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Home My WebLink AboutXR2022-2204 - Permits��gWPpRT City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgG�Fppt��P newportbeachca.gownspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration ��III��III�IIII11111111111111111111111111111111111COMB Permit : XR2022-2204' Plan Check No : PC2022-2041 Issued Date: 12/01/2022 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 : 1811 NEWPORT HILLS DR E Legal Desc : N TR 7031 BLK LOT 54 Description: SFR ADD 171 SF TO LOWER FLOOR DINING & KITCHEN/REMODEL KITCHEN, FAMILY RM, DINING RM, PANTRY & BED 1, 955 SF * NEW ROOF Owner: GRANT & WHITNEY SHIFFLETT Contractor : Chane Zarif Architect Address : 1811 NEWPORT HILLS DR E Address : 25561 Adriana Address NEWPORT BEACH, CA 92660 Mission Viejo, CA 92691 Phone : (310) 595-6904 Phone : (949) 742-9966 Phone Con State Lie : 836849 State Lie Lie Expire : 06/30/2024 ' • , Applicant : Chane Zarif Bus Lie: BT300066346 Engineer : VENTOCILLA JOSE ' Address : 25561 Adrian@ Bus Lie Expire : 03/31/2023 Address : 24636 CRESTA CT Mission Viejo, CA 92691 LAGUNA HILLS, CA 92653 . Phone: (949) 742-9966 Workers' Compensation Insurance Phone: (949) 910-0942 Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No : 9161554 Designer : OSCAR ALMENDAREZ Address : W. C. Expire: 6/25/2023 Address : 31234 W NINE DR LAGUNA NIGUEL, CA 92677 Phone: Phone: (951) 990-4834 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $106,615.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 171 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 955 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 171 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: t 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 placednext to the applicable fiem(s) Section 7031.5, Business and Professions Code: Any city or county that requires permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 foommencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt. from Ecensure 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 of more than five hundred dollars ($500). 3 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 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 huff 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensors under the Contractors' State License Law for the following reason: ly 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 all a structure that I have built as an ownor-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 'rofessions Code., is available upon request when this application is submitted orat the following Web site:http:(lwww.leginfo,ca.gov/caiaw.html, signature of Property Owner or Authorized Agent _ Date ACENSED CC-10TPACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section,7000 0 Of isiotl 3 of the Business and Professions ,o e, anti license is In full force rd ,f`cct. L'tce),se Cl:iss License No Datar �l Z L Contractor Signatur PORKERS' COMPENSATION DECLARATION AR'JNG. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO' ONE HUNOREO THOUSAND DOLLARS f5400,000/, IN ADOrrION TO THE DST Jr COMPEN'SATPPI, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hi�tereby affirm unriorpsnalty of perjury one of the following declarations: .1�7ave and wi,l mafhtafrt a certifica€e 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 thi aoum ante of the work for which this permit Is issued. Policy No. AlAve 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` compensanior tsurnnce carrier a,id ouiOy number are: :arrier Policy Number Expiration Date 1, me of ",gent _ _ _ Phone IT 3 certify that, in the performance of the vfprk 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 egret rat, if I should become supjec t the wo ts' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant t7` Data,'-,121 ( I Z L Ireby 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). Ider'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 ract c I agree to comply with all applicable city and county ordiMnces an tans laws relating to building construction. I authorize representatives of this city or county to ente Ithli �bo act property for inspection purposes. ACTION DATE. BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY tt REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXTENDED PERMIT FINAL CERVI'iCATE OF OCCUPANCY ISSUED I SUBMITTED A5BFSTOS NOTIFICATION U ASBESTOS N19T1FICAflON15NOTAPP€ICABLE TO PROPOSED DEA 0ET SIGNATURE;