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Home My WebLink AboutXC2024-0182 - Permits�EW�RT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: XC2024-0182 � @ Community Development Department- Building Division X C 2 0 2 4 0 1 8 2 D F `�s 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0895 2. Permit Counter Phone: (949) 718-1888 Issued Date : 06/17/2024 o- - newportbeachca.gov/civic Final Date: -Fpa Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement Inspection Area : 7 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 : 1280 BISON AVE, B10 Description: COMM TI FOR BARBER SHOP 942 SF Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)720-2156 Applicant: SHAD[ BAGHADI Address : 151 N TUSTIN AVE, B3 TUSTIN, CA 92780 Phone: (714)890-2032 Owner/Builder : Address : Legal Desc : N TR 12309 BLK LOT 6 Contractor: AKF CONSTRUCTION INC Address : 151 TUSTIN AVE N, B3 Phone: (714)722-5247 Con State Lic : 1086127 Lic Expire : 01/31/2026 Bus Lic: BT30084577 Bus Lic Expire : 06/30/2025 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lic Engineer: Address Phone: Designer: AMR HAJEER Address : Phone: (714)782-8461 Phone: Code Edition : 2022 Fire Sprinklers : y &S Construction Valuation : Type of Construction : I I 115 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: 1 No of Stories : 1 Add/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone: X Use Zone : PC - North Ford PROCESSED BY: SPECIAL CONDITIONS: f .r, $200,000.00 0 942 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(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' Stale 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 (S500). ❑ I, as owner of the property, or my employees with wages as their sale compensation, will do U 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' ar 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 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' Stale 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 legallt 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.govlcalaw.htmi. 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 700 Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date 6 z Contractor Signature `x WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: DOLLARS (6100,000). IN ADDITION TO THE 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. have 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' compensa Trance carrier and policy number are: Policy Number Date 1e of Agent 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' compensation laws of California, and agre if I should become/subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �,/ iature of Applicanl Dale�� 77' % t'i I hereby affirm under 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 Lenders Address By 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 e-identifled property for inspection purposes. toe r the abov1 j Signature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 5ils1 Il4 I ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE rCE85F TENC 5'1 DAOM NAL ASBEST TEOF (z/ �- PROPOSED UPANCYISSLIECI I SIGNATURI TO NOTIFICATION IS NOT APPLICABLE TO