HomeMy WebLinkAboutXR2024-0675 - Permits�EWPoRr City of Newport Beach II IIII III IIIIIIIIIIIII IIII IIIII IIIIIII II COMB Permit : XR2024-0675
O� @ Community Development Department -Building Division X R 2 0 2 4 0 6 7 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0549
? Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2024
a+ newportbeachca.gov/civic Final Date:
C9��FORN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Addition Inspection Area : 3
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:
1681 PEGASUS ST
Description:
SFR - (N) ADU 850 SF
Owner:
KLODIAN GJOKA
Address :
1681 PEGASUS ST
NEWPORT BEACH, CA 92660
Phone :
(310) 448-5203
Applicant:
KLODIAN GJOKA
Address :
1681 PEGASUS ST
NEWPORT BEACH, CA 92660
Phone :
(310) 448-5203
Owner/Builder:
KLODIAN GJOKA
Address :
1681 PEGASUS ST
NEWPORT BEACH, CA 92660
Phone :
(310) 448-5203
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Legal Desc : N TR 4146 BLK LOT 26
Contractor: OWNER/BUILDER
Address :
Phone:
Con State Lic : OWNER/BUILDER
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: 0000
W. C. Expire:
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
Fire Alarms :
NO
No of Units :
1
No of Stories :
1
No of Basement
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone: X
Use Zone: SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS: SD24-0134
Architect
Address
Phone:
State Lic
Engineer: MOKSUDURRAHMAN
Address : 13611 12TH ST, STE B
CHINO, CA 91710
Phone : (213) 400-8078
Designer: AG CONCEPTS
Address: 245 N COUNTRY CLUB RD
GLENDORA, CA 91741
Phone : (626) 533-6120
Construction Valuation :
$226,000.00
Added/New/Tlsq. ft. Bldg:
850
Alteration sq. ft. Bldg :
0
Add/New sq. ft. Garage :
0
TOTAL sq. ft.:
850
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 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
is 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
'rofessions 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
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do () all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
n—(proved for the purpose of sale).
J 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
pply 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 from licensure under the Contractors' Stale License Law for the following reason:
ly 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
all 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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
nd effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: 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 13100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 the
arformance 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'
rance carrier and policy number are:
Policy Number
Date
ne of Agent Phone #
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ander's Name Lenders Address
ly 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 enter the above -identified property for inspection purposes.
signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Aaent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
]5 NOTIFICATION IS NOT APPLICABLE TO
DEMOLITION
CQ",
City of Newport Beach Permit: XR2024-0675
11 100 Civic Center Drive x R z 0 2 a - 0 s 7 e Plan Check: PC2024-0549
Newport Beach, CA 92660
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: KLODIAN GJOKA
Address: 1681 PEGASUS ST, NEWPORT BEACH, CA 92660
Tenant:
Use Zone: SP-7 - Santa Ana Heights Specific Plan
Description of Work: SFR - (N) ADU 850 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature:
Code Year Edition:
2022
Number of Stories:
1
Construction Type:
V-e
Occupancy:
U,R-3
Total Occupant Load:
Fire Sprinklered:
NO
Date: 5/15/2025