HomeMy WebLinkAboutXR2023-2388 - Permits�EwroRr City of Newport Beach IIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-23$$
D� @ Community Development Department- Building Division X R 2 0 2 3 2 3 8 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1778
D Permit Counter Phone: (949) 718-1888 Issued Date : 08/28/2023
u�. newportbeachca.gov/civic Final Date:
Cq�JFe F��P Combination 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: 307 MILFORD
Description : DEMO P L *METHOD B*
Owner: JOSEPH KAR
Address : 4887 LA PALMA DR, 707
ANAHEIM, CA 92808
Phone : (714) 695-9300
Applicant:
JOSEPH KARAKI
Address :
4887 LA PALMA DR, 707
ANAHEIM, CA 92808
Phone :
(714) 695-9300
Owner/Builder:
Address :
Phone
Legal Desc : N TR 3357 BLK LOT 172
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
YES
Occupancy Groups :
U
No of Units :
0
Bldg Height:
No of Stories :
0
Building Setbacks :
Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS
Architect:
PATRICK'TIGHE
Address :
5757 VENICE'BLVD LA, CA 90019
Phone :
(323) 42475PA�
State Lic :
C-27987' '
Engineer :
MCHANTAF KAMAL 6LCHARA
Address :
4887 LA PALMA DR, 707
ANAHEIM, CA 92807
Phone :
(949) 307'-6346-'
Designer :
Address :
Phone :
Construction Valuation : $5,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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 ftem(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
;ha permit to file a signed statement that lie 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 Iieensure 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
n five hundred dollars (S500).
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,
15 sines and Professions Code: The Contraclocs' State License Law does not apply to an owner of property who, through employees' or personal effort.. huilds 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
improved for the purpose of sale).
ri 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 witha licensed Contractor pursuant to the Contractors' State License Law).
El I am exempt from Iicensure under the Conlractom' State License Law for the following reason: _
By my signature below I acknowledge that, except for my personal residence ire I must have resided for at least one year prior ID completion of the Improvements cove d by this permit, i cannot legafh
sell a structure that I have built as an owner -bull -r if ll ha been cons[ its entirety by licensed contractors. I understand that a copy of the applicable law, Secti 7044 of the Business and
Professions Code, is available upon requ t en this a lost' s i t 1 following Web site:http:/lwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized ant _ _ _ ,�__.__ t U —
LICENSED CONTRACTOR'S D_C:-. RATION
I hereby affirm under penalty of perjury (hat I am licensed under rovisions of Chapter 9 (commencing with S coon 7O of Division 3 of the as and Professions Code, and my license is in full force
and effect. License Clajs _ License No a Cant 'Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMrENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FIN S UP TO ONE HUNDRED THOUSAND DOLLARS (SiD0,000), IN AUCTION TO THE
COST OF COMPENSATION, DANAD2S AS; RO AGED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, ANO ATTORNEY's. FEES.
hereby affirm under penaty of perjury one of the following declarations:
I have and will ma ,:(.i::I a cerliFicate of consent fo self -insure for workers` Componsation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
formance of the work for which 4his permit is issued. Policy No.
have and will marnmin e>orker„;' GOTvpensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatioi
Jranee carrier and policy slumber are:
Tier Policy Number Expiration Date _
Tie of Agent Phone fi
certify that in t e performance of the work for on this perrnrt is issued. I shall not employ any person in any man0ar so as to become subject to the workyyy compensation laws of Cahfomaa, and ogre
t, if 1 shvuld be ome subje he worker ' Salton provisions of Section 3700 of the Lobar Code, I shall forthwith comply with those provisions.
nature of Ap nt ____._ _.__.- at Q-
CLARATt R ARpING CO TRU L G AGENCY
!reby affirm under penalty of perj ry 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 Lender's 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 CoTec
I agree to comply with all applicable city and cowtty ordinances ands ate elating to building construction.
I authorize representatives of this oil or county to an ri )a a6 -i e it erty for inspection purposes. t •,
naiLm of PrODertV Owner or A�4ho ed APrint Property Owner's or Authorized Agent' ome
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FXTENDED
PERMiYFINAL �_?G
CERI-0CATE OF JJ
OCCUPANCY ISSUED
BY
TITLE 40 AND AOMD RULE
TO
I_ JASBESTO5NOTIFICATIONISN01'APPLICAHLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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