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Home My WebLink AboutXR2023-1308 - PermitskaEWPOHr City of Newport Beach D @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v l 4 Permit COL nter Phone: (949) 718-1888 a. newportbeachGa.gov/civic C4��F00.N�P Combination Type - SFP Work Class - Alteration PERMITS NO CONSTRI Job Address : 1576 OCI Description : DELTA 5 Owner: DANIELKA Address : 1615 S DEb SALT LAKE Phone: Applicant: MARK GAME Address : 3347 W. Fain Anaheim, CA Phone: (714)797-41: Owner/Builder : Address : 111111111111111111111111111111111111111111111111111111JillCOMB Permit : XR2023-1308 Plan Check No: 0629-2021 Issued Date : 05/23/2023 s, I Inspection Area: 1 pepw 1 i em�* �„ �.�y'..�.�jNk_ r`•'' 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS BLVD Legal Desc : N TR 518 BILK I LOT 20 ISION & ADD'L SCOPE: REPLACE INTERIOR GUARDRAIL AT TOP OF STAIRS (REV2023-0943) UTTER Contractor: MARK GAM BOA CONSTRUCTION LLC 11RE DR Address : 3347 W. Faircrest DR. UT 84108 Anaheim, CA 92804 Phone: (714)797-4129 Con State Lic : 826496 Lic Expire : 08/31/2023 CONSTRUCTION LLC Bus Lic: BT30061850 DR. Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: FLA01374803 W. C. Expire: 2/1/2024 Architect Address Phone : State Lic Engineer: TABAR MEHRDAD Address : 14252 CULVER DR #349 IRVINE, CA 92604 Phone: (714)725-0017 Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $7,600.00 Type of Construction : V B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R 3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. 0 Building Setbacks : F ont: 9, Side: 3, Side: 3, Rear: 0 Flood Zone: X Use Zone: R 1 -Single-Unit Residential PROCESSED BY: SPECIAL CONDITIONS: REV2023-0943 I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the eheckmark(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 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 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, 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, 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 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 built or improved 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 ap ly 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' Slate License Law for the following reason: By 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 legall, 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:l/www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Divi on 3 of the Business and Profd lryy/li'censein full force end effect License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 (f100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0TW OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations, 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 'ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are! Policy Number of Agent Date Ul certify that, in the 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' compensa on laws of California, and agre that, if I should become subject the orkers' c/pfnpensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant II/ 1M , AIV Il'— _ _ Date,__ DECLARATION REGAFi1DIN ONSTRUCTION NDIN AGENCY 3 1 hereby affirm undei 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). Lender's Name Lender's Address By my signature bc!rv,. I :ertify to each of the following: I am the property o^rler or authorized to act on the property owner's behalf. Ihnve read this application and the information I have provided is correct. I agree to compl�t with 911 applicable city and county ortlin ces d state laws rel ling to building construction. I authorize repiesentar,ves of this city or county to an er t ab a-ide 11 ie rty for inspection purposes. / Si nature of Pro e. Owner or Authorized Agent GZt� Z1 Print Property Owner's or Authorized Agent's Name � -G4-17141,L Date ACTION DATE ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY T By REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I 1403 PEWIT EXPRED PEk MI i CAWCELLED PERMIT EXTENDED PERMITFINAL ^ n� ASBESTOS NOTIFICATIOff�� ISNOy APPLIC BILE TO CERTIFICATE OF ��f '//I,tf V3 R POSED DEMOIITIOIyI// / 7 OCCUPANCY ISSUED G y / L .SIGNATURE: /1:��//// iA/h�¢f 11 ((( �J�A/UY)