HomeMy WebLinkAboutXR2023-0269 - PermitsCity of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Z. Permit Counter Phone: (949) 644-3288
.s. Inspection Requests Phone: (949) 644-3255
Cg4�F0pN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2023-0269
X R 2 0 2 3 0 6������� II
Plan Check No: 0526-2021
Issued Date : 0113012023
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: 6 NIGHT SKY Legal Desc : N TR 16461 BLK LOT 48
Description: SFR - CITY STANDARD DRAINAGE PLAN (REV2023-0165)
Owner: SONAZ HAMIDIAN SAYED MIRRAFATI
Contractor :
Architect
Address : 6 NIGHT SKY
Address :
Address
NEWPORT BEACH, CA
Phone : (949) 677-1698
Phone :
Phone
Con State Lie :
State Lie
Lie Expire
Applicant: SONAZ HAMIDIAN SAYED MIRRAFATI
Bus Lie :
Engineer
Address : 6 NIGHT SKY
Bus Lie Expire :
Address
NEWPORT BEACH, CA
Phone : (949) 677-1698
Workers' Compensation
Insurance
Phone
Carrier :
Owner/Builder : SONAZ HAMIDIAN SAYED MIRRAFATI
Policy No:
Designer: '
Address: 6 NIGHT SKY
W. C. Expire:
Address
NEWPORT BEACH, CA
Phone : (949) 677-1698
Phone
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldo : 0
Occupancy Groups : U
No of Units :
1
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 Coast
PROCESSED BY:
SPECIAL CONDITIONS:
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 chackmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business end Professions Code: Arty 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' 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 from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not rGartl than five hundred dollars ($500),
Ed I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) portions of the work, and the structure is notintended 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' or 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).
71 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
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' State License Law).
0 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, 1 cannot legal
sell a structure that I have built as an owrior-buildor if it has not been constructed in its entirety by licensad contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Signature of Prop, available eror ut orized when thisapplication is submitted or theMowing Web site:hilpafwww.leginfo.ca.govfcalaw.html. ill
Signature of Pro Owner or Authorized Agent + h-vv--Yt�"m»Ii/O/...°i�9'Xhh� Date
LICENSED CONTRACTOR'S DECLARATION +^�
I hereby affirm under penalty of perjury that I am 11cansed under provisions of Chapter 9 (commencing with Section 7000) of Division 3-of the Business and Professions Code, andmy license is In full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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 (5100,000), IN ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following dac€aratlorI
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
is of Agent _ Phone #
certify that, in the perfeirrance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California, and
, if I shouid become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
latureofApplicant __. __. __. _._ _. _._ Date
areby affirm under penalty of perjul y that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
idnr s Name Lender's Address
my signature below, I certify to earl, of the following:
I am the property owner or authorized to act on the property owner's behalf.
1 have read thin apphr•ation•3nd In- Information I have provided LE cam.% ,,vv11
I agree to comply with all apphcab,e city and county or0 na I eta and staglaws relating to building construction.
I authorize represent -lives o t tIJ .:ity or county t ab eniified property for inspection purposes. �e ,t- /^1
nature of Property Owner or AL.tonzed Agent `. - Print Property Owner's or Authorized Aqent's Name YT jWFO Date
ACTION DATE ay �Y CLAIRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r 7
REGULATIONS PART 61 OF TITLE 40 AND AQ41D RULE
1403
PERMIT EXPIRED i SUBMITTED ASBESTOS NOTIFICATION TO
P€RMtT CANCELLED I L.J:PA
PERiWTFINAt I
P ASOSEDOLNOTIFI I NOTAPPLIC TO
CERTIFICATE OF ���'�� '�~�
OCCUPANCYISSUED SIGNATURE: