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HomeMy WebLinkAboutXR2023-1963 - PermitsaEWP "2' City of Newport Beach 111111p11111111111111111p11111111111111111111111111111 jj COMB Permit : XR2O23-1963 D4 1 1 6 Community Development Department- Building Division X R 2 0 2 3 1 9 6 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3182 Permit Counter Phone: (949) 718-1888 Issued Date : 07/19/2023 newportbeachca.gov/civic Final Date: cy<.r FriCombination Type - Permit Status: Issued Work Class - Other Inspection Area : 5 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 : 2320 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BLK 329 LOT 3 7� ^ 7� — r�� Description: DUPLEX TEMPORARY SHORING (4 CAISSONS)'X2022-3307/3308'- 1 'ro gg Owner: 2322 PACIFIC LLC Address : 220 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (310)926-2290 Applicant : ARASH BADRIZADEH Address : 1520 BROOKHOLLOW DR, 43 SANTA ANA, CA 92705 Phone: (714)662-0510 Owner/Builder Address : Phone Contractor : MBI Address : 220 NEWPORT CENTER DR, 11-252 NEWPORT BEACH, CA 92660 Phone: (310)926-2290 Con State Lic : 933331 Lic Expire : 06/30/2025 Bus Lic : BT30080260 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9249239 W. C. Expire : 4/17/2024 Architect Address Phone: State Lic Engineer: XIAO QIANG Address : 1520 BROOKHOLLOW D.R,#,4,5 SANTA ANA, CA 92705. , , , , ' Phone : (714) 662-0510 Designer: ARASH BADRIZADEH Address : 1520 BROOKHOLLOW DR, 43 SANTA ANA, CA 92705 Phone: (714)662-0510 Code Edition: 2019 Fire Sprinklers : -. NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 - Alteration sq. ft. Bldg : Bldg Height : No of Stories ; 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS $50,000.00 0 0 0 I hereby affirm under penally of perjury that I am exempt from the Contractors' State.License Law far the reaserif s) indicated below by the cheekmark(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 struelura, 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 !!censure and the basis for tha 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 com pens will do U all of or U portions -of.the work, and the structure Is not Intended cr offered -for sale (Section 7044, Business and Professions Code; The ContractorsSlate License Law does not apply to an owner of pniperty who, through employees' or personal effort, builds or improves the property, provided that the 'umprnvelmanls are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner�Bullder will he" the burden of proving that It was not built or Improved for the purpose of sale). ❑ I, as owner or 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 witha licensed Contractor pursuant to the Contractors' State License Law), ❑ I am Exempt from ucansure under the Contractors' State License Law for the, following reason , _....,,..___..._. By my sign tutu below; I ackitowled ga that, except for eiy personal residanea in which I must hava resided for at leas) one year prior to completion of the Improvements covered by this.poInn it, I cannot legally sell a structure that I have owl( as an ownor-builder if it has not been constructed In its entirely 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 application is submitted or at the following Afeb site;htgWwvvv;leginfo.ca,gov/calav+.html. Signature of Property Owner or Authorized Agent ...._...__._._.__a__Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9, (commencing with S crier 7000) f�f the Busines and Professions Coe .y-Near In full force and effect. License Class License No �a3e• Contr or ignaWre WORKERS' COMPENSATION DECLARATION -JcR KARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOL 100„000), IN ADOnION TO THE COST OF COMPENSATION, DAMAGES AS FROVIDEO FOR IN SCOTION 17060E THE LASOR CODE, INTEREST„ AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I Have and will maintain a Certificate of consent 1D self-insura for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of I,he Labor Code, for IN plkrfoi me(ice of the work for which this permit Is Issued. Policy hlo. and will ra'rlein 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' carrier and oniuy number are' Policy Number of Agent Date I cerilf, that. in the performance of the Work for which this co -milt is issued„ I Shall not, employ any person to any manner so as to become Subject to the workers' compensation laws of California, and agre at, If should beccn. e subject tot a workers compsnsatlo provisions of Section 3700 of the Labor Code; Ishall forthwith comply with those provisions.. / oral a e of APp I _ Da\aj6/ r r r ECLARATfroar 2D CONSTRUCTI�OP E�.DI "A©ENGY rereby affirm ur. r , ,nalty of perjury tha lyre a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Clvll Code). =ndar's Name _ Lenders Address _ ,fry signature bPICA% I certify to sach of ills following: I am the propem, owner or authorized to act on the, property owner's behalf. I has,I read this application and the information I have provided Is correct. I e g ea to colno y mto all applicable city and county ordinances and stale laws relating to building construction.. I authorize representatives of this city or county to enterthe abo�p-Identir e y f Jas�ctlon purposes. ACTION I DATE k BY OFCLFtft7R'r 7M OF C( i i REGULATIONS PART EXPIRED ✓eer's or Authorized Ao CODE OF FEDERAL I FOR OFFICE USE ONLY VD AQNID RUIF. PERNOT 0,75NDEp I-IAQMD PERNIrT FINAL €. r -r __. .. .__ ._..-------- _- A5B65105 NU11H(.Af ION I5 NUS gNpLICgdLE 'I0 ' CERTlFICATC OF V p� PROPOSED DE'AG[JTION OCCUPANCY ISSUED € SIGNATURE: