HomeMy WebLinkAboutXR2023-2272 - Permits�gWPO,?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-2272
Community Development Department- Building Division X R 2 0 2 3 2 2 7 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1994
Permit Counter Phone: (949) 718-1888 Issued Date : 11/17/2023
newportbeachca.gov/civic Final Date:
Cq<tppRN\P Combination Type - SFP ELEC Permit Status: Issued
Work Class - Alteration Inspection Area : 8
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 : 200 KINGS PL Legal Desc : N TR.1219 BILK , D.LOT 8
Description: SFR ALT (E) 112 SF OF GARAGE STORAGE ROOM.
Owner: ZACK IRANI-COHEN
Address : 200 KINGS PL
NEWPORT BEACH, CA
Phone: (949)903-3339
Applicant:
EDGAR ESPARZA
Address :
15882 SULPHUR SPRINGS
MORENO VALLEY, CA 92555
Phone:
(562) 965-4771
Owner/Builder:
ZACKIRANI-COHEN
Address :
200 KINGS PL
NEWPORT BEACH, CA
Phone:
(949)903-3339
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Building Setbacks: Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: R/I — `
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone:
State Lie
Engineer: THANH P HUYNH
Address: 2447 W GREENBRIER AVE
ANAHEIM, CA 92801
Phone:
(949)466-7857
Designer :
EDGAR ESPARZA
Address :
15882 SULPHUR SPRINGS
MORENO VALLEY, CA 92555
Phone:
(562)965-4771
NO Construction Valuation :
$15,000.00
NO Added/New/TI sq. ft. Bldg :
0
1 Alteration sq. ft. Bldg :
112
2 Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
SPECIAL CONDITIONS: LANDSLIDE & LIQUEFACTION ZONE rn
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 cherkmark(s) 1 have placed next to the applicable ttem(s)
(Section 7031.5, Business slid 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 fife 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 licensors 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 Density of
not more than five hundred dollars ($500):
rl 1, as owner of the property, or my employees with wages as their sole Compensation, will do L) 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" Stale 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 Cr offered for sate. 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),
❑ 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),.
L_t I am exempt from licensure under the Contractors` State License Law for the following reasons
By my signature below I acknowledge that, except for my personal residence in which I must have resided far at least one year prior to completion of the erprovemants covered by this permit, I Cannot legall
sell a structure that I have built as an owner-bulldor if it has nqt been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and
Professions Code, is available upon request when this applf is submitted or at the following Web site:http.fiwww.leginfo.ca.govtcalaw.htmi.
Signature of Property Owner or Authorized Agent _ Data '-��
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed un ons of Chapter 9 Icommencing 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
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDRION TO THE
'.OsT OF COMPENSATION, OAMi AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CORE, INTEREST, AND ATTORNE'Y'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a Certificate of consent to selWnsum for workers` compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for OR
erformance of the Work for which this permit is issued. Policy No.
11 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` CDmpensatior
isurance carrier and polIcynumberam:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued. I shall not employ any poison 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.
ignatum of Applicant Data
IECLARATIGN REGARDING CONSTRUCTION LENDING AGENCY '® T'
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).
enders Name Lender's Address
ly my signature below, I certify to each of the fbllowmgt
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 count rdinances and slate laws relating to building construction.
I authorize representatives of this city or count r move-idenbfled property for inspection purposes.
ACTION DATE. ' BY I
REATIO i. PARTO6.t OFTNMPLITLE 40 ANf1 AQMD RtACE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PER.AVr EXPIRED 1 LI1_ lU1 uiITTED ASBESTOS NOTIFICATION TO
PERFvN7CANCEiL£D v._ � ���CTtPA
CER
PER,MiTEXT�NDED _ € _�.yC�AOMD_
PERDFICATECIF PROPOSED
OPO EDD ;95
I' PLICABLE TO
OCCUPANCYISSUED5GNFATURE.