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Home My WebLink AboutXC2022-2014 - Permitsa�wPOR� City of Newport Beach C Community Development Department- Building Division m 100 Civic Center Drive, Newport Beach, CA 92660 u = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqC/pppP�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit : XC2022-2014 Plan e laCheck o o /20222022-2559 Inspection Area : 7 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: 343 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 3 Description: COMM -ILL WALL SIGN FOR "NEIGHBORHOOD GOODS" Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone Applicant : Gevorg Hambardzumyan Address : 3520 Valhalla Dr Burbank, CA 91505 Phone: (818)290-3269 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height : Building Setbacks : Flood Zone: X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Contractor : Gevorg Hambardzumyan Address : 3520 Valhalla Dr Burbank, CA 91505 Phone: (818)290-3269 Con State Lic : 1053708 Lic Expire : 05/31/2023 Bus Lic : BT30072976 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: HARTFORD CASUALTY COMPANY Policy No: 76WEGAG6BRF W. C. Expire : 6/1/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories Architect Address: �>>" Phone: State Lic Engineer: Address Phone: INSURANCE Designer: GevorgHambardzumyal " Address : 3520 Valhalla Dr Burbank, CA 91505 Phone : (818) 290-3269 Construction Valuation : $1,500.00 Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 h e A%"r-"* • "., � 1� FriE_ > 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 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, 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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. 11, 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). 0 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), 0 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 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 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:li, w .leglnfo.ca.govlcaiaw,html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that, am licensed under provisions of Chapel 9 (commencing with Section 7000) of Division 3 o the Business and Profee� nns G.9cje, a y license is in full force and effect. Licen.-c C!ais P 4 License No 4fI �0 0 Date LSD//.�/� Contractor Signature �/� WORKERS' COMPENSATION DECLARATION ✓YARNING;-AILURE SO SECU.IE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). {N AODnION TO THE COST OF CCMPENSAt,b N, UAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEYS FEES. I I,eruby 6ffirm under penalty of perjury one of the following declarations: El I ha,-e and v I 'ni'-,!Rin 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 (lit rrpkD,rrrTo'//drance of the work for which this permit is issued. Policy No. Ya;_ and wll: ma;ota;n 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' compensatior 1 rnrce carrier d p ticyjnumber are: C.-r-* !,-IAII f// _.,lk4& 20 eZ II Policy Number M whFa kv 6 131) 1z Expiration Date Nzme of Agent _ Phone d iy that, in the pPrformance 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 workerscompensation laws of California, and should become subtectM the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wrath those provisions. of Applies Date _ 10 .Z .2 CLARATION REGARDING CONSTRUCTION LENDING AGENCY =reby 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). idler's Name Lender's 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 provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city, or county to en e-identified property for inspection purposes. � mature of Property Owner or Authorized Aaenl;i: Print Procertv Owner's or Authorized Acent's Name/C -- ACTION DATE. OY / € DEAARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY � I/ REGULATIONS PART 61 DF TITLE 40 AND AQNID RIJ I, 1403 PERMIT EXPIRED k1ZJ I SUBMITTED ASBESTOS NOTIFICATION TO PE.RA7IT EXTENDED PERMIT FINAL ORTIFI ATE OF ISSUED t PROPOSED EMOUT CATION ISN T PPLICAtitE TO