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Home My WebLink AboutS2022-0046 - Permits�gWPORT City of Newport Beach COMB Permit S2022-0046 II p� I Community Development Department- Building Division 5 2 0 2 2 0 0 4 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0416-2022 U S Permit Counter Phone: (949) 644-3288 1 Issued Date : 03/21/2023 Inspection Requests Phone: (949) 644-3255 , ^ ^'^ �"�+�—_ry r.,, Ins ection Area : 3 c"<aonewportbeachca.gov/inspections a `ta, °. 5 ,�_,N f v i p C bi ti e 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 : 1015 MARINERS DR Legal Desc : N TR 4224 BLK LOT 56 Description: SFR NEW POOL & SPA 703 SF Owner: JAHANGIRI REZA TR THE R JAHANGIRI Contractor: MATA CONSTRUCTION COMPANY INC Architect: LIVING TR Address : 1015 MARINERS DR Address : 910 E. 4TH ST Address NEWPORT BEACH, CA 92660 SANTA ANA, CA 92701 Phone: (949)929-9019 Phone: (714)393-6358 Phone: Con State Lic : 861880 State Lic Lic Expire : 07/31/2023 Applicant : Jose Mata Bus Lic : BT30015664 Engineer Address : 910 E 4th St Bus Lic Expire : 04/30/2023 Address Santa Ana, CA 92701 Phone: (714) 393-6358 Workers' Compensation Insurance Phone: Carrier: OAK RIVER INS CO Owner/Builder : Policy No : MAWC337640 Designer Address : W. C. Expire: 2/1/2024 Address Phone: Phone ERIC OLSEN 2728 E COAST H , STE A CORONA I: MAR, CA 92625 (949)887-8856 BIEDENBACH CHRISTOPHER JAMES 1201 N TUSTIN AVE ANAHEIM, CA 92807 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U No of Units : D Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 5 SPECIAL CONDITIONS: 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 Rem(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 :he 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 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 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), r I, as owner of the property, am exclusively contracting with licensed Contractors t0 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 projectswith a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Conlractors' Slate 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 legall7 sell a structure that I have builtas 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 when this application is submitted or at the following Web site:http://www.leglnfo.mgovlcalow.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) o Div i "on 3 of the Business and Professio a 7my lieeFee 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 ORIMIN I PP NALTIES AND CIVIL FINES UP TO ONE HUNDReTHOUSANO DOLLARS (E100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 th performance of the workfor which this permit is issued. Policy No..\� MI 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 compensatiol 0surance carrier and policy number are: Policy Number Date ie 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 If I should become subject to the workers.' co�r /n�s�n an provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. iature of Applicant hereby afr-m un4}t,��lFv�t 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 Namey , Lender's Address ,Ay sign:.lure below, I certify to each of the following: I am the Property owner or authorized to act on the property owner's behalf. have reac this application and the information I have provided is correct. I agree to corrp'y with all applicable city and county ordinances and state laws relating to building construction. I authonzq •eprrsentatives of this city or county to enter theabo�-el�jitied property for inspection purposes. T-/1�., /`,'///'I ,iunature of Prooertr Owner or Authorized Aaent ��i'/ — Print Property Owner's or Authorized Agent's Name C i 1 3_2 Z H ACT!ON DATE BY /(_DEflARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE 115E ONLY 1f REGULATIONS PART 61 OFTITLE40AND AQMD RUL 403 PER,A1T EXPf.7ED I 15PBMITTFD ASBESTOS NOTIFICATION AN requirea alTn , a C eS gates & fences which serve F:diJfiTCANC£LL£O IFILPA -- - — as part of a pool Jr spa r MIT EXTE4CrO OMAQMDD_ barrier, shall be in place prior to approval to fill PERMIT FINAL IASBESTOS NOTIFICATIf1 1 O�ABLE TO CERTIFICATE OF OCCUPANCYISSUED AOPOSEDDEMOUTt SIGNATURE: plpoUSpa Hr shall remain In Date