HomeMy WebLinkAboutXR2022-2549 - PermitsCity of Newport Beach
Community Development Department- Building Division
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4".
Civic Center Drive, Newport Beach, CA 92660
TPermit
Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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nnewportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition
COMB Permit : XR2022-2549
Plan Check No : 1880-2021
Issued Date : 10/17/2022
Inspection Area : 6
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 : 612 IRIS AVE
Legal. Desc : A TR:CORONADEL MAR BLK636 LOT 14
Description:
DELTA 4- *ADDITIONALS SCOPE*
ADD BEDROOM TO SECOND FLOOR W/ROOF DECK ABOVE 400 SF
Owner:
IRCJ HOLDINGS LLC
Contractor : K L P M INC Architect:
NOURANI SHAHAB
Address :
2355 WESTWOOD BLVD #678
Address': 12188 CENTRAL AVE #269 Address:
2115 W CRESCENT AVE 4261 ANAHEIM,
LOS ANGELES, CA 90064
CHINO, .CA.91710
CA 92801
Phone :
Phone: (949) 246 2923 Phone :
(424) 365-2070
Con State Lie :..
831751.' -
State Lie
Lie Expire :
02/29/2024
Applicant: K L P M INC
Bus Lie :
BT30075810'
Engineer:
Address : 12188 CENTRAL AVE #269
Bus Lie. Expire
: 07/31/2023
Address
CHINO, CA 91710
Phone: (949) 246-2923
Workers' Compensation Insurance
Phone:
Carrier:
Owner/Builder:
Policy No .EXEMPT
Designer:
Address:
W.C.Expire:
-
Address:
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers:
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups : R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
NoofStories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
-
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: REV2022-1698
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n to the applicable (s
fury that am exempt from the Contractors' State License Law farthe reason(s) indicated below by the checkmarfc(s) I have placed eM pp ()
lions Code: Any City or county that requires a permit to constrict, alter,. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
at 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
exempt. from I'Icensure and the basis for the alleged exemption Any violation of Section 703,L5 by any applicant for a permit: subjects the applicant to a civil penalty of
of more than five hundred doltars ($500),-
7 I; as owner of the property, or my employees with wages as their sole compensation, will do (_)all of or C) portions of fha work, and the structure is not intended oroffered'for sale (Section 7044,
usiness 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 theproperty, 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-SuIlderwill have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project (Secdan 7044, Business and: Professions Code: The Contractors' State License Law does not
ply 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' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at Least one year prior to completion of the improvements covered by this permit,.I cannot legally
ell a -structure that I have built as an owner -builder if it has not been. constructed in its entirety by licensed contractors. I undgrstand 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:hUp:(Iwww.leginfolca.govlc law.htmi:
signature of Property Omer or Authorized Agent.. D e.
.ICRNSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of M 'on 3 of the Business and Pro ess , a - li c is in full force
nd effecL License. Class License No Dat.0< .Contractor Signatu
VORKERS' COMPENSATION DECLARATION Jk
FARDST OF CCMPENSAJI(}r,I. jIi�AG£9. AS PROVIDED FOR IN SECTION 37VS OF THE LAOOR GOD••.E, INTEREST, AND AT'roRNEY's FEES. AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS tFi09.9S9j: iN ADDITION TO THE
NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL; AND SHALLSUBJECT AN EMPLOYERTO CRIMINAL PENALTIES
hereby atfirm under penaty pf perjury one of the fallowing declarations:
J I1-bave-and wiilmaintein a certificate of consent to seif•insum for workers' compensation, issued. by the Director of Industrial Relationsas provided for. by Section 3700 of the Labor Code, for th.
edgimance of the vT Wfor which this permits issued. Policy No.
-w hat+5and will maintain workers' compensation insurance as required by Section 3700 of the Labor Code, for the performance Of the warts for which this permit is issued, My workers' compensatioi
iswance carrierar.poliay number am;
;oiler- • , Policy Number Expiration Date
in ths,periorma roe o the k far this pe tt is issued; I shall not employ any person in any manner sous to become subject to the workers' compensatinn laws of California, and ogre
secgm�y_b>j to th w ors: G t ensptio provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions.
,.��»�... I //2.�a21! Date 1G//!
agency for the performance of the. work for which this permit is issued (Section 3097, Civil Code).—
ider's Name-
mysignature 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 c .
I agree to comply with all applicable city and countyt^ord' a es state Las n
I authorize representatives of this city or county tognJw li ab �tlen d prol
to building construction,
it inspection purposes.
FOR OFFICE. USE ONLY
PEAM17CANCEILED i IJEPA
PERMtrEx7ENOEO iJARMD
PERMIT FINAL AS9ESTO$NO TIO r OTAP ICAOU TO
CERTIFICArE t?F —`i-�5 ��- :P OPOSEDDE ON.