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Home My WebLink AboutF2023-0087 - PermitsCity of Newport Beach �aEWPoRr Community Development Department- Building Division n100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 *s. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other F 2 0 2 3 0 0 8 7� II COMB Permit: F2023-0087 Plan Check No Issued Date : 03/06/2023 Inspection Area : 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 : 23 CANYON PEAK Description : SFR FUEL MOD Owner: JAFARI MEHDI TR JAFARI & TAHARI TR Address : 23 CANYON PEAK NEWPORT COAST, CA 92657 Phone : (714) 392-1271 Applicant: JONSSONJEFFREY Address: 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3955 Owner/Builder : JAFARI MEHDI TR JAFARI & TAHARI TR Address : 23 CANYON PEAK NEWPORT COAST, CA 92657 Phone : (714) 392-1271 Legal Desc : N TR 16461 ELK LOT 55 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone: X Use Zone: PC - Newport Coast PROCESSED BY: ;l� SPECIAL CONDITIONS: REV2023-0298 Architect : JONSSON JEFFREY Address : 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3955 State Lic Engineer: Address : `• Phone �^^X Designer Address Phone NO Construction Valuation : YES Added/New/Tl sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law tot the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Bection 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 to permit to file a signed statement that ha ar 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 lieensure 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 ($SDO). 1 I, as owner of the properly, 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 f Saction 7044, testes 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 thepurpose of sale). 3 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 .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 licensers under the Contractors' State License Law for the following reason!— y my signature below I acknowledge that, except for my personal rasidence in w I must have resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legally oil a structure that I have built as an owner-buildar'P if s not hoes, u m i entire Icenso inn rs. understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request when pphcaiion is r a the awing INeb site:http:/t, .leginfo.ca,govlcelaw.htmi, t[gnaturo ENS of Property Owner or Authorized Agent — — ---- Da .ICENSEO CONTRACTOR'S DECLA'..RATIO hereby affirm under penalty of perjury that I am licensed under provisions of ZIP at 9 (commencing with Section 7000) of Division 3oi the Business and Professions Gdde, niS my license is In full force ,no effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION iARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. of THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �htereby affirm under penalty of perjury one of the following declarations: „A 1 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 Cade, for th erformance of the work for which this permit is issued. Policy ND, have and will maintain workers' compensation insurance, as required by Section 37CO 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 Expiration Date of Agent �I certify that, in the pelljormarce the work for w �Ch 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 agre tat, if I should becoEulp_,ac�CDXN�SURUCTIO er' c ensati-Ixwtstons-of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 ignature of AppllcaDate ECLARATION RENDING AGENCY 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, ivil ode). enders 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. 1 have read this application andthe information I have provided is correct. I agree to comply with all applicable city and co y rdinances and state caws relating to building construction. I authorize representatives of this city or bounty, to ter ty`�/�/mv d a pro inspection purposes. �/j rtj�/ ianature of Prooertv Owner or Authorized Auant U // /� Print Property Owner's or Authorized Aoents Name X /' �"f 3� z�"7 Date /1 31L1L DATE I BY " I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPfRED PERMIT EXTENDED WA CERTIFICATE TE ERTIFICF1CA7E OF OCCUPANCYi55UED REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE 1403 ll SUBMI-,7 E.) NOTIFICATION TO LJASBESTOS NOTIFICATION IS NOT APPUCABL£: '10 PROPOSED DEMOLITION 6fGN�JURL _L