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Home My WebLink AboutXR2023-0928 - Permits��gWPO/2T City of Newport Beach p Community Development Department- Building Division F t"y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 .r+ Inspection Requests Phone: (949) 644-3255 CgClpppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration IN FF TOR COMB Permit : XR2023-0928 Plan Check No : PC2022-2041 Issued Date : 04/11/2023 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: DELTA 3 REVISION & ADD'L SCOPE TO REMODEL 3 BATHROOMS 278 SF Owner: GRANT & WHITNEY SHIFFLETT Address : 1811 NEWPORT HILLS DR E NEWPORT BEACH, CA 92660 Phone : (310) 595-6904 Applicant: Chane Zarif Address : 25561 Adriana Mission Viejo, CA 92691 Phone : (949) 742-9966 Owner/Builder : Address : Phone Contractor : Chane Zarif Address : 25561 Adriana Mission Viejo, CA 92691 Phone : (949) 742-9966 Con State Lie : 836849 Lie Expire : 06/30/2024 Bus Lie : BT300066346 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9161554 W. C. Expire : 6/26/2023 Architect Address Phone: State Lie Engineer : VENTOCILLA JOSE Address : 24636 CRESTA CT LAGUNA HILLS, CA 92653 Phone : (949) 910-0942 Designer : OSCAR ALMENDAREZ Address : 31234 W NINE DR LAGUNA NIGUEL, CA 92677 Phone : (951) 990-4834 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 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 : 278 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills S�5 ' PROCESSED BY: SPECIAL CONDITIONS: REV2023-0662 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(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 is 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 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 i_) 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 nprovemene 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). 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 ppty 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 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 aI least one year prior to completion of the improvements covered by this: permit, I cannot legally ell a structure that I have built as an owner-buildar if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 ofthe Business and 'rofessions Code„ is available upon requestwhen this application is submitted or at the following Web site:http:/Iw w.leginfo.ca.gov)calav+,btml, .ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am ficensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessiorACode, nd. try ucenseis In full force ndeffect. License Class License No Date `(rll(Z3 Contractor Signature / VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 19100,000j,1N ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 114 SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent (D self -insure for workers' compensation, 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' rance carrier and policy number are: Policy Number of Agent Phone # Date 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 suWt to t400rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 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). endei s Name Lender's Address y 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 state laws relating to building construction. I authorize representatives of this city or county ntefr a above -identified property for inspection purposes. tynature of Propertv Owner or Authorized Agent Print Property Owner's or Authorized Auent's Name P_Na r)Z� -ZA12e f A'TION- DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ltl REGULATIONS PART 61. OF TITLE 40 AND AQMD RULE 1403 NRM, r EXPIRED L.I I SUBMITTED ASBESTOS NOT1 FICATION TO Ptn M,r CANCELLED LIEPA PENYFIf EXTENDED QMD -fI P I 1IT FWAL CERrIFICAFE Of ! "ter .7/�� / .✓l! ASBESTOS NOT IFIC "KIN 15 NOT APPLICABLE TO PROPOSE00 OLITI riCCiJ✓r.NCYISSUED 1i1 i ///""""fff""" I SIGNATURE; Date 1111123