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Home My WebLink AboutXC2023-0323 - Permitsae�PoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U23-o323 0� Community Development Department - Building Division r}- 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2048 Permit Counter Phone: (949) 718-1888 Issued Date : 0111612024 newportbeachca.gov/civic Final Date: Cq(/FOPN�P Combination Type - PLUM Permit Status: Issued Work Class - Tenant Improvement Inspection Area : 7 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 : 406 32ND ST Legal Desc : A TR LANCASTERS ADD BLK 431 LOT 1 Description: COMM BUILD LOW BEARING WALL FOR COUNTER TOP "LIL BUDDHAS" 10 SF Owner: HAROLD TIMOTHY MICHAEL TR Address : 3116 NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone: (949)230-1320 Applicant: MATTHEW WAYNE PASKERIAN Address : 634 LIDO PARK DR NEWPORT BEACH, CA 92663 Phone : (949) 285-0142 Owner/Builder : HAROLD TIMOTHY MICHAEL TR Address : 3116 NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone : (949) 230-1320 Code Edition : Type of Construction Occupancy Groups: B Bldg Height : Building Setbacks Flood Zone : X Use Zone: CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories 11 e! Architect Address Phone: State Lie Engineer Address Designer: MATTHEW WAYNE PASKERIAN Address : 634 LIDO PARK DR NEWPORT BEACH, CA 92663 Phone : (949) 285-0142 Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage ; 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I. am exempt front the Contractors' Slate License Law for the reason(s) indicated below by the checkrnark(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 is 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 'rofessiors Code) or that he or she is exempt from Idensure 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 of more than five hundred dollars ($500). -1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, lusiness and Professions Lode: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemenls 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 nproved 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' Stale License Law does not .poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason: fy my signature below I acknowledge that, except for my personal reside 1 " hick I must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legall, ell a structure that I have built as an owner builder if it has not boon co tract in its enBraty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'Ignature o Code Is available o upon request when this apyl' u d or at theffollowing Web site:http://www.leginfo.ca.gov/calaw.htmi. 7 �l 'signature of Property Owner or Authorized Agent /�f Date d ! ^ /6 - 202— .ICENSED CONTRACTOR'S DECl11RAT10 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commancing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force no effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO- -ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $700 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. � hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a certificate of consent to seiNnsure for workers' compensation, issued by the Director Of industrial Relationsas provided for by Section 3700 of the Labor Code, for th aerformance 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' compensatiol nsurance carrier and policy number are: carrier Policy Number Expiration Date 'Jame of Agent Phone # 31 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 afire hat, if I should become subject to the Workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant_____ __ _ Date_ DECLARATION REGA_R03NG CONSTRUCTION LENDING AGENCY hereby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). _enders Name Landers Address 3y 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 correct. I agree to comply wdh all applicable city and county ordinances n fate laws relating to building construction. /YiLt' I authorize representatives of this city or county to enter the ab ve= entifie� property for inspection purposes. Signature of Pro.. a Owner orAkithorized Authorized Agent �� r '�__i Print Pro e. Owner's orAutharized A ent'S Name _ S /till D' l6 ACTION DATE. BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 0E Trri 40 AND AQMD RULE 1403 PERAVT EXPIRtn I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT !_ —_..I._ mEPA P€......_._ __._._ _._— KNIT EXTEf DED i t—IAOMD ASBESl OS idol ON IS NOT APP 9LE 7L% CERT¢�� fCATf Of � �� t PROpOJFD DEP,FO LITIONTION OCCUPANCYISSUE I I __. 51GNATUREI