain 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 Wona.nce of the work for which this permit is issued. Policy No. have and wit' ma?n'am 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' ranee carrier and policy number are: Policy Number Expiration Date Of Agent 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 so as to become subject to the workers' compensation laws of California, and , if I should bccorre subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant r. Date_ _ CLARATION RE:GARDiNG CONSTRUCTION LENDING AGENCY ireby 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). ides s Name Lenders Address 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 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 county tA �0 ter tb above-idactiified, property, for inspection purposes. 1- ' / nature of Property Owner or Authorized Agent t./X vjx_t ��, Print Property Owner's or Authorized AoenCs NamA�% L LJ K i�i.D R f ACTION I DATE BY r i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPfRED LJ I SUBMITT€D ASBESTOS NOTIFICATION TO PERMITCANCELLED , 4 ............... ..........__ ....... PER,,WIT EXTENDED ._._ _ .i..—_rat L_tpQMD �.— PCRMIT FINA!El CERTIFICATEOF OCCUPANCYISSUEb •. ASBESTOS NOTIFICATION IS NOT APPLICABLE 'to PROPOSED DEMOLITION SIGNATURE: