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Home My WebLink AboutXR2023-2013 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 04"'p, Permit Counter Phone: (949)718-1888 newportbeachca.gov/civic Combination Type - MFP ELEC Work Class - Alteration jjIIIIII111111IIIIIIIIIIIIIII11111111111IIIIIII111111111111 COMB Permit : XR2023-2013 Plan Check No : PC2023-1765 Issued Date : 0812412023 Final Date: p Permit Status: Issued Inspection Area : 5 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: 305 CARNATION AVE Legal Desc : P BK 222 PG 29 PAR 1 UN 1 P M 222-29 PAR 1 UNIT 1 Description : MFR REPLACE EXISTING SOLARIUM 47 SF Owner: WASEEM NICOLA IBRAHIM Address : 6185 MAGNOLIA AVE #130 RIVERSIDE, CA 92506 Phone: (951)743-8906 Applicant: BRETTANDERSON Address : 765 S STATE COLLEGE BLVD, 1 FULLERTON, CA 92831 Phone: (714)871-4165 Owner/Builder: Address : Phone: Contractor: AMBIANCE ADDITIONS Address : 765 S STATE COLLEGE BLVD #1 FULLERTON, CA 92831 Phone: (714)871-4165 Con State Lie : 541733 Lie Expire : 09/30/2024 Bus Lie: BT30082187 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9076768 W. C. Expire: 10/26/2023 Architect Address Phone: State Lie Engineer: UZMAN ZEYN Address : 11111 HALL RD #110 UTICA MI 48317, CA Phone : (208) 557-7071 Designer Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 No of Units : 4 Alteration sq. ft. Bldg : 47 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : RM - Multiple Residential IV PROCESSED BY: .,,_.' o C®NSTRUG- T IOrt ORK SPECIAL CONDITIONS: HIGH DENSITY ZONE; LANDSLIDE & LIQUEFACTION ON SATURDAY8 OWNER -BUILDER DECLARATION I hereby atfirin 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 7C31 -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 he permit to file a signed statement that 11e or she is licensed pursuant to the provisions of the Contractors State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 subjacts 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 U all of or U portions of the work, and the Structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovemants 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 mproved for the purpose of sale). '1 I, as owner of the properly, 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). El 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 SOP a struefum that I have built as an owner -builder if it has not been constructed 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 application is submitted or at the following Web site.http:liwvnv.legin€o.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent .f„__._____�______ .�,,.___.__...�._��,._ Date LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 U of Dwision 3 of the Business and Professioys Code, an my is In full force and effect. License Class License No Date _l Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSANO DOLLARS ($100,000), IN ADOrrION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and wilt 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 th pe formance of the work for which this permit is issued. Policy No. II 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' compeesatiol Insurance carrier and policy nu nber aro' ,J) U Carrier��',W1 t'+ � /�Q' fT]fY�(LPolicy Number 10Z/'7 OA Expiration Date (/ off✓ Name of Agent /f�4 Phone # 0( 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 agre that, 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 DECLARATION REGAA N R IQIV LENbING AGENCY �— I 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 3097, Civil Code). Lender's Name Lenders Address By my signature below, I certify to each of Via 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 county ordinances and state laws relating to building construction. I authorize representatives of ,his city or Country to enter the above/-idenliified property for inspection purposes. /J�- 71r',-,/ G/)� Signature of Proparty Owner or AI thonzLd Age nt / Print Property Owner's or Authorized Agent's Name ('f/L�// /l %Sfj% Date O /f ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL l FOR OFFICE USE ONLY REGLRA"rIONS PART 61 OF TITLE 40 AND AQP, RULF. ' I ' ! LJ I SURtAITTFD ASBESTOS NOTIFICATION TO PERN7TEXTENDED 4 LJAQMD ..._...... __...__.. ... �.LL____._. _.:_e__..... __:..yyam� _. . .....__.__...___._...._.__. PER1b1IT FINAL '� 4�(a�'�: \� JqI ASBESTOS NUIIEICAtTON I'5 NOT APPLICABLE TO CERTIFICATE OF Ic r �J PROPOSCD DEMO�IITIO�PI OCCUPANCY ISSUED I I SIGNATURE:`/�