HomeMy WebLinkAboutXR2024-0527 - Permits�EWPORT City of Newport Beach II II IIIIIIII I IIII IIIIIIIIII IIIIIIII I III II COMB Permit : XR2024-0527
D4 @ Community Development Department- Building Division X R 2 0 2 4 0 5 2 7
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1335
O r+2+ = Permit Counter Phone: (949) 718-1888 Issued Date : 03/05/2024
« newportbeachca.gov/civic Final Date:
c9��FOAH�P Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area :4
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: 2 SEABLUFF Legal Desc : N TR 15478 ELK LOT 36 TRACT NO 15478 LOT 36 FOR OF
Description: SFR - INTERIOR REMODEL. *CHANGE OF DESIGNER'
Owner: REZATORKZADEH
Contractor: OWNER/BUILDER
Architect:
Address : 2 SEABLUFF
Address :
Address
NEWPORT BEACH, CA 92660
Phone : (949) 698-8087
Phone :
Phone
Con State Lie: OWNER/BUILDER
State Lie:
Lie Expire
Applicant: REZA TORKZADEH
Bus Lie :
Engineer : KHANSA EYASS
Address : 2 SEABLUFF
Bus Lie Expire :
Address : 2252 JOSIE AV
NEWPORT BEACH, CA 92660
LONG BEACH, CA 90815
Phone : (949) 698-8087
Workers' Compensation Insurance
Phone : (562) 508-3037
Carrier :
Owner/Builder : REZA TORKZADEH
Policy No:
Designer : BRIAN SCOTT
Address : 2 SEABLUFF
W. C. Expire :
Address : 962 N HARWOOD STREET
NEWPORT BEACH, CA 92660
ORANGE, CA 92867
Phone: (949)698-8087
Phone: (562)964-1272
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
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 : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone: PC - Bonita Canyon
' °a
PROCESSED BY: KM
— M
SPECIAL CONDITIONS:
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)
'action 7031.5. Business and Professions Code: Any city or county that requires a point to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
to 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
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 subjects the oppleantto a civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 properly, 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).
1 1, 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
pply, 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).
I I am exempt from Bcensure under the Contractors' Slate License Law for 01e following reason
ly my signature below i acknowledge that, except for my personal r sidence in which I must have resldod for at least one year prior to Completion of the improvements covered by this. permit, I cannot legall)
all a su uctura that I have built as an owner-buildor if it has not 3hpein died in its entirety, by liconsad contractors. I understand that a copy of the applicable law, Section 7044 0 the usinoss and
'rofessions Code, is available upon request when this appli, n's s Mad orat the following Web site: http:liwww.leginfo.ca.govIcalaw.html.
,gnature of Property Owner or Authorized
.ICEN.SED CONTRACTOR'S DECLARATION _
hereby affirm under penalty of perjury that I am titans der is ens of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, andmy license is in full force
and effect. License Class License. No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE M/OR%ER9' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADCRION TO THE
DST OF CCMPENSAT[CN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FERS.
hereby affirm under penalty of perjury one or the following declarations:
I I have and will 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
erfornance 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:
Policy Number
Date
is of Agent Phone fF
certify that, in the performance of the work for which this permit is issued'., I shall notemploy any person 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.
nature of Applicant.__... _.. Date
OLARATIQN REGARDING CONSTRUCTION LENDING AGENCY
3reby 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).
tder's Name Lender'sAddress
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.
1 have read this application and the information I have provided is correct.
agree to comply with all applicable city and cowiry ordi es a late ws relating to building.. construction.
I authorize representatives of this city or county toe d e-I ntified property for inspection purposes. �J '�
,mu[ra of Pronary Owner or Authorzed Aoenh s� ? ?�_/%f Print Property Owner's or Authorized Adent's Name Data) Z
DATE BY - �WLA,'AT€ORCT' COMPLIANCE WITH CODE Or FEDERAL I FOR OFFICE USE ONLY
i RF.GL((LATION5 PART St OFTITLE 40 AND AQNID BUTE
PERMIT EXPIRED LJI LUBMITTEO ASBESTOS NOTIFICATION TO
PERMIT CA.NCFUED
PERMIT FINAL I %i�lZlN J1 ff Z_--r f I ASBESTOS NOTIFICATION ISN 7APPCICABLE 'I'O
CERTIFlOATE OF J II II' ///� PROPOSED DEMO TI P
dlGNATURE OCCUPANCY ISSUED ;_