HomeMy WebLinkAboutS2023-0231 - PermitsCity of Newport Beach 1111 Jill 1
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iVoCivic Center Drive, Newport Beach, CA 92660 Plan Check No:PC2U23-2701
Permit Counter Phone: ,*v/',mvvu Issued Date :1xv1o12oe3
newportbeachca.govlclvlc »���� Final Date:
FO�Combination Typo' Permit Status: |m»u»d
Work C|000' Other Inspection
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
JobAddmoo: 12ANOIAMD
Description: 8FRNEVV6PA(1086F)
Owner: TABO8ZADEHRAM|NTR
Address : 12AND|AMO
NEWPORT COAST, CA 92657
Pbuno:
Applicant: K4ITCHELLPARKS
Address : 14008GUNK|ST8T#100
ANAHBM.CA028O6
Phone (849)278-7193
Owner/Builder: TABOBZADEHRAM|NTR
Address - 12ANDk\MO
NEWPORT COAST, CA 92667
Phono:
Code Edition :
Type nfConstruction
�
Occupancy Groups
Bldg Height -
Building Setbacks
Flood Zone
Use Zone:
] lus Lie:
Ius Lie Expire
Vorkers' Compensation Insurance
Architect�
Address:
State Lie
Designer
Phone
Construction Valuation $30'000.00
Added/NewITI sq. ft. Bldg 0
^^ ~ ' ' Ti. ~'mg^-
*nmraoonsq.,u�
� Added/New sq. ft. Garage:
SPECIAL CONDITIONS: ,-
`
MR. UILDMOEM -PA _7
I hereby affirm under. peraafly of peduty think d-am exomtpt from Llconse Law for the roasor!(*)r Indlcoted below by the cheokmark(s) I have placed next to the applicsbirs Item(s) -
ertlon 7031.5. Suainess and''f'rDfesplttrl a Code, Any.elty Or county that requires a permtl to Construct, caller, Improve, dt rnolish, orrepilr any atruoture, prior -tot Its issttenoe; F lso re liras the applicant for
.he pormlt to file n signed strat mont that iao orsho Ida Ifcenstsd pursuant to tl o provisions, of the ontractors' Straus LlCnnsts Llativ �Clteptat � {ot7rrlrnotTelitr� witfT edtii2n 7al}U� of T��'vlalntt'3.ri tiro Business atad'.
�Ieofesskons,Code) air trial ha c r ahe Is oxempt farm liaensuro rand the basis for tho eilpgod oxemptiolt. Any v#otctCDn of Soo tforl 701- 6 by any eppltoant fora porthlt subjeat6 th6 applicant to a civil panplty of
lot rrtoro than five hundred dollars ($500),
I, as owner of the property, air thy omr loyeea with wages es,thdir scla compensation, auitl do L) all of or L) portlons ref the work', end.the'sfruoturp is not intended or oiforod.foe sate (Section 7044,
3uslness and Professions Code., The Contractors' State Urotase Low does not apply ter an owner of proporky� wires, through naiployer:oW or personal offort, builds Or Improves rhos property, provided that the
mpro' o.ments are not; Intrsnded or offered fore ale, If, however, the bui€ding or, Improvement Is sold within ona year of completion; tale Owner -Builder will have the burden of proving that, it was not built or
1l, as own or of [lie aproperty, : am exclusively contracting with licenser, Contractors to uonstruot the prrajaet i ocllon 7044, Buslness and Professlond Coder The Contractors' State License I Lary does not
il IV (c an fawner cif .roperly who bulldrs or Improves thereon, and who contracts for the presjec€a with o'llcensed Contractor pursuant to the Contractors' State License: Law);
iI arcs exempt front Clrensurea under the Contractors' State L c nee Law ,tie: following reason.,
ay my signature bellow I acknowledges that, exoept for my s0 1 re, i�lcsnco�t whioE�� 1 rust i aye rosIdod for at Iaast ono year prifar to completion of the improvernernts covered by this, permit, I -cannot ivgally
;alt a'structure that I tTave bu#ttrsa tart own&r buildar it it hos Ctaaa cnskr rod �r€ta nlir riy fay ticata,7ael ocntrt oiors, i uriderstan t that o cvpY of the tapplica01 loan, ectlon 1044 of the Business and
srefosslons Code, Is avateble: upon racluest where this oppl tldn ub. c r at -following Web Ile tit#Fa:Ittiwrw.Icgrnfo.e ra gp�+rcaipvr'htnal
`llgnrature of tprctaerty Owner or Authortzod Agont .. � M.... W � n.. .� w�.. � �....�.. pate
.110ENSED CONTRACTOR'S 1 ARATiON
hereby raffirds under penalty of parjuryr that I Ben licenses,- Inder provisions ,' haptisl tI {cornmerloing witty Seollon 700061` Div Mon 3 esf the-Bustness and Professions Code, arld my license is ih full forge`
and.effect, Llcenso lass. Ltccrte No' Data Contractor Signature
NORKERW OOP NSA"1" OIN DECLARATION
VARNIM FAIk URE TD SECURE WORIMER& CO MPENSMIGN. COYF iAUR rS UNLAWFUL, AND $HALL SUBJECT AN EMMI)MYEC TD CRIMINAL, PL"NALMS AND CIVIL FINES UP TO ONE HUNDRED THOU$ANp DOLLARS ($l:orr,P00), IN ADDITION. TO THE
leer OF rOMPERIEATIONt DAMAC,RR AS PROVIDED FOR IN SECTION 3706 OF THRL.AUOR.tODE, IN7RRE"&T, ArVD ATTORNEY°N FEM
hetreadsy off irrst under. penalty of petjliry one of the fallowing dectariatlons:
I have and will maintain a cortiflooto of consent to . eslflnturo for workers' romponsation, issued by the Cirecto rdf Industrial Relations air provided for by Section 3700 of the Labor Code, for th1
mrformance of the work for a h1oh this pdrnatt ie issued. Poiloy Nbi
711 have. and will milrttafn workers` Compensation Insurenoo, as re; quired by Section 37flfl of the Labor Coda, for the performance of tho; worst for whtch:.this permit la issued My workers' componsatlor
°tsuramm carrier and policy nurntmr art <
tnrYlor Policy Number pate
400e of Agent. _ Phone t
�Voorttfy that, In tiro porformance 0t e wa for loll pis-p rrlllt.ls I>ssuod, t shaall not employ any persons in any manner so as to become subject to, the workers` conmpensation lava of Callfornla, and agree
het:, If I should become sUbJer t -t ae Wet r ` e as alatio rovisksns bf>Suction 3700 of the Labor Code, I shall fcrthw lh cornply wlih posse provisions,
ti elature of A a Ile giant�.� s� ., �v �.�. .�.. Mate Z '�
43 f p ' n...,,! W . _....,
hereby affirm under pendlty f perjury That thefe ls,, oonstructlon Ionding agency for the parformanco of the warts for whrch'this permit is issued (�aetlon N97, Civil Cone),
,endofs Name
3y clay stgnat€aro b�Ic7Vr, I certify tea a��s:i1-rat flees ftlll�eaw�rt�,�
I rann the propody owner or authorized. to Tact on the property, owner's bexhcalf
I have rodd this application and. the Infvrmtatio I hav pro ld � Tract,
I agree tea censply with all applicable, clt ' and .c oulaty rd1 n a--aand str�ta'1r�w rerWing to bu11dInp carastruction:
I rautharize rspraseraklativtaa oaf this city car county trs e at r tfI tadveu' Miffed srrapdrty for llfspar tte$n purpuseaa, L
3ignaature at Property Owner or Authorized A ent � _ . Print Pro ert {owner's or Authr7rized Agesnt`s i�tanac� :.. VI`�..-1 (7 � C^
ACTiCatt DATE OY t}E AaA -t r � +IE lffi iW- IT � CODE OF FEDI(IAL FOR C}F C� tl�h ONLY
KG11rAd'tt�N$ tT610PTITU40AN€�ACtIVICa_AUILE
All required alarms, latches gates and.. fdnces which serve aspart of a pool/spa baarrier., shall
be in piard prior tD:approvai:Will pool/spa fte shall remain In.pface & be maintained forthe
e
TO " llfa ref tfie pool,
C CCUPANCY f5,M)