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Home My WebLink AboutXR2023-3277 - PermitsafiWPORT City of Newport Beach ��iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II Community Development Department- Building Division X R 2 9 2 3 3 2 7 7 COMB Permit:XR2U23-3277 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No _. Permit Counter Phone: (949) 718-1888 .s. newportbeachca.gov/civic tu:Issued Date : 11/1712023 C9(/Fp0.N�P Combination Type - SFP ELEC PLUM Final Date: Permit Status: Issued Work Class - Other 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 : 503 AVENIDA LUCIA Legal Desc : N TR 5692 BLK LOT 48 TR 5692 (L.L.84-214027) PAR 4 Description: ATT SFR - (N) BLOCK WALL 40 LF X 3.5' HEIGHT & DRAINAGE PER CITY STANDARD, (N) FIRE PIT, EXTERIOR LIGHTING Owner: FRANK SHAMOO Contractor : Architect Address : 503 AVENIDA LUCIA Address : Address NEWPORT BEACH, CA 92660 Phone : (949) 264-2177 Phone : Phone Con State Lic : State Lid Lic Expire Applicant : FRANK SHAMOO Bus Lic : Engineer Address : 503 AVENIDA LUCIA Bus Lic Expire : Address NEWPORT BEACH, CA 92660 Phone : (949) 264-2177 Workers' Compensation Insurance Phone Carrier : Owner/Builder : FRANK SHAMOO Policy No: Designer: Address: 503 AVENIDA LUCIA W. C. Expire : , Address NEWPORT BEACH, CA 92660 Phone : (949) 264-2177 Phone Code Edition : 2022 Fire Sprinklers : NO CI nstruction Valuation : $18,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks : TOTAL sq. ft. 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: fw'q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.6. 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 Ilia provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Orofessions 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 applioant to a civil penalty of not more than five hundred dollars ($500). 1, 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 'unproved for the purpose of sale). 1, 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). 0 I am exempt front 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 improvements covered by this permit, I Cannot legalli sell a structuro that I have built as an owner -builder it it has not'boe enrlstru in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code., is available upon request when this appl' , is sub d or at the following Web site:http:IAY v .leginfo.ca.govlcalaw.htmi. 7 Signature of Property Owner or Authorized Agent _ _ _ _ ,_ _ _�_ _._ Date l� — Z5 LICENSED CONTRACTOR'S OECLARATI I hereby affirm under penalty of perjury lhat I ense der provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature COMPENSATION D ARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10g0001, IN ADOrrION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYa PEES. hereby affirm under penalty of perjury one of the following declarations: ] I 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 Cade, for th erformance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are, Policy Number Date 1e of Agent —vnone n certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any rinp rrar so as to become subject to the workers' compensation laws of California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gualure of APUlican4 _....__�. _ Date_ rECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). enders Name Lander's Address Iy my signature below, I certify to each of the follows lg: 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 provld d is correct �5170A I to with all applicable city and county orolri and state laws relating to building construction. PO agree comply I authorize representatives of this city or county n a Bove -identified property for inspection purposes. /f / iiaoature of PrODenv Owner or Authorzed Ace "�n! Property Owner's or Authorized Agen' a9 , ACTION DATE. �8 � I QE6IAI�SI 0f` COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE PERMIT EXPIRED 1S'1BMITTED ASBESTOS NOTIFICATION TO PER MITT CANCELLED IPA ..__... .__........ FER+tffT £XTENDfa PLRM77 flFlA1 ...._. �S1 ,G__ _ ____ ...._... .. _ _..__ __._. ` i +TT��rrL.AQMD TL.t ASBESTOS NOTIFICATION 15 NOl APPLICABLE TO CERTIFICATE OF ( PROPOSED DEMOLITION OCCUPANCY155UED 1 i SIGNATURE: