HomeMy WebLinkAboutXR2023-0671 - Permits�WpoR
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
11IIIIII111111111111111111111111111111111111111111111111I 11COMB Permit : XR2023-0671
,,Plan Check No : PC2023-0562
Issued Date : 04/07/2023
Inspection Area : 6
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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
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Job Address: 49 MANDRIA Legal Desc : N TR 16195 BILK LOT 9 UN 127 TRACT 16195, LOT 9 OF PROJECT 93 4-33 LOCATED ON
Description: MFR REMOVE WALL BETWEEN KITCHEN AND LIVING RM, KITCHEN AND MASTER BATH REMODEL
Owner: FARAH KONDRI Contractor: BUILDER 1 CONSTRUCTION INC Architect
Address : 49 MANDRIA Address : 25431 CABOT ROAD, 104 Address
NEWPORT COAST, CA 92657
Phone: (949)533-7992
Applicant: MOHAMMADYAZDANI
Address: 101 PROMENADE
IRVINE, CA 92612
Phone: (949)771-5770
Owner/Builder :
Address :
LAGUNA HILLS, CA 92653
Phone: (949)605-9418
Con State Lic : 1084658
Lic Expire : 03/3112024
Bus Lic: BT30081209
Bus Lic Expire : 04/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire :
Phone:
State Lic
Engineer: SINGERJOANNE
Address : 24451 MUELA
MISSION VIEJO, CA 92692
Phone: (949)413-9057
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $40,000.00
Type of Construction :
V-B
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
R-2
No of Units :
7
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 Ridge
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PROCESSED BY:
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SPECIAL CONDITIONS: SPECIAL FIRE PROT AREA, LANDSLIDE
OWNER -BUILDER DECLARATION
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
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 I! censure and the basis forth e 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 not intended 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).
I, as owner of the property, am excursively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ra�rply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
U I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledgB 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 legail,
sell a structure that I have builtas an owner -builder Kit 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 application Is submitted or at the following Web site:http:tl w .leginfo.ca.gov/calaw.htmi.
Signature of Properly Owner Or Authorized Agent. Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Pode. and,my license is in full'( roe
and effect. License Class License No Date /Iy_07- p 3 Contractor Signature rn42cLVa2 An, r�
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION [OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANO DOLLARS ($1D0,00D). IN ADDITION TO THE
COST OF COMPENSATION, DAMAGE$AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES,
hereby affirm under penalty of perjury one of the following declarations:
1 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 th
performance 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 whichthis permit is Issued. My workers'
ranee carrier and policy number are:
Policy Number
Date
Tame 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 agre
iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'Ignature of Applicant ' Date, ) q —,9 7-2 R
IECLARATION REGARDING CONST" TION 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).
enders Name Lender's 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 real this application and the information I have provided Is correct..
I agree to comply with all applicable city and county ordinancets and state laws relating to building construction.
I authorize representatives of this city or county to ante; theplgpve-identified property for inspection purposes. ,
BY DECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERM7EMEOF
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