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Home My WebLink AboutF2024-0214 - Permits�gWPp,Qr City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� - COM�,p�-mit F��.-�214 Community Development Department- Building Division F 2 0 2 4 0 2 1 4 �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Ch6ck,N6 :�0604-2022 ' ? Permit Counter Phone: (949) 718-1888 Issued Daate': 05103/2024 newportbeachca.gov/civic Final Date: cg4roaN`P Combination Type - SFP Permit Status: Issued Work Class - Addition/Alteration InspectiDn Area : 6 ' 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 (X2022-0687) Owner: JAFARI MEHDI TR JAFARI & TAHARI TR Address: 23 CANYON PEAK NEWPORT COAST, CA 92657 Phone : (714) 392-1271 Applicant: JAFARI MEHDI TR JAFARI & TAHARI TR Address: 23 CANYON PEAK NEWPORT COAST, CA 92657 Phone: (714)392-1271 Owner/Builder : JAFARI MEHDI TR JAFARI & TAHARI TR Address: 23 CANYON PEAK NEWPORT COAST, CA 92657 Phone: (714)392-1271 Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: 2022 V-B R3 X PC - Newport Coast PROCESSED BY: PL SPECIAL CONDITIONS: Legal Desc : N TR 16461 BLK LOT 55 Contractor: OWNER/BUILDER Address : Phone: Con State Lic : OWNER/BUILDER Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: EXEMPT Policy No: 0000 W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : YES No of Units : 1 m � r 0"% No of Stories : 2 Architect: JONSSONJEFFREY Address : 946 CALLE AMANECER #C SAN CLEMENTE, CA 92673 Phone: (949)412-3055 State Lic Engineer: Address Phone: Designer: Address Phone: Construction Valuation : $591,493.40 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 I hereby affirm under penalty of perlury`list I am exempt ,,"rorn VO Contractors' Slate 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 Profr Fsiens Code: Any eay Dr eoun'y 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 liconscd put suant 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). ❑ I, as owner of the property, cr my cmplorees with .vages as th3 r:3oln compensation, will d0 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code the Contractors' Strte '_icenee Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the vemenIs are not Intended ur ofte,sd 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 Im d for the purpose of sale). 1, s owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). , I 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 forat least one year prior to completion of the improvements Coven all a structure that I have built as an owner-buildor if it has not been constructor in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:/lwww.ieginfo.ca.govlcalaw.htmi. .ignatum of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penav pf perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Pr esslop� , and myJ�ceReei isnr full farce nd effect. License Class X License No Date Contractor Signature- /1 / / / PORKERS' COMPENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES 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. hereby affirm under penalty of perjury one of the following declarallons: ] I have and will maintain a certificate of consent to seiNnsure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth, erformance of the work for which this permit is issued. Policy No. his permit, I cannot of the Business and 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 Expiration Date of Agent It Certify that, in the performance of the woAlor which this permit is issue I_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 become subject t hew rs' ompen ovisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. ignature of Applicant,_ Data�� DECLARATION REGAR G LIC N LENDING AGENCY hereby affirm under penalty of perjurytha ere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade). 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances d afe laws relating to building construction. I authorize representatives of this city or countYto�enter /�/t7,�' property for inspection purposes. (t ,t _, lonature of Prooertv Omer or Authorized Aaent X !/ / U F Print ProDertv Owner's or Authorized Aaent's Name�Jl t`�Ut�i � (•' /Ti-GJ� �B'a //Z- / ACTION DATE BY I DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF T€YLE40 AND AQMD RULE i 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED MEPA PEAYfrT fXTENDED r OMDPERMfTFINAL I/ / NO ILITION ION IS NOT APPLICABLE t0 CERTIFICATE OF ZOZ/ lief j PROPOSED DEMOMASBESTOS OCCUPANCYfSSUED i SIGNATURE: