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Home My WebLink AboutF2023-0483 - Permits-�E'"o City of Newport Beach II IIIIIIIII IIIIIIIII III IIIIII IIIIIIII IIIII IIII II II COMB Permit: F2023-0483 D� Community Development Department- Building Division F 2 0 2 3 0 4 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2436 ellPermit Counter Phone: (949) 718-1888 Issued Date : 03/06/2024 x newportbeachce.gov/civic Final Date: Cq</FppN�P Combination Type - SFP Permit Status: Issued Work Class - New Inspection Area : Fire 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 : 20462 SANTA ANA AVE Description : MFR INSTALL UNDERGROUND FIRE LINE Owner: BACK BAY BUNGALOW LLC Address : 3183 AIRWAY AVE COSTA MESA, CA 92626 Phone : (562) 446-6265 Applicant: ANASTASIOSNIKOLAOU Address: 20462 SANTA ANA AVE NEWPORT BEACH, CA 92660 Phone : (562) 446-6265 Owner/Builder : Address : Phone : Legal Desc : N TR 456 BLK LOT 5 TR 456 LOT 5 FOR OF LOT Contractor: TRENCHERS WEST CO INC Address : P 0 BOX 11407 SANTA ANA, CA 92711 Phone: (714) 956-9191 Con State Lie : 448177 Lie Expire : 11/30/2025 Bus Lie: BT30048552 Bus Lie Expire : 09/3012024 CONSTRUCTION Architect: SOBHANIJAMSHEED Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WPL506334601 W. C. Expire: 1/1/2025 Address: 9045 BERTRAND AVE NORTHRIDGE, CA 91325-2811 Phone : (818) 388-7193 State Lie : Engineer: BENESH MICHAEL Address: 234E 17TH ST #205 COSTA MESA, CA 92627 Phone: (949) 548-1192 Designer: SOBHANI JAMSHEED Address: 9045 BERTRAND AVE NORTHRIDGE, CA 91325-2811 Phone: (818)388-7193 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 0 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : Occupancy Groups : No of Units : 8 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Bldg Height : No of Stories : TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : RMD - Medium DKAensity Residential �� PROCESSED BY: I SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' Stale 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 the permit to file a signed statement that no 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 licensors 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do 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' 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). ❑ 1, 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). ❑ 1 am exempt from licensure 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 legal, sell a structure that I have built as an ovmor-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 siterhttp:liwww.ieginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivfsion 3 of the Business and Professio Ca , an y IIcense is In full force and effect. License Class License No Date Contractor Signature NORKERS' 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 THOUSANO 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 deciarations: -11 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 )erformanee 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 certify 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 agre if I should bec— ome subject to theYNo, rke ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lalure of Applicant _/,-,��/ -Date areby affirm under penally of perjury that there Is a &nstruDion lending agency for the performance of the work for which this permit Is issued (Section 30 97 , Civil Code). lder s Name 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 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to e r t abov Identified property for inspection purposes. nature of Property Owner or Authorized Agent Pnnt Property Owner's or Authorized Agent's Name12✓., r} t,, .. 2 C Z.. pate ACTION DATE BY PERM7 TV-p—,q EZ—, FMN:T CANC LlEC PERMT EXTihLED —E�f ��t---------� PERYRT PINAL i/I /t ] C 1.< GERT7frCA7E � `�� OCCUPANCYISSUA DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICE REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE. 1409 L-1ASBES'TOS NOi"IFICA'fTON 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATUREr m�N jmm y^ ^ O Z 6 Z T� = '� Z Z ❑❑ Z ❑ Z ❑ v Z Z ❑❑ Z ❑ q gg. ca ao� m mtc��.� ❑ c ❑ E Q C c p `o .PSS`m� p"❑ g❑ MLJ❑ eoc�$m �c W a m$ �o r L'J ❑U Ll nnn @�mmm¢ Pe mm�i wm3�'Oa ❑ 3 _ a c 5IL 0 5� O � .y@m�ug3 fig FE € e rn � or�� a�SPm@ Z cE y�EP� �'o ao c.c _ > m Ol L pm Qe m E >i Qm �E�ma ¢t�^c�c m m6gm cmm�ES ❑ q5z 6 nm qN � r moo �a �ooL E � E 0 nSa me y� C1 L" Q y5 .75 aomm mD mn d n m'c 'm m_-mx_ffit.gm @mmm@gm9 'u a a.a a Sc _n nm °.mof me o.0 ❑ ❑ a 12 '0 aP my ms uo��mmmPE va ^mv n a. o'momc —o..n E v n c'yn = 2.m�� E� m O p@ ^° Ji a C p❑ C C {Q Y y m_um a�� w 1IP0O o� nE Q �DY� - ]O cc$3nuD°m�atW n❑ C N 0» g= n m m C m V e 6 m n@^ m -y 2 7 D nQji , .s q m m .201 gome m' Cm O mi C ViWmm'^m° S6Lqmo - ` V D = V ppp 2 6 S¢ 8 L v 6 Q ¢ d n \ !\ \\ § � �\ \ \ _2 � _ 7 - $ _ � q \ { � ( � kki f ] |r ! ; / 2 k | : _ | ,! 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