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Home My WebLink AboutXR2024-5300 - PermitsCity of N �ewvo?T Community DE 100 Civic Can -n Permit Counte newportbeach Combination Work Class PERMITS I NO CONSTRU Job Address: 69 OCEAN � Description: MFR- BATH Owner: RICHARD INGI Address : 69 OCEAN VIS NEWPORTBE. Phone : Applicant: OMID SOUTEHi Address : 1781 SIRRINE C SANTA ANA, C/ Phone: (949)690-0098 Owner/Builder : Address : Phone Code Edition : 2UZ2 Type of Construction : V-B Occupancy Groups: R-2 Bldg Height: Building Setbacks : Flood Zone : X Use Zone : PC PROCESSED BY: SPECIAL CONDITIONS: ✓port Beach ��IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllll 11COMB Permit : XR2024-5300 lopment Department- Building Division X R 2 0 2 4 5 3 0 0 Drive, Newport Beach, CA 92660 Plan Check No: hone: (949) 718-1888 issued Date : 05123/2024 gov/civic Final Date: ,pe - MFP ELEC MECH PLUM Permit Status: Issued DDITION/ALTERATION MAIN Inspection Area : 4 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Legal Desc : N TR 9676 BLK LOT 12 UN 55 TR 9676 LOT 12 UNIT 55 M REMODEL 86 SF Contractor: OMID SOUTEHKASHAN Architect Address : 1781 SIRRINE DR Address CA 92660 SANTA ANA, CA 92705 Phone : (949) 690-0098 Phone: Con State Lic : 923935 State Lic Lic Expire : 12131/2024 iAN Bus Lic: BT30OB2519 Engineer Bus Lic Expire : 08/31/2024 Address r05 Workers' Compensation Insurance Phone Carrier: NO EMPLOYEES Policy No: EXEMPT Designer: W. C. Expire: Address Phone: Fire Sprinklers : NO Construction Valuation : $20,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 3 Alteration sq. ft. Bldg : 86 No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Island Apartments 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 cheGlimark(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 Iieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects tho applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with swages as their sole compensation, will do (_) 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). 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 t0 the Contractors' State License Law). 13 1 am exempt from licensors under the Contractors' State License Law for the following reason: B m signature below I acknowledge that, except for m —eg y y g g p y personal residence in which I must have resided for at least one year prior l0 completion of the improvements covered by this permit, I cannot iegall, sell a structure that I 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 tho Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginto.ca.gov/calow,html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes Cq pd my tic a is In full force and effect. License Class License No Date 5/7 '2 A� D._e.l rContractor Signature�,.l NORKERS' COMPENSATION DECLARATION YARNING: 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 .OST OF COMPENSATION, DAMAO"AS PROVIDED FOR IN SECTION 370e OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 have and wilt 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 )erformance of the work for which this permit is issued. Policy No. :1I 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' compensatior nsurance carrier and policy number are: Policy Number ___.. Expiration Date of Agent certify that, inthe 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignature of Applicant Date rECLARATION REGARDING CONSTRUCTION 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). endei s Name Lender's Address Iy 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 read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. C D S%/ L...�C4 I authorize representatives of this city or county tt nter ih b ve-ids d property for inspection purposes. ignature of Property Owner or Authorized Agent /,/ Print Pronertv Owner's or Authorized Aoent's Nerve ACTION I DATE I BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f REGULATIONS PART 51 OFTETLE40 AND AQM0 RULE PERMIT EXPIRED SUBMITTED ASBESTOS CERTI r ATE 7 ��U/`� / j2.OPOSET05 NOTiF1CAT'tON IS NOl"APPCIC BLk 10 CERTIfrCAFEOf �r/ i PROPOSEDDEMO/LIT�pj OCCUPANCYISSUED _L_ SIGNATURE:�[�—