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Home My WebLink AboutX2022-1397 - Permits�aewPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2022-1397 o Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1289-2022 O >•"� z Permit Counter Phone: (949) 718-1888 Issued Date : 05/2312023 .r. newportbeachca.gov/civic Inspection Area : 7 Cg4F00.N�P Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement 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: 2116 NEWPORT BLVD Description : COMM TI "KULFI ME" 800 SF Owner: WASKO JAMES M TR ROUBIAN FAMILY TR Address : 10203 OVERHILL DR SANTA ANA, CA 92705 Phone : Applicant: GURPREET SANDHO Address : 14512 ORANGE ACRESLN IRVINE, CA 92604 Phone: (949)331-4701 Owner/Builder Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: B Bldg Height: Building Setbacks : Flood Zone: X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY Legal Desc : N TR 814 BILK LOT 17 TR 814 LOTS 17/18 Contractor: SANS INC Address : 86 CALLE DE LOS NINOS RANCHO SANTA MARGARITA, CA 92688 Phone: (949)235-6540 Con State Lic: 1066707 Lic Expire : 07/31/2024 Bus Lic: BT30081653 Bus Lic Expire : 05/30/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire; Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : TALWAR SHIV DEVIDAS Address : 3340 RIVERSIDE DR #M CHINO, CA 91710 Phone: (909)591-3939 State Lic : CO23417 Engineer: Address Phone: Designer: Address : Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : SPECIAL CONDITIONS: ,, , �*M 0 J $60,000.00`' 0 0 � -�FF OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 70315, Business and Professions Code: Any city or courtly 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 fila 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 exampi 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 not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not a ply 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), I 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 far at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as an owmor-builder if it has not been constructed in its entirely, 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:hltp:liwww.leginfo.ca,gov)calaw.html. Signature of Property Owner or Authorized Agent _ Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with SectiO * 0 of Division 3 of the Business and Prof sion Code, end 11 SITE is In fa ce and effect. License Class License No Da . Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a cerliticate of consent to self- insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3T00 of the Labor Code, forth lerformance 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' compensation, nsurance carrier and policy number are: ;arrler Policy Number Expiration Date J e of Agent Phone # I 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 Callfomie and agre a , 1 should beco subject to th orkers DOI on pro s of Section 3700. of the Labor Code, I shall forthwith comply with those provisions. Signalure of Applicant _ _ .__ DAN 7ECt.ARATION REG IN n STRU CTIQN LE G AGE�Gt Y'F�� hereby affirm under p natty of perjury that thorn is a construction lending agrne or the performance of the work for which this permit is issued (Section 3097, Civi Code). .enders Name Lenders Address 3y my signature below, 1 Doi 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 count+7f ordinances and state laws relating to build) g construction. I authorize representatives of the city or count ante above-i 'fl rope r action purposes. Rn /d �GYI(/) Z 5 2 Signature of Property Owner or Authorized Agent Print Property a Owner's or Authorized A ent's Nam 1�.ate ACTION DATE BY j DECLA ATIONOFCONIPLIANCEWI7,. ODEOFFEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNIO RULE i403 PERMIT EXPIRED _i 6SUBDA'TTED..",SRSSTOS NOTIFICATION TO PERMIT CANCELLED , OC''A _..... ........ .....__.. ...___.... _ p� PERMIT EXTENDED _ _ ,+� 11FOM0 PCR,rAIT flNAL , /� /'Gt / ASBEST(N iIFIC N IS NOT APPLICABLE TO CEgoFICATE OF (� // RO 5F0 I01,1 I �J OCCUPANCY ISSUED SIPNATURE.