HomeMy WebLinkAboutXC2023-0293 - Permits�EvvPoR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U23-o293
C� Community Development Department- Building Division X C 2 8 2 3 0 2 9 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1867
uy Permit Counter Phone: (949) 718-1888 Issued Date : 12/12/2023
rn. newportbeachca.gov/civic Final Date:
CqC/F00.N\P Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 6
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 : 2350 FORD RD
Description: COMM (N) 391 SF ATTACHED PATIO COVER
Owner: MIRK REAL PROPERTIES LLC
Address : 2350 FORD RD
NEWPORT BEACH, CA 92660
Phone
Applicant:
JAMIE ALVAREZ
Address:
410 BROADWAY ST, 130
LAGUNA BEACH, CA 92652
Phone:
(949)813-5970
Owner/Builder
:
Address :
Phone
Legal Desc : P BK 302 PG 11 PAR 2 P.M. 302-11 PAR 2 POR OF PAR
Contractor:
OCEANLINE BUILDER INC
Address :
PO BOX 1808
LAGUNA BEACH, CA 92652
Phone:
(949)813-5970
Con State Lic
: 1060307
Lic Expire :
11/30/2025
Bus Lic:
BT30082287
Bus Lic Expire : 08/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: EXEMPT
W. C. Expire :
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone : AE - FLOODWAY; X
Use Zone : PC - Bonita Canyon
PROCESSED BY: y `I
SPECIAL CONDITIONS:
Architect:
BOORBOORMEHDI
Address :
24368 EL PILAR LAGUNA NIGUEL, CA
92677
Phone :
State Lic
Engineer: RASTEGARI ESMAIL
Address: 1150 E ORANGETHORPE #111A
PLACENTIA, CA 92870
Phone: (714)993-2412
Designer:
Address :
Phone:
NO Construction Valuation :
$25,000.00
NO Added/New/TI sq. ft. Bldg :
0
0 Alteration sq. ft. Bldg :
391
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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, dernofish, Or repair any structure, prior to its issuance, also requires the applicant for
ie 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
Irofessions Code) or that he or she is exempt from ticensurs and the basis for the alleged exemption. Any violation of Section 7051.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500),
1, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or L portions of the work, and the structure is not intended or offered for sale (Section 7044,
.usiness 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
nprovements 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
nproved for the purpose of sale).
3 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
poly to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
I 1 am exempt from licensure under the Contractors' State License Law for the following reason
,y 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 0mprovements covered by this permil, I cannot logail}
oil a structure that I have built as an ownar-builder it 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
'rofessions Code, Is available upon request when this application is submitted prat the following Web site:http:iiv,Mnv.leglnfo.ca.gov/calav+.html,
ignature of Property Owner or Authorized Agent .......... Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Dfvis' n 3 of the Business and Prot 'ons C license is in full force
nd effect. License Class License No Date ,2'/0"1'� Contractor Signature
WORKERS' COMPENSATION DECLARATION
ARNING: 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;000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TDB OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers corrpensahian. 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.
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"
ranee carrier and policy number are:
s of Agent
ariify that, in the performance
if I should becomensusubj �
2lure of Acolicant ���_
Policy Number Expiration Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 4114 — --Z-3
hereby affirm underpenalty 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 haloes, 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 provided is correct.
I agree to comply with all applicable city and c a cos and slate laws relating to building construction.
1 authorize representatives of this city or coun t he tx -Identified property for inspection purposes. r'
signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized ACent's Na
ACTION t DF.CLARAION OF COMPLIANCE WITH CODE OF FEDE
( DATE k BY q REGULATIONS PART 51 OF TITLE 40 AND AQNIO 0.Ul.F.R'tt FOR OFFICE USE ONLY
PERMi7'EX➢.FED I I L II SURrATTFO ASBESTOS NOTIFICATION TO
PERM1r CANCEIlEt. i
.. .... i..._.. EPA
➢ERN1T FXTENDED
IIA4M0.._._
PC-ReYIl7 F'rNA1 OA5 NO- t1PICAilON 15 N01'APPIICAaI£ 'r0
CERTIFICATE OF OPOSED DEMOLITION
OCCUPANCy155UEf] _ j FIGNATURE;