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HomeMy WebLinkAboutXR2024-1042 - PermitsFWPo T r City of Newport Beach II IIII I IIII II IIII II III II III III I II COMB Permit : XR2024-1042 Community Development Cz�partn,�nt-Building Division X R 2 o 2 4 1 0 4 2 p,j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: n'i ;U , l Permit Counter Phone: (949 ) 718-1888 Issued Date : 04/18/2024 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 2 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: 4 HARBOR ISLAND Legal Desc : N TR 802 BLK LOT 4 TR 802 LOT 4 ALL -INC BET SAME Description: SFR "WORK IN PRGRS*' CITY STANDARD DRAINAGE @ THE DRIVEWAY Owner: 4 HARBOR ISLAND LLC Contractor: OWNER/BUILDER Architect Address : 1520 YORBA LINDA BLVD, G547 Address : Address YORBA LINDA, CA 92887 Phone: Phone: Phone: Con State Lic : OWNER/BUILDER State Lic Lic Expire Applicant: MIAD AGHILI Bus Lic: Engineer: Address: 24 PASEO VIENTO Bus Lic Expire : Address RANCHO SANTA MARGARITA, CA Phone : (949) 299-9055 Workers' Compensation Insurance Phone Carrier : Owner/Builder : Policy No : Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Front: 15, Side: 4, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 124-1281, O/B AUTH SCANNED AS BUILT PERMIT EXPOSE ALL STRUCTURAL, ELECTRICAL, PLUMBING, AND MECHANICAL COMPONENTS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law Tar the reason(s) indicated below by the checkmark(n) I ha: = placed next to the applicable item(s) 'action 7031.5, Business and Professions Coder Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor m 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 'rofessions Code) or that he or she is exempt from iicensure 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 at more than five hundred dollars ($500), 1 I, as owner of the property, or my employees with wages 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, usiness and Professions Code: The Contmctord State License Law does not apply to an owner of property who, through employees' or personal effort, builds ar improves the property, provided that the n ents are not intendod or offered 'or sale. If, however, the bonding or impravernent is said within one year of completion, the Owner -Builder will have the burden of proving that Itwas not built or v for the purpose of Sala}. as owner of the property .. am exclusively contracting With the Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p to an owner aF property who builds or "proves mereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). i am exempt from licensUra Unde, fha Contractors' State Licarlsa Law h7t rile following reason_ :y my signature belovr I acknowledge that, except for my personal residence in which I must have resided far at teas! one year pdar to -Completion of fha improvements covered by fhis permit, 1 canna! legally all a structure that I have built as an owner -builder if it has not been qonstruatod m its Bob by licensed contractors. I understand that a copy of the applicable law, Sec on 1144 of the Businoss and rofessions Code, is available upon request n Ihfs witted or at the fallowing Web site. httpiiwww.#eglnfo.ca.gavtcalaw.html. ignature of Property Owner or Authorized grin Ato- ICENSED CONTRACTOR'S DECLARAh�V U�1i hereby aitirm under penalty of pe[jurj that m tic sad niter provisrons of Chapter 9 {oo°nmencing with Sac' 7001 j oP Division 3of th Hess and Professions Ode, and my license is in full force ad effect. License Class License No D C actor Signature WORKERS' COMPENSATION DECLARATION ✓ \ 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE rS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI 1NES UP TO ONE HUNDRED THOUSAND DOLLARS HH00,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will t.wotatn a certificate of consent to self -insure for wo kers' compensation, issued by the Director of Industrial Relations as provided for by Sectlon 3700 of the Labor Code, forth c-fn,^,rrce of tr•T Y c* for which this permit is issued. Policy No. __._.__ 11 have and will mei,l,ain 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' compensatioi i' urunce carrier an policy number are, gamier ----- Policy Number Expiration Date -!r! `y that in the performance of t work for which this permit is issued. I shall not employ any person in any manner so as to become Subject to the w ots' compensation laws of California., and afire t a if I should b owe so c. to the rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �J itunttere of Applica _ _ ,-,_, at �._..j. GCLARt,TION RDI G C N CTIt7N LENDING AGENCY I lh?-et"j affirm under penalty of perjury that there is a construction lending agency for the performance of the. work for which this permit is issued (Section3097, Civil Code), Lendafs Name _ Lenders Address By my signature baILA, I cerllfy 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 ail applicable city and county ordinances an state laws relating to building construction. I authorize representatives of this city o ounty to ent� Ihj� ab^anve �dentihed property for inspection purposes. /{ Signature of Prooertv Owner or Author cl Aganl I � I. / V tVll _- _. ___ Print Property Owner's or Authorized Aq�, s ame. Al 6k 5Y PERtvI77 EXPIRED PERA41TEX7EIV�,f - r'- CERTIFICAT OCCUPANCY OF CCUPANCY ISSUED- 'flR, Oa COMPLIANCE WITH CODE ©FFEDERAL � FOROFFICEUSE PART 61 OF TITLF. 40 AND AQMD RULE ISNOTAPPUCAHLE TO