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Home My WebLink AboutXR2024-0895 - PermitsgW Pp�,T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2024-0895 Community Development Department -Building Division y y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No ni Permit Counter Phone: (949) 718-1888 Issued Date p newportbeachca.gov/civic Final Date: c9��FbhN`P' Combination Type - Permit Status: Applied _- Work Class - Repair 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: 503 MARGUERITE AVE, 1/2 Legal Desc : A TR CORONA DEL MAR BLK 538 LOT 3 Description: DUPLEX PARTIAL RE -ROOF. T/O (E) ROCK. INSTALL BASE UNDERLAYMENT & TORCHDOWN SYSTEM. 12 SQUARES Owner: GHOLAMREZA MEDALI Contractor: OWNER/BUILDER Architect Address : 3136 E ABBEY LN Address : Address ORANGE, CA 92867 Phone : (626) 485-8272 Phone : Phone Con State Lie: OWNER/BUILDER State Lie Lie Expire Applicant: GHOLAMREZA MEDAL[ Bus Lie: Engineer: Address : 3136 E ABBEY LN Bus Lie Expire : Address ORANGE, CA 92867 Phone : (626) 485-8272 Workers' Compensation Insurance Phone Carrier : owner/Builder: GHOLAMREZA MEDALI Policy No: Designer: Address: 3136E ABBEY LN W. C. Expire: Address ORANGE, CA 92867 Phone : (626) 485-8272 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks Flood Zone : Use Zone: PROCESSI SPECIAL Front: 20, Side: 3, Side: 3, Rear: 5 X $4,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) (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 licensure 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 n t 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, u ness and Professions Cade: 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). 111, 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). ❑ 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, I cannot legally sell a structure that 1 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 Professions Code, is available upon request whe44 t��his ap n Is sub�q yQed or t th,e flowing Web site:httpllwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent]( rfll�o��d//l DateX�V LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 1$100,0001, IN ADOMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I h reby 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 thi pe ormance of the work for which this permit is issued. Policy No. ❑I 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' compensation insurance carrier and policy number are: tamer Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the performance of the work for whic thi 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 agree hat, if I should become subjec o t work ' mp sa ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e signature of Applican Dat )ECLARATION REGA CONSTRUMON EN ING 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). -ender's Name Lender's Address 3y my signature bebw, I certify to each of the following: am thL property owner or authorized to act on the property owner's behalf. have r aad this appication and the information I have provided is correct. I ogre^ to comply wbl all applicable city and county ordinances a d sta la elating to building construction. I aufharize representatives of this city or coun to e a -id tilled operty for inspection purposes. 3i neture of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name 1 Dat AC'ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITFXPIRED LJ 1 SUBMITTED ASBESTOS NOTIFICATION TO FEFh?fT �''TENOED PERAIL'S:RAL CERTIFICATE OF OCCUPANCYISSUED NOTIFICATION 15