HomeMy WebLinkAboutXR2023-1425 - PermitsW oRTG City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1425
Community Development Department - Building Division X R 2 0 2 3 1 4 2 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2703-2021
Permit Counter Phone: (949) 718-1888 Issued Date : 05/30/2023
u newportbeachca.gov/civic Inspection Area : 6
71,12 Ill Combination Type - SFP ELEC p
Work Class -Alteration
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 : 10 ROCKY POINT RD Legal Desc : N TR 7386 BLK LOT 90
Description: SFR - R/R (32) EXIST'G WINDOWS *NO HEADER REPLACEMENT AND REPLACE EXIST'G CAN LIGHTING
Owner: AMIR AKHAVI
Contractor :
Architect
Address : 10 ROCKY POINT RD
Address :
Address
CORONA DEL MAR, CA 92625
Phone : (714) 624-6878
Phone :
Phone
Con State Lic :
State Lic
Lic Expire
Applicant : AMIR AKHAVI
Bus Lic :
Engineer
Address : 10 ROCKY POINT RD
Bus Lic Expire :
Address
CORONA DEL MAR, CA 92625
Phone : (714) 624-6878
Workers' Compensation
Insurance
Phone
Carrier :
Owner/Builder : AMIR AKHAVI
Policy No:
Designer
Address : 10 ROCKY POINT RD
W. C. Expire:
Address
CORONA DEL MAR, CA 92625
Phone: (714)624-6878
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 : 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: 6, Side: 5, Side: 5, Rear: 46-44
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM ATTACHED
$22,300.00
0
0
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 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
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 exemptfrom 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
not more than five hundred dollars ($500).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portbrisof the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: 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
Impro marts 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
Imp vod 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' State License Law does not
apply 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 I am exempt from licensure 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
sell a structure that I have built as an owner -builder if it has not been cted in its entirety 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 applic I Itted or at the following Web site:http:lAvww.leginfo.ca.govlcalaw.htmi,
Signature of Property Owner or Authorized Agent v/ y/��,�--�— Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
VORICERS' COMPENSATION DECLARATION
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANOOOLLARS (St00,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I ( have and will maintain a certificate of consent to selfAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit Is issued. Policy No.
]I 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
isurance carrier and policy number are:
Policy Number
of Agent
Date
certify, that, in file 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
, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
treby 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 3097, Civil Code).
Wer's Name Lenders Address
my signature below, I certify to each of the following:
I am the Groped, zv:ier or authorized to act on the property owner's behalf.
I have read this Tppll-aVon and.. the information I have provided is correct.
I eg' e to comity with all applicable city and county ordinances and state laws relating to building construction.
I authorize rep esentnuves of this city or county to enter the entified property for inspection purposes.
naGire of Property Owner or Authorized Agent _ roperty Owner's cr Authorized Agent's Name. /'r�i � `A�✓
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFPCE USE ONLY
.� REGULATIONS PART 61 OFTMLE40 AND AQMD RULE
PE.RMir EXPIRED ' I I I I I U I SUBMITTED ASBESTOS
PE'IN'T EX`ENDED
PERMIT FINAL �'
'LIAO.MD
-
8ES105 NOTIFICATION IS NOT APPLICABLE TO
CE'ARCAT"OF
11
PROPOSED DEMOL
OCCUPANCYISSUE1,
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SIGNATU �'