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Home My WebLink AboutXR2024-0163 - Permits�EWPORT City of Newport Beach II IIIII I IIII IIII I III III III III II II COMB Permit : XR2024-0163 D� @ Community Development Department- Building Division X R 2 0 2 4 0 1 6 3 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0135 ' 2 Permit Counter Phone: (949) 718-1888 Issued Date : 01/19/2024 newportbeachca.gov/civic Final Date: Cq<rF00.H\P Combination Type - SFP ELEC Permit Status: Issued Work Class - Alteration 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 : 503 AVENIDA LUCIA Legal Desc : N TR 5692 BLK LOT 48 TR 5692 (L.L.84-214027) PAR 4 Description: SFR REPAIR AND REPLACE SECOND FLOOR DECK Owner: JASBRAN LIVING TRUST Address : 503 AVENIDA LUCIA NEWPORT BEACH, CA 92660 Phone: Applicant: FRANK SHAMOO Address : 503 AVENIDA LUCIA NEWPORT BEACH, CA 92660 Phone: (949)264-2177 Owner/Builder : JASBRAN LIVING TRUST Address: 503 AVENIDA LUCIA NEWPORT BEACH, CA 92660 Phone: Contractor : Architect Address: Address Phone: Phone: Con State Lic : State Lic Lic Expire Bus Lic: Engineer Bus Lic Expire : Address Workers' Compensation Insurance Phone Carrier : Policy No: Designer W. C. Expire: Address Phone: DAVID BAILEY 23183 LA CADENA DR, #101 LAGUNA HILLS, CA 92653 (949) 573-1050 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: Flood Zone : X Use Zone : R-1 - Single Residential PROCESSED BY: d/-UUnit Zni ` SPECIAL CONDITIONS: k � 9 $3,500.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori indicated below by the checknrark(s) I have placed next to the applicable itemisj (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 exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred. dollars ($500). ❑ I, as owner of the property, or my employees with %Vegas as their sole compensation, will do (_} all of or U portions of 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 improvements are not Intended or offered for sale. If, however, ilia 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 thepurpose of sale). El 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 net apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I 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 resid m which I must have resided forat least one year prior to completion of the improvements covered bythis permit, I cannot legally sell a structure that I have built as an ownor-builder if it has not b9oi cted in its entirety by licensed contractors. I understandthat a copy of the applicable law, Section 7044 of the Business and Professions Code., Is available upon request when this applir n is so itted or at the following Web site:hUpaivry w.teginfo.ca.govfcalaw.html. / Signature of Property Owner or Authorized Agent _. ,_ ^ Date LICENSED CONTRACTOR'S DECLAl ' I hereby affirm under penalty of perjury that I licensed u r provisions or (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature 'COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC) SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS tSiDg0061, IN ADDITION TO THE OST OF COMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: "II have and will maintain a certificate of Consent to self-peora for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ili erfomiance of the work for which this permit is issued. Policy No, 71 have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of this work for which this permit is issued. My workers' compansatiol isurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this ipermit 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. M. Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Dreby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides 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 provii Is correct. I agree to comply with all applicable city and county ordin es and state laws relating to building. construction. I authorize representatives of this city or county to enjt e above -identified property for inspection purposes. ACTION DATE DATE. By li!l OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PAR] 61 OF TITLE40 AND AQMD RULE PERMITEXPb:ED SURNUTTED ASBESTOS NOTIFICATION TO _ PERMIT ExTENJED I ry {.JAQMD PCRMYF FINAL 'L-+Z 3-]iM, A—S-8105 NOTI PICA [ION 15 NOT APPLICABLE TG CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUEE_I_ _ _ _ _ , SIGNATURET /— li z1 CD,�, d1 (D CD 1� O -0 N O �� N (z EiE +�' M N o N U N- � N (a N o N N N ".c O m E Q N N :D p- �j +=� a) 6) N M U ,c O N (D _Ile m w o c0 �� o a) y La (D r- o L Q. c c o c 0 0 m m 0 CD cD LP S o ,rip Uy N .�xow °�o com s 0 M o c o = a° a)o a o ° C O -0 _I C) CN O O EO _ :� � 0 r o 3 NU ao � 3 sic �� =3 a m N. a L c a)iY p ° .c o m m E ,� t O w m' .J 0 C N (Dw E o N �o cn a� N o> oo_ Nm p m ( CD ar E� O•(j 00 0 a > � o room cr c U r- N E = E c N c a c U 2U ° c m a m 0 o cv O -0 O �+ w. ..c U N (6 s_. 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