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Home My WebLink AboutXR2024-7058 - PermitsO� @ S C4�(FpRN�P City of Newport Beach Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP ELEC MECH PLUM I�II�III�I�I�III�II��I��III�III COMB Perrnit : XR2024-7058 Plan Check No: Issued Date : 1210512024 Final Date: Permit Status: Issued Work Class - ADDITION/ALTERATION 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 : 104 VIA QUITO Legal Desc : N, TR 907 BLK LOT 141. TR 907 LOT 141(AND SWLY1/2 LO Description: SFR- INTERIOR REMODEL 450 SF, R/R WINDOWS (35) LIKE FOR LIKE, LEGALIZATION OF UNPERMITTED BEDROOM & CLOSET REMODEL Owner: GILLETT FRED ARON TR Address: 104 VIA QUITO NEWPORT BEACH, CA 92663 Phone: Applicant : FARID GHAHERI Address : 6150 Canoga ave. 4231 Woodland hills, CA 91367 Phone: (949)394-2770 OwnerBuilder : Address : Phone Contractor: REFINED RENOVATIONS INC Address: 217 VIA JUCAR NEWPORT BEACH, CA 92663 Phone: (714) 3215967 Con State Lic : 920625 Lie Expire: 0813112026 Bus Lie: ST30085762 Bus Lie Expire : 1113012025 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire: Code Edition: 2022 Fire Sprinklers: NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units: 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: .;?A SPECIAL CONDITIONS: Architect: Address Phone: State Lie Engineer: Address Phone: Designer: Address Phone: Construction Valuation : $98,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 450 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 o a iI i I OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury [hat 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 3p jc ible 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, alsor, the 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 Divisi iG 3 he applicant for , f, a Business and permit 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 appli Intjt a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sa Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who, through employeesor personal effort, builds or improves the pro 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 pwviegll ( V. t{' e fion 70", provided that the iv as not built or improved for the purpose Of sale). 111, as owner of the am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Statell, e r Si Law does not property, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). '❑ 1 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 for at least one year prior to completion of the improvements covered by th 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 o ti it, I cannot legal) Business and Professions Code. is available upon request when this application is submitted or at the following Web site:hHp:lfwww.leginfo.ca.govlcalaw.html. j Signature or Property Owner or Authorized Agent Date I LICENSED CONTRACTOR'S DECLARATION 1 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 Professions Code, and rfl and effect. License Class License No Date -'12 /. /h , l Contractor Signature �_. it n is in full force WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR, f5D,10 qIN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: II ❑ 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 370O.of f bor Code, for II performance of the work for which this permit is issued. Policy No. I ,I 01 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. M CopN1 ers' compensatio insurance Cartier and policy number are: I Cartier Policy Number Expiration Date Name of Agent Phone q 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 lam qI C alifornia. and agre that. if I should become subject to the worker/s' compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant C ' Daley DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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 Cade). Lenders Name Lender's Address By 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. III 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 stale laws relating to building construction. i I authorize representatives oT this city or county to nter the abo• -antled property for inspection purposes. Signature of Proer[ • Owner or Authorized Agent _f--�� Pnnl Pro a Owner s or Authorizetl Agent s Name r1 (% v f� i �-` I E Dale I z /�� "{ ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ! !II 1403 II PERMIT EXPIRED L1 SUBMITTED ASBESTOS NOTIFICATION TO r PERMIT CANCEL! ED QMD PERMIT EXTENDCD PERMIT FINAL CERTIFICATE OF'S h .'/ /�S IFICA ION 15 NOT APPLICABLE TO ��, NOTIFICATION PROPOSED DEO OCCUPANCYISSUED ! SIGNATURE: F III I I