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Home My WebLink AboutXR2024-0746 - Permits1� Comm Of Newport Bunity Development Pament-BuildingDivision II IIII III I III IIIIII�II�IIII IIII II COMB Permit : XR2024-0746 �k 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0604 J iii S4� Permit Counter Phone: (949) 718-1888 Issued Date : 0312612024 newportbeachca.gov/civic Final Date: C9C/F00.N�r Combination Type - MFP Permit Status: Issued Work Class - Alteration Inspection Area : 2 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 : 15 RIPTIDE CT Legal Desc : N TR 8835 BLK LOT 2 UN 1 TR 8835 LOT 2 UNIT 1, P-1 Description: MFR - INSTIL PRE-FAB CABINET, INSTL WALL BTW LAUNDRY/LIV RM (12024-0450) *WORK IN PROGRESS* Owner: ALI ALKASEEH Contractor: OWNERIBUILDER Architect: Address: 15 RIPTIDE CT Address: Address: NEWPORT BEACH, CA 92663 Phone: (805)304-2113 Phone: Phone: Con State Lic : OWNER/BUILDER State Lic Lic Expire Applicant: ALI HAKAMI Bus Lic: Engineer Address : 1484 3RD ST A, A Bus Lic Expire : Address: LA VERNE, CA 91750 Phone: (424) 644-7988 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : ALI AL KASEEH Policy No: Designer: ALI HAKAMI Address : 15 RIPTIDE CT W. C. Expire: Address: 1484 3RD ST A, A NEWPORT BEACH, CA 92663 LA VERNE, CA 91750 Phone: (805)304-2113 Phone: (424)644-7988 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO AddedlNew/TI sq. ft. Bldg: 0 Occupancy Groups : R-2 No of Units : 5 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone: X Use Zone: PC - Newport Terrace - UP 1621 ` PROCESSED BY: Jv SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s)'I have placid %xt to LIE 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, prar to iY iLSU3nGe, Asa roquir3s 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 tram Ilcensure 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 nut igleuded or offered for sage (Seaticn 7044, Business and Professions Code: The Contmctors' State License Law does not apply to an owner of property who, through employees' or personal effo.t, LuiidL or imp:ovss the property, praviied 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 w-1 have `h= bureem of 1ro•Ang l 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' State License Law does not 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). Lh I 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 legally 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 applicat'rsub following Web site:http:l/www.leginfo.ca.govlcalaw.html. 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) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,0m), IN ADDITION TO THE 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: 131 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 Cade, for th performance of the work for which this permit is issued. Policy No. 01 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' compensaiiol insurance carrier and policy number are: Policy Number Date ie of Agent I I-1. certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY ereby 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). iders Name Lenders 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 slate laws relating to building construction. I authorize representatives of this city Or county to �r the ah ve-I properly for inspection purposes. /� �; \� w mature of Pmnertv Owner or Authorized ADent Print Property Owners or Authorized Agent's Name /`� DATE BY I D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXFENDED I reQMD PERMI7FINAL I/ 6E5TO5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF f1 Z� ni PROPOSED DEMOLITIO OCCUPANCYISSUED SIGNATURE: �_ Date 7 /26 �7_o