HomeMy WebLinkAboutXR2023-3366 - Permits (3)EWPOR City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive. Newport Beach, CA 92660
...,,..„ Q Permit Counter Phone: (949) 718-1B88
newportbeachca.gov/civic
Forv� Combination Type -SFP
Work Class - Alteration
COMB Permit : XR2023-3366
Plan Check No : PC2023-0262
Issued Date : 11/28/2023
Final Date:
Permit Status: Issued
Inspection Area : 3
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 : 20071 CYPRESS ST Legal Desc : P BK 338 PG 29 PAR 1
Description: SFR ALT R/R 38 WINDOWS (SAME SIZE AND LOCATION) AND STUCCO PATCHING
Owner: KHYBER & TANYA ZAFFARKHAN
Contractor : PROJECT BLUE CONSTRUCTION
Architect
GROUP
Address : 20071 SW CYPRESS ST
Address : 2802 N PRESTON STREET
Address
NEWPORT BEACH, CA 92660
ORANGE, CA 92867
Phone: (310)990-2010
Phone: (714)473-4409
Phone:
Con State Lie : 1099867
State Lie
Lie Expire : 12/31/2024
Applicant : PROJECT BLUE CONSTRUCTION GROUP
Bus Lie : BT30083103
Engineer
Address : 2802 N PRESTON STREET
Bus Lie Expire : 11/30/2024
Address
ORANGE, CA 92867
Phone: (714) 473-4409
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No : 9344418
Designer
Address :
W. C. Expire :. 12/8/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$98,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone : X
Use Zone: SP-7 - Santa Ana Heights Specific Plan
�S
PROCESSED BY:
SPECIAL CONDITIONS:
[hereby afflun under penalty of perjury that P am exampt frorn the ContractorsSlate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s),
(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 for a permt 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 wages as their sole compensation, will do (_) all of or f_.) 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, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or
imnmproved for the purpose of sale).
h.a I, as owner of the property., am exclusively contracting with hoensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to. the Contractors' State License. Law).
0 1 am exempt from Ncensure under the Contractors' Slate 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 legall:
sell a structure 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:liwwv✓,leginio.ca..gov/calaw,html,
Signalure of Property Owner of Authorized Agent Dale __ „_ _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing MIT Section 700 F;FS. " 3 of the Business and Professi�, , e, antl y Ilea n-full force
and effect. License Class License No Dafe K Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFIRES Up TO ONE HUNDRED THO AND DOLLARS( 00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE„ INTEREST, "a ATTORNEYS FEES.
I' hereby affirm Under penalty of perjury one of the following declaratlons:
Ie and will maintain a Certificate of consentto self -insure Tel workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
f lance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is issued. My workers' compensate
trance carrier and policy number are:
Tier Pol' y NunT.ber Expiration Dale
me of Agent 2 Phone 4
certify that, in She perforn4=ofrery
f the rk for w his 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
t, if i should become subjee w rkers' e sa I Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Appleanl _ - Date[
CLARATION REGARD NDING AGENCY
areby affirm under penalty ry that the e a construction looting agancy [or the performance of the work far which this permit is issued (Section 3097, Civil Cl).
rders Name
my signature below, I certify to each of the f lowing:
I am the property owner or authorized to acton the property own s behalf.
I have read this application and the information I have provided' correct.
I agree to comply with all applicable city and county ordinal cc end sta la
I authorize repr-sentatives of this city orcounty to entehi eve-IcfeIie�
1-,ION
DATE I BY
PART Ft
Address
relatin to building construction. A)^ y'n a pid U
Duly for inspection purposes.
Print Properly Owner's or Authorized Aaent's Name
INCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
TITLE 40 AND AQMD RULE
Ell
SUBMITTED ASBESTOS NOTIFICATION TO
PFRMIF CAAi EN FA
L_ LJEPA
PERMIT WEIV DES
_
a_ Mp
rtR�eiT FINAL
.._
2,^22 L'1
.. ..._..__. ___. __ _.—__-
A}eE}TO5 NOFINCAr tN PIE APPLICAR TO
CERTIFICATE OF
jt ( .6, PROPOSED DEMOUT10
CCL'JPANCY ISSUED
SIGNATURE:
Mr_nOMa1r