HomeMy WebLinkAboutXR2023-0748 - Permits�EWPO,gT City of Newport Beach
Community Deveoment Department- Building Division
100 Civic Cen r Drive, Newport Beach, CA 92660
`4 Permit Counts Phone: (949) 718-1888
O =
newportbeachca.gov/clvic
Cq<rFe0.N�P Combination Type - SFP ELEC MECH PLUM
Work Class Alteration
PERMITS
NO CONSTRI
Job Address: 21 COAST
Description : SFR - INTI
Owner: JONES KENN
Address: 21 COASTAL
NEWPORT C
Phone:
Applicant: KAVEHARBAE
Address: 878 W 6TH ST
SAN PEDRO, (
Phone : (412) 559-9891
Owner/Builder
Address :
Phone
Code Edition : 41
Type of Construction : V
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone : P
PROCESSED BY:
SPECIAL CONDITIO
COMB Permit : XR2023-0748
X R 2 0 2 3 0 7 4 8
Plan Check No: PC2023-0619
Issued Date : 07/1812023
Final Date:
Permit Status: Issued
Inspection Area : 6
180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL lbbUANa. w^ -
RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Legal Desc : N TR 16464 BLK LOT 65
OAK
AND MINOR MODIFICATION TO ROOF
DR REMODEL 650
SF
Contractor: OZ-ARI DEVELOPMENT GROUP INC
H L TR
Address : 777 W 19TH, W
`K
COSTA MESA, CA 92627
ST, CA 92657
Phone: (949) 698-3148
Con State Lic : 1098574
Lic Expire : 11/3012024
Bus Lic: BT30082114
Bus Lic Expire : 07/31/2024
8,90731
Workers' Compensation Insurance
Carrier:
Policy No: EXEMPT
W. C. Expire:
- Newport Coast
V ItK1-
Fire Sprinklers :
NO
Fire Hazard Zone :
YES
No of Units :
1
No of Stories :
2
Architect
Address
Phone :
State Lic
Engineer
Address
Phone:
Designer:
Address
Phone :
WONG ARIV NATHANIEL
180 S PROSPECT AVE #1 °0
TUSTIN,CA 92780 ,,-
(714) 838-9898
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$100,000.GG
0
650
0
0
I hereby affirm und
(Sect1.5, Ber penalty Of pelluryihat I am exempt from the Contractors' Slate License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s)
ion 703usiness and Professions Code: Any city or county that requires a permit to c0r slruct, 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 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 Iieensure 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).
11 I as owner of the property, or employees with wages as sole compensation, will do
Susiness end Professions Code: Thehe Contractors' State License Law does not aL) all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Law to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements 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 hunt or
improved for the purpose Of sale).
El
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
❑apply to an owner Of property who builds or Improves thereon, and who contracts for the projects with a iicensed Contractor pursuant to the Contractors' State License Law).
I am exempt from kcensure under the Contractors' State License Law for the following reason: By my signature below t acknowledge that, except for my personal residence in which I must have resided For at least oRa year pdor to completion of the improvements covered b this armit I _ ,
sell a structure that I have built as an owner -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 Web site:http://www,taginfo.ca.gov/calaw.hfml, y p cannot 1ege11,
Signature of Property Owner or Authorized Agent ____� _
LICENSED CONTRACTOR'S DECLARATION —_ —" — Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f f fission 3 of the Busin sand Professions Codafull force
, •
and effect. License Class License No Gs In
NORKERS' COMPENSATION DECLARATION Contra Signature
YARNING: FAILURE TC LE:JRE :DST OF CDMPENSARONWORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU O DOLLARS (5100,000j, IN ADDITION TO THE
. DAMAGES AS PROVIDED FOR IN SECTION 3T08 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE,
hareby affirm under penally of perjury one of the following declarations:
..t I have and wIf 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
er' rmance of the work for which this permit is issued. Policy No.
ve and will and
Poan 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' compensatio
Wrrnca. carrier and poll :y number are:
arrier Policy Number
nmZf/$)�aht Expiration Date
If Chat, in the performance of the work for which this It' rs issued, I shall not em to an Phone If
iz f 1 st.ould becum ublect to the workers' e employ y person in any manner so as to become subject to the workers' compensation laws of California, and agre
'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 7
EC'i -'if Appl a x _ __ �./�/Zt
ECi bPATtGN PECAR4`ING CONST DING AGENCY Date —=r—! )'
T Ideby affirm unuer penalty of peryu hat there is a construction lending agency for the performance of the work for which this permit is issued (Sactlon 3097, Civil Code).
my signature
mama 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 correct. I
I agree to comply will' all applicable city and county ordinances and slate laws relating to building construction. % A I authorize representatives of this city county to enter the ab r
iature of Popert Owner or Author A ant. hfied.ffrif 'for inspection purposes. !
Print Pro ert. ()Yana..
DATE By DECLA PLIANCE WITH CO1.DE OF FEDERAL
ft ATIONS PART 61 OF TITLE. 40 AND ACLWD RULE
EXPIRED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCyi55UED
FICATION
M NOTI FICA NON 15 NOT APPLICABLE TO
DEMOLITION — 1 _
FOR OFFICE USE ONLY
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