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Home My WebLink AboutXR2024-0252 - PermitsaEwPoRT City of Newport Beach IIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIII IIIII I II COMB Permit : XR2024-0252 D� Community Development Department- Building Division X R 2 0 2 4 0 2 5 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0210 Permit Counter Phone: (949) 718-1888 Issued Date : 01/31/2024 r newportbeachca.gov/civic Final Date: ' Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection 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 : 1433 KEEL DR Legal Desc : N TR 6634 BLK LOT 73 Description: SFR REMOVE REAR INTERIOR FIREPLACE AND EXISTING DOOR AND REPLACE W/BI-FOLD DOOR SYSTEM Owner: IBRAHIM DUSI Address : 1433 KEEL DR CORONA DEL MAR, CA 92625 Phone Applicant: KARIMBARAY Address : 15375 BARRANCA PKWY, STE 106 IRVINE, CA 92618 Phone : (714) 724-1902 Owner/Builder : Address : Contractor: MILEY HOME IMPROVEMENT Address : 18543 YORBA LINDA BLVD, STE 365 YORBA LINDA, CA 92886 Phone : (949) 533-7538 Con State Lic : 875796 Lic Expire : 04/30/2024 Bus Lic: BT30083520 Bus Lic Expire : 01/31/2025 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire : Phone: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 1 _ Building Setbacks,: Front: 6, Side: 6, Side: 6, Rear: 6 Frood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: V ) SPECIAL CONDITIONS: Architect: GEOFFREYFARNSWORTH Address: 25 MAUCHLY IRVINE, CA 92618 Phone: State Lic : C013992 Engineer: DONG TRUONG Address : 10692 SILVER CIR GARDEN GROVE, CA 92843 Phone: (714)204-2874 Designer Address Phone : Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : $20,000.00 0 0 0 DECLARATION t hereby affirm under penally 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) 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 to permit to file a signed statement that lie or she is ilSensed pursuant to the previsions 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 ficensure 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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-Suilder will have the burden of proving that It was not builtor 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legal] ell a structure that I have built as an ow -or -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 professions Code, is available upon request when this application is submitted or at the following `A'eb site:http:llwww.leginfo.ca,govlcalaw.html. .ignature, of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peq'ury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o II ist{ $ Qf�t�e Business and Prafessio e. if FIR Be is In full force no effect. License Class License No Date /�/�ldG ontractor Sianature / WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU846CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS t6100,000j, IN Auvell 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 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 Brformance of the Work for which this permit is issued. Policy No. 11 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' eompensetior Isurance carrier and policy number are: arrler Policy Number Expiration Date ramme of Agent Phone # It, sa*fy that, inthe performance of the work 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 agree tat, if I should become tp-cl to the workers' compens• III of Section 3700 of the Labor Code, I shell forthwith comply with those provisions. ignature of Appli Date Cn3 AO ATIR\I ClA GM1IAII'� Pl1AICT01lI^TI,Y\F ! CNI YtI \I!A ,�\I/V 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). _tinder's Name _ Lenders Address 3y 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 Trances and state laws relating to building construction. 1 authorize representatives of this city or county er the above -identified property for inspection purposes. 3i nature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Nam pate —Z I/- Za r.( ACTION I DATE I By 7 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL II FOR OFFICE USE ONLY REGULATIONS PART 61 of TITLE 40AND AONID RULE 1403 PERMIT EXPIRED PERMiTCANCELI PERMIT EXTENDI remwl PINAL F=ASBESTOi ICA I'[ON 15 NO] APPLICABLE To CERTFIFI OCCUI LATE QE �I r — PROPOSF.fT' OLITIOPI OCCUPANCy l55UED `� f% SIaNA R w�