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Home My WebLink AboutXR2023-1708 - Permitsa�WPoR� City of Newport Beach J 111111111111111111111111111111111111111111111111111111111111Jill COMB Permit : XR2023-1 708 D� Community Development Department - Building Division X R 2 0 2 3 1 7 0 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: U S Permit Counter Phone: (949) 718-1888 Issued Date : 0612112023 o- newportbeachca.govlcivic Inspection Area : 6 C,(rFOR�`P Combination Type - SFP 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 AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 21 MONTEREY PINE Legal Desc : TRACT 14103, LOT 23 OF PROJECT 935-90 LOCATED ON AP 473-021- 65 TOGETHERWITH UND. 1/23 INT. IN PARS. 1,2, & 3 OF LLA 9 Description: SFR - KITCHEN & BATHROOM ALTERATIONS APPROX 300 SF (CITY STANDARD)'RENEW EXPIRED PERMIT* Owner: AHSAN RASHID Contractor : Architect : Address : Z�'- Address : 21 MONTEREY PINE DR Address : /� � NEWPORT COAST, CA 92657 Phone: / a,� Phone: (949)378-5700 Phone: State Lic : Con State Lic : Lic Expire : ,✓ Applicant: AHSAN RASHID Bus Lic: Engineer: Address : `s Address : 21 MONTEREY PINE DR Bus Lic Expire : NEWPORT COAST, CA 92657 Workers' Compensation Insurance Phone Phone : (949) 378-5700 Carrier Owner/Builder : AHSAN RASHID Policy No : Designer Address Address : 21 MONTEREY PINE DR W. C. Expire: NEWPORT COAST, CA 92657 Phone : Phone: (949)378-5700 2019 Fire Sprinklers : NO Construction Valuation Code Edition : Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : D Type of Construction : V-B 1 Alteration sq. ft. Bldg : Occupancy Groups : R-3 No of Units : 2 Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: 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, after, 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 f1consues 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). 0 I, as owner of the property, or my employees with %Vegas as their sole compensation, will do L.) all of or L) portions of the work; and the structure is not. intended proffered for sale (Section 7044, Business and Professions Corte: 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 ved for the purpose of sale). 11 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 app.I, 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 1 am exempt from licensure under the Contractors' Stale 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 la completion of the improvements covere by this permit, I cannot legalll sell a structure that I have built as an owner -bull er' it has not been cons tructad in its on( r ty by licensed contractors. I understand that a copy of the. applicable law, Secti 044 of the Business and Professions Code,, Is available upon request wh is application i su ed or at the [owing Web site:hUp,://www.leginfo.ca,gov/calaw.fitmi. Signature of Property Owner or Authorized Agen Dat LICENSED CONTRACTOR'S DECLARA 'I N �-- I hereby affirm under penalty of perjury that I a I Canso under provisions f Chapter 9 (commencing with Section 7000) of Division of the Business and Professions C e, and my license is in full farce and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: 1 have and will maintain a certificate of consent to seff-insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor code, for thI terformance of the work for which this permit Is issued. Policy No. :1I 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' compensatior nsurance carrier and policy number are: :aria, Policy Number Expiration Date dame of Agent Phone # :1I Certify that, in the perform Ce of the work for which thth�iss permit is issued. I shall not amploy any person in any manner so as to become subject to the wor to' mpensation I' ws oI Calffomia, and agree hat, it I should becomes �CST�RUCTIsO�N 'pe" — pravisf\ ong o(Section 3700 of the Labor Code, I shall forthwith comply With those provisions. gnature of Applicant�, 1../l/`, ,U(�,/ DX,CI )ECLARATION RIEGARDENDING 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 3091 Code). .ender's Name Lender's Address 3y my signature below, I Certify to each of 1178 following: I am the property owner or authorized to act on the property owner's behalf, I have read this application and the Informatio I have provi d is correct. I agree to comply with all applicable city end c unty ordt and sl to laws relating to building construction. I / I authorize representatives of this city or c n to ent t d rcperty for Inspection purposes. \ / 'C � ii nature of Property Owner or Aulhmized A a Print Property Owner's or Authorized ADent's Nama ��(((Af-'1 DATE. RY / DECLARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V REGULATIONS PART 61 OF Tri LE40 AND AQI RULE PERMITEXTEVUED _ ❑AOMD PERMIT FINAL ASREST N TIHLA([ON IS NOT APPLICABLE TO CERTIFICATEOF lTf/j P POSEDO OLITION OCCUPANCVISSUED ` A eerunne A �rr1