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Home My WebLink AboutXR2022-2135 - Permits�EwnoRT City of Newport D4 Community y 100 Civic Center G Permit Coun Inspection R C9G/F00.N`P newportb as c Combination Work Class Beach II III I I I II I II I III II III II II Development Department- Building Division Drive, Newport Beach, CA 92660 er Phone: (949) 644-3288 quests Phone: (949) 6443255 hca.gov/inspections Type - SFP - Other COMB Permit : XR2O22-2135 Plan Check No : 0629-2021 Issued Date : 0810812022 Inspection Area : 1 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: 15760CEAN BLVD Legal Dote: N TR 518 BLK I LOT 20 *CHANGE Description: SFR INTERI R REMODEL 2,033 SF 8 CONVERT COVERED BALCONY TO LIVABLE 218 SF OF CONTRACTOR* Contractor: GAMBOA.MARK Architect: Owner: DANIELKASC MITTER 3347 W FAIRCREST DR ANAHEIM, e% CA Address : 1 Address : 1615 S DEVO SHIRE DR SALT LAKE CITY, UT Address : 84108 92804 Phone: Phone: (714) 797-4129 Phone Con State Lie : 826496 State Lie Applicant: TABAR MEHR Address : 14252 CULVE AD DR #349 IRVINE, CA 92604 Lie Expire : 08/31/2023 Bus Lie: BT30061850 Engineer : TABAR MEHRDAD Phone: (714) 725-0017 Bus Lie Expire : 01/31/2023 Address : 14252 CULVER DR #349 IRVINE, CA 92604 Workers' Compensation Insurance Phone: (714) 725-0017 Owner/Builder: Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Address: Policy No: FLA01374802 Designer: Phone: W. C. Expire: 3/1/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $0.00• , Type of Construction : V-E Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U. -3 No of Units : 1 Alteration sq. ft. Bldg 0 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : „ .. Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0 Flood Zone : X - Use Zone : R- - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: ILETTER ATTACHED DECLARATION I hereby afflml under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the eheckmark(s) I have placed next to the applicable Item(s) (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 .. civil pelaity of not more than five hundred dollars ($500). Ell, as owner of the property, or my employees with wages as their sole compensation, will do L.) 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 arenot 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 builtor improved for the purpose of sale), i� I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors Stale License Law does not apply 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 front lioensure under the Contractors' State 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 iegall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that 0 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:/Aw .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 O) f Nv ' n 3 of the Business and r�o fessjgn5(C 4ee d my Ic ertse is i ful�rce and effect License Class License No Date Conlraclor S1galattfde 1� //// / �`f�� y� 6NORKERS' COMPENSATION DECLARATION MANNING. FAILURE TO SECURE WORKERS OOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNo ED THOUSAND DOLLARS I1100„000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 haveand 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 3erfomtance 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 Date lame of Agent Phone 4 11 certify that, in the performance oft a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wore ' compensation laws of California, and agre tat if I should Ds„�n ie sublect to th orker compen lion provi r ns of Section 3700 of the Labor Code, I $hall forthwith comply with those previsions. IgnalLra of Appliva�/ r - D to IECLA QATfON REC}A C STRU ON LE F AGEN Y herehy affirm unde 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). ehder`a Name Lenders Address y my signature, -)low, I certify to each of the following: I art the propctty 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 a0d state)aws relati g to building construction. I authorize representatives of this city or county t�enterjheja..bovk-identyk propeZ for Inspection purposes, ACTION DATE BY V rSitLARATIONOF COMPUANCEWITN CODEOFFEDERAL REGULATIONS PART 61 OF TITLE. 40AND AQMD RULE 1403 PFRN7T EXvfREO 15UamiTrED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 11Zi1-7> SGNATSED DEMOLITION OCCUPANCYf55UE0 �j (i — �> FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool..