HomeMy WebLinkAboutXR2023-3216 - Permits�EWpo", City of Newport Beach 111 IIIIIII 111111111111111111111111111111111p111111111 jj COMB Permit : XR2O23-3216
A Community Development Department- Building Division X R 2 0 2 3 3 2 1 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2526
z Permit Counter Phone: (949) 718-1888 Issued Date : 11/13/2023
.r. newportbeachca.gov/civic Final Date:
c'�rrFoaN`P Combination Type - SFP ELEC Permit Status: Issued
Work Class - Addition 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 : 11 SINGLE TREE DR Legal Desc : N TR 15332 BLK LOT 68
Description: SFR REMODEL TO CONVERT 200 SF OF GARAGE TO BEDROOM
Owner: JEHANZEB FARUQUI
Address : 11 SINGLETREE DR
NEWPORT BEACH, CA 92660
Phone
Applicant: DAN HARRIS
Address : 916 MAIN ST N
ORANGE, CA 92684
Phone: (949)247-0622
Owner/Builder :
Address :
Contractor: MCCORMICK CONSTRUCTION
Address : 1017 S HATHWAY ST
SANTA ANA, CA 92705
Phone: (951) 847-1996
Con State Lie : 1047355
Lie Expire : 11/30/2024
Bus Lie : BT30076073
Bus Lie Expire : 07/31/2024
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY
COMPANY
Policy No: FLA01735902
W. C. Expire : 7/1/2024
Architect
Address:
Phone
State Lie:
Engineer:
HECHT RANDY
Address:
19082 TANGLEWOODLN
HUNTINGTON BEACH; CA 92648
Phone:
(714)274-9122 1 I
Designer
Address
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 5, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Aeronutronic Ford
PROCESSED BY:
/
L` -
4J
SPECIAL CONDITIONS:
$20,000.00
200
0
200
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)
,Secllon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, dernolish, or repair any structure, prior to Its Issuance, also requires the applicant for
:he permit to file a signed statement that he or she is liconsed pursuant to fro provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Buslnoss and
professions 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 applicant to a civil penalty of
Tot more than five hundred dollars ($500}.
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: 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
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).
71 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
,E LJ
ly 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 am exempt from licerisure 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 legally
soil a structure that I have built as an dwnor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 oftho Business and
Professions Code, is available upon request when this application is submitted or at the following +A'eb site.http:ltwwv,leginfo.ca.go\,/colaw.html,
Signature of Property Owner or Authorized Agent .Date
LICENSED CONTRACTOR'S DECLARATION _
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9, (commencing with Sectib�00) f latdn 3 of the Busfn ss and Prote s and my license is In full force
and effect. License Class License No Da ! 7-3 Contractor Ignalure
WORKERS' COMPRNiATION DECLARATION
MARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GML FINES UP TO. ONFHUNORED THOUSAND DOLLARS J$1DII,0001, IN ADDITION To THE
c0T r r rcv PENSATON, DAHAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
13 1 nave 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 Code, for th4
11Tf,Penance of the .cork for which this permit is issued. Policy No.
Zha�,ee 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
ranca carrier end pGicy number are:
Policy Number
of Agent
Date
certify that, in tho �.erfcrrrlallhco 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 agre
11 rhouldbecome bj f ewe rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of App',:Pnt
CLARATtO4
GAR ING CONSTRUCTION LENDING AGENCY
Ireby affirm an r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 300 7 Civil Code).
idar s Name Lenders 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 correct.
I agree to comply with all applicable city and c ❑ty or nances and state laws relating to building construction. Y tRIS
I authorize representatives of this crty or �unty�,�iC`'�lt ve- ny for inspection purposes.-� 1
nature of Prooerty Owner or Authorized AD .I J Print Property Owner's or Authonze4Aoent's Name \ Dat
ACTION DATE. �_,AYl tE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FCR OFFICE USE[32WVY
REGULATIONS/
PART 61 OF TITLE 40 AND AQMD RULE _
1403
PERMIT EXPIRED I I I iJ. I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIfEXTENDED
PER,VuTFINAL 1 SBES 05 TIFI .ION 15 NOT
CER RFiCATE OF R I O D D61 T
OCCUPANCY ISSUED �(/W'I i SIGN RE:
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