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Home My WebLink AboutXC2023-0355 - PermitsWry, City of Newport Beach 11111111111111111111111p11111111111111p11111 � COMB Permit : XC2023-0355 ' �19 Community Development Department - Building Division X C 2 0 2 3 0 3 5 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No G +h Z Permit Counter Phone: (949) 718-1888 Issued Date : 09/08/2023 c •�" `P newportbeachca.gov/civic 4 q t^+ q—., r—ram—q—,*�*, r'�, Final Date: q��Foa� Combination Type - 6 `aj,;, ¢ ��,+ h .,y,,: ; Permit Status: Issued Work Class - Repair Inspection Area : 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 : 2822 NEWPORT BLVD Legal Desc : A TR NEWPORT BEACH SEC A BLK 225 LOT 12 Description: MIXED USE RE -ROOF SECTION WITH ASPHALT SHINGLES (ICC ESR-1475) 10 SQUARES Owner: JAMES HARRY STEPANIAN Contractor : Architect Address : 18131 LINCOLN ST Address : Address VILLA PARK, CA 92861 Phone : (714) 272-5466 Phone : Phone Con State Lic : State Lic Lic Expire Applicant : ARIADNE TRUJILLO Bus Lic : Engineer: Address : 2822 Newport Blvd Bus Lic Expire : Address Newport, CA 92663 Phone : (714) 390-0952 Workers' Compensation Insurance Phone Carrier : Owner/Builder : JAMES HARRY STEPANIAN Policy No : Designer Address : 18131 LINCOLN ST W. C. Expire: Address VILLA PARK, CA 92861 Phone: (714)272-5466 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3,B,U No of Units : 0 Alteration sq. ft. Bldg : 1,000 Bldg Height : No of Stories : 2 Added/New, sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CV - Commercial Visitor -Serving • PROCESSED BY: a� — I�f NO CONSTRUCTION I ION WORK SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTIO ZONE ON SATURDAYS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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, Irnprove, demolish, or repair any structure, prior to its Issuance, also requires the applicant for is permit to fife a signedstatement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 yof more than five hundred dollars ($500). ?�', as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_j portions of the work, and the structure is not intended or offered for sale (Section 7044, mslness 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 aprovemants 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 nproved for the purpose of sale). D I, 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 pply 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 I am exempt from licensure under the Contractors' Slate License Law for the, following reason :•y my signature below I acknowledge that, except for my personal residence In which I must have resded for at )oast one year prior to completion of the improvements Covered by this permit, 1 cannot legal) ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed conlractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofassions Code, is available upon request when this a Iration Is ubmifr at the Ilowing Web site: hhp.7ivAvw.leginfo.ca gov!calaw. html C� .ignature of Property Owner or Authorized Agent Date„ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that am licensed under provisions o Chapter with Section 7000)of Division 3 of the Business and Professions Code, andmy license is In full force no effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION ARNING: 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 i51D0,0001. IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIOEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEE$. hereby affirm under penalty of perjury one of the following declarations: I have and Wig) maintain a cerOfioete of consent to self -insure for workers' compensation, Issued by the Direclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi erformance 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' ranee carrier and policy number are: Policy Number a of Agent ertify that, inthe performance of the work for which this permit is if I should become subject to the workels' compensation provisig nature of Applicant Date u d. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Dale < 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 Codej. .endw's Name Lenders Address 3y my signature below, -[certify (o 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 apple-ihln rily and county ordinances and state laws relating to building. construction, I authorize representatives of ,his city or county to enter the abov -identified prop$ for inspection purposes. q� �('' Signature of Prcpert} OwTei or Autl oPz6,d Ageol -�� `�G G Punt Property Owner's or Authorized AoenPs Nam.A Y I cl drl._ l n i 1 I l U PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL I CERTIFICATE OF OCCUPANCYt5SUED y DATE I By j DECLARATION OF COMPtuNCE WITH CODE OF FFDEI i NEGlItA7lON5 PAR_ 6IOFTITLE40A:NCAQNIDRLILE I SURrAITTF.D A513F.STOS NOTIFICATION TO t7ASBE5r OS NOTIFICATION 15 N01'APPLICABLE TO PROPOSED DEMOUION FOR OFFICE USE ONLY Date 41