HomeMy WebLinkAboutX2022-1694 - Permits"EWvo"yV City of Newport Beach Illj1111111111111�111111111111111111111111111111111111111111111lJill COMB Permit: X2022-1694
oF. e Commy Development Department - Building Division x 2 0 2 2 - 1 6 9 4 Plan Check No : 2487-2021
101 CivicunitCenter Drive, Newport Beach, CA 92660 Issued Date : 05/16/2022
Permit Counter Phone: (949) 718-1888
Final Date:
newportbeachca.gov/civic Permit Status: Issued
'cgciFoa+'`% Combination Type - SFP Inspection Area : 4
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 AREA$ AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2206 ARALIA ST Legal Desc : N TR 4705 BLK LOT 109
Description : SFR (INSIDE P/L) 64 LF x 12' HIGH R.W, 40 LF x 6' HIGH R.W. (NORTH & SOUTH SIDES)
Owner: SHAW KAMAO C TR THE SHAW FAMILY TR
Address : 2206 ARALIA ST
NEWPORT BEACH, CA92660
Phone : (949) 945-0905
Applicant
Address :
Phone
Owner/Builder
Address:
Contractor: UNITED CONTRACTORS
Address : 3185 AIRWAY AVE D-1
COSTA MESA, CA 92626
Phone : (949) 945-0905
Con State Lic : 949005
Lic Expire : 06/30/2024
Bus Lic: BT30053869
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier : STATE COMPENSATION INSURANCE FUND
Policy No : 9119462
W. C. Expire: 12/6/2023
Architect
Address
Phone:
State Lic
Engineer :
DEIHIMI AMIR HOSSEIN
Address :
23172 PLAZA POINTE DR STE 145
LAGUNA HILLS, CA 92653
Phone :
(949) 954-7244
Designer:
Address :
Phone:
Phone:
Code Edition : 2019 Fire Sprinklers: NO
Construction Valuation
Added/New/TI sq. ft. Bldg : 0
Type of Construction : V-B Fire Hazard Zone : NO
0
Alteration sq. ft. Bldg:
No of Units :
Occupancy Groups : U No of Stories : 0
Added/New sq. ft. Garage: 0
Bldg Height :
TOTAL sq. ft. 0
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS: REVISED 10/19123 - REMOVED FROM SCOPE OF WORK
95 LF x 6' CITY STD BLOCK WALL (INSIDE P/L)
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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) of Division 3 of 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).
❑ 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 -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
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
apply 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 licensure 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 it
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the app
Professions Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Di i Ion 3 of the Business and
and effect. License Class License No Date
WORKERS' COMPENSATION DECLARATION'Z Contractor Signs
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
'rents covered by this permit, I cannot
law, Section 7044 of the Business and
full force
DOLLARS ($100,000), IN ADDITION TO THE
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, for
'mance of the %Nrk for which this permit is issued. Policy No.
have and will ��
rance carrier I
of Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
•v � mm�e�
I 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 ogre
It, if I should become subje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant �9 �1� � � Z
ICLARATION REGARD CONSTRUCTION LENDING AGENCY Date _'
areby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
Tder's Name Lender's Address
my signature below, 1 canny 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 pr wded is correct.
I agree to comply with all applicable city and county Ord1 noes and sta ws relating to building construction. )
I authorize representatives of this city or county t��'nter a abode ,fde d�j��arty for inspection purposes.
nature of Property Owner or Authorized Anenf Y /IA. A01) - A l
H" LHN
DATE
BY
/ D RATIO OF COMPLIANCE WITH CODE OF FEDEI
R LATIONS PART 63 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
_
I SUBPNTi EL ASBESTOS NOTIFICATION T'D
PERMITCANCELLED
EPrt
PERMIT EXTENDED
QMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
OCCUPANCYISF
OCCUPANCYISSUED
PROPOSED DFPMUTION
SIGNATURE:
FOR OFFICE USE ONLY
Name