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Home My WebLink AboutXR2023-0301 - Permits��EWPORT City of Newport Beach � @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 m.Inspection Requests Phone: (949) 644-3255 °g4ron�`P newportbeachca.gov/inspections Combination Type - Work Class - Other IIIII��III��III ��III�IIIi��III�IIiIIIIIIIII�� COMB Permit : XR2023-0301 Plan Check No : PC2023-0237 Issued Date : 02/03/2023 Inspection Area : 6 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 : 419 NARCISSUS AVE Legal Desc : A TR CORONA DEL MAR BLK 440 LOT 9 Description: SFR BLOCK WALL 6' HI X 180 LF ON PROPERTY LINE (WITH AGREEMENT) Owner: CDM PROPERTIES LLC Contractor : Jam! Bahrami Architect Address : 20 ROCKSHORE BLF Address : 23986 Aliso Creek Road, 112 Address NEWPORT COAST, CA 92657 Laguna Niguel, CA 92677 Phone: Phone : (888) 463-2111 Phone Con State Lie : 1045525 State Lie Lie Expire : 10/31/2024 Applicant: Jami Bahrami Bus Lie: BT30064830 Engineer Address : 23986 Aliso Creek Road, 112 Bus Lie Expire: 10/31/2023 Address : Laguna Niguel, CA 92677 Phone: (888) 463-2111 Workers' Compensation Insurance Phone: Carrier: EXEMPT Owner/Builder: Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: o Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $18,000.30u Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups: U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X�V ram, r� f CONSTRUCTION ��9�. Use Zone: R-2 - Two -Unit Residential - PROCESSED BY: SPECIAL CONDITIONS: ON THE i19FF.K;f-hW OWNER -BUILDER DECLARATION I hereby affirm under penally 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, improve, demolish,or repair any structure, poor to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the previsions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 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-Suilder will have the burden of provingthat it was not built or improved for the purpose of sale). ❑ 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 apply 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 for 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 owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Businoas and Professions Code, isavailable upon request when this application is submitted orat the fallowing Web site:http:/Mmw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) D"ision3 of the Business and Prnfessio my Iry, rise is In full force and effect. License Class License No Data-t� Contractor Signature iNORKER3' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENS"W', IMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I , i I nave and wut mai, Rain a certificate of consent to solf-insure tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )erformance of the wort, for which this permit is issued. Policy No. hi •e and will maintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier ant, policy number are: Policy Number Expiration Date if Agent yl car lily 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 Tit, .f' ould become subject tot i means h9 on provisi9yy at Sentian 3700 of the Labor Code, I shall forthwith comely with !hose provisions. ignatureofAppPrant� bate 'kuL^HATION REGARDIN _ CONSTRUCTION LENDING AGENCY her�Ly affirm Lndar 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 Code). under's Name - Lander's Address y 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. I have read this application and the information I have provided is correct. I agree to comply with all applicablecity and county ordinances and state laws relating to building construction. r I authorize representatives of this city or county to ent�eyt e-identified prop rt);, agpection purposes. T��% ✓��9 ianature of Progeny Owner or Authorized Agent �� Print ProoeM Owner's or Authorized Anent's Name I 1 ACTION CANCELLED DATE I BY OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY PART G1 OF TITLE 40 ANU AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO PERrbfrTF/NAL ASBESTOSNOTIFICAFtONI5N APPLICABLE TO CERTlFrcAT'E OF S-8' ��'+`- OSEO DEMOLtTt OCCUPANCYISSUED SIGNATURE: /� � ^ ) § , � w 5= ■ . H ^om /(& O )§f/ �Q=. come t m /3: ma§£± � () \ j - ^�A.&. k m ± ; . <0 \ ` � \ § ; \� § } .. .. w} \R j ® ■ 2 / y§ / \ \ ( ® ƒ § IL IL / g g . % § k ) ) \ ) ) % 0 U) § y / § ) z ) 2 a-y IL ) / } \ 0 § ) \ E § ) \ \ \