HomeMy WebLinkAboutXR2022-3110 - Permits�awWPoRT City of Newport Beach
D Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u ? Inspection Requests Phone: (949) 644-3255
Cq<IFp RN�� newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
111�1 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2022-3110
Plan Check No:
Issued Date : 11/30/2022
Inspection Area : 4
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: 22 ROCKINGHAM DR
Description: SFR REPLACE SIDING W/ STUCCO ON
Owner: JAFAR ROWHI ASSAF
Address : 22 ROCKINGHAM DR
NEWPORT BEACH, CA 92660
Phone: (949)910-5068
Applicant:
JAFAR ROWHI ASSAF
Address:
22 ROCKINGHAM DR
NEWPORT BEACH, CA 92660
Phone:
(949)910-5068
Owner/Builder : JAFAR ROWHI ASSAF
Address: 22 ROCKINGHAM DR
NEWPORT BEACH, CA 92660
Phone: (949)910-5068
Code Edition:
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
2019
V-B
R-3
Front: 5, Side: 5, Side: 5, Rear: 10
X
PC - Aeronutronic Ford
PROCESSED BY: �G
SPECIAL CONDITIONS: O/B FORM W/ S2022-0202
Phor
Con
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Bus'
Bus
Worl
Carr!
Polic
Fire
Fire
E
or:
Architect
Address:
Phone
e Lie:
State Lie : \ ✓
e:
f�
Engineer:
Expire :
Address
Compensation Insurance
Phone:
3 :
Designer
pire :
Address:
Phone:
nklers :
NO
Construction Valuation : $30,000.00
ird Zone i
NO
Added/New/TI sq. ft. Bldg : 0
its :
1
" Alteration sq. ft. Bldg
tries :
2
Added/New sq. ft. Garage: 0
-
TOTAL sq. ft. 0
.. •oo 0 0 ��,o
• o
°oo o�� o � o•° �o° o00
and Professions Codes The Comi'.adiors' Stole License Law does not apply to an owner of property who, through employers' or personal effort, builds or improves the property, provided that the
onto are not intended or offered for sale. If, howover, 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
for the purpose of sale);
wnerof 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:
n owner of property who builds or improves thereon, and who cent rr to for the projects with a licensed Contractor pursuant to: the Contradtors' State License Law),
xempt from fieensure under the Contractors' State Lloense t.a+v foIr a follmiling reason:
ireby affirm under penalty of perjury that am'licensed under provisions of Chapter $ (Commencing with Section 7000) of Division 3 of the Business and Professions CUB, and my license Is In full fares
h effect. License Class. License No Hate, Contractor Signature
)RKERS' COMPENSATION DECLARATION
WING: 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 ($100,000), IN ADDITION TO THE
T OF COMPENSATION. DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reby affirm under penalty of perjury one of tha following declarations:
I have and .will maintain a Certificate of consent to self -insure for workers' compensation, Issued by: the Director of IndustrialRelations as provided for by Section 3700 of the Labor Code,. for th,.
ormanoo of the work for which this permit is issued. Policy No,
-hava'and Will maintain workers' compensation Insurance, as: required by Section 3700 of the Labor Code. for the performance of the workfor which this permit is issued. My workers` compensatior
Rance_ carder and policy number are:
-
net Policy Number expiration Date
that, in i� Be rmanco of the work o whi is ormitisissued, I shall not employ any person in any manner so as to become subject to the works Co pensation laws ofcolifpmia:
hould be-orlke Zlect to the workers' c mp it g ovislons of Section 3700 of the Labor Coded I shall forthwith comply with those provisions. 17 r ,
treby affirm undeivpenalty of perjury that th@ra is a'cWristruction landing agency for the performance or the work rot wnlcn this permit is Issues Isecuonauw,.
Ider's Name Lendees Address
my slgnawra 6ofow, I oertify to Bach of the following:
I am the property owner or authorized to act on the: prop" owns hehel .
1 have read this application and the Information I have videtl i rrec
i agree to Comply wftlr all a IidaBlem and eotinp or finances �tsttnaf s elatingto building construction.
- .__.T__ �Y—.._-_1-.,.__-_��.,_., Aw!b V
1 authorize roprosentatives of this city or county t on r the ao efty for inspection purposes.
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