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HomeMy WebLinkAboutXR2023-0444 - Permits��gWPORT City of Newport Beach p d Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u r Inspection Requests Phone: (949) 644-3255 cqG/pp0.N�P newportbeachca.gov/inspections Combination Type - Work Class - Other 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2023-0444 Plan Check No: Issued Date : 02121/2023 Inspectio 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 : 43 MONTPELLIER Description : DUPLEX DRAINAGE Legal Desc : N TR 9587 BILK LOT 4 UN 7 TR 9587 LOT 4 UNIT 7 OF PROJECT LOC ATED ON AP Owner: MOSTAFA GOWHARI Contractor: ALPHA- REGIONAL INC Architect Address : 43 MONTPELLIER Address : 2822 WALNUT AVENUE UNIT C Address NEWPORT BEACH, CA 92660 TUSTIN, CA 92780 Phone: (949)933-9015 Phone: (949)630-8191 Phone: Con State Lie : 783526 State Lie Lie Expire : 08/31/2024 Applicant: ALPHA- REGIONAL INC Bus Lie : BT30058896 Engineer Address : 2822 WALNUT AVENUE UNIT C Bus Lie Expire : 04/30/2023 l Address TUSTIN, CA 92780 Phone: (949) 630-8191 Workers' Compensation Insurance Phone: Carrier: OAK+RIVER+INSURANCE+COMPANY Owner/Builder : Policy No : ALWC345937 Designer Address : W. C. Expire: 4/1/2023 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 Occupancy Groups : R-2 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: l 9 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of pegury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicableitem(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 yrofossions Code) or that he or she is exempt from lioensure 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 rat more than five hundred dollars ($500). 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, lusiness 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 mprovements 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 mproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not rpely to an owner of property who builds or improvesthereon, arid who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for the following reason: _ 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior [a completion of the improvements covered by this permit, I cannot legall! all 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 of the Business and ?rofessions Code, isavailable upon request when this application is submitted or at the following Web site:httpllwww.leginfo.ca.gov/colaw.html. signature of Property Owner or Authorized Agent _ Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio*7111,#ofDivi 'on 3 of the Business and Pro :ions denseis In full force Ind effect License Class license No Da( Contractor Signature VORKERS' COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (W0,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LAUGH CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I 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 Cade, for th performance of the work for which this permit Is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade,. for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent /T Phone 9 certify that, in the performance of the work for which��per s is - ed: I shall not. employ any person in guy manner so as to become subject to the workers' corppensation laws of California, and agre I. If I should become subj •t to the workers' comp ati " ns o Section 3700 of the Labor Code, shall forthwith comply with (hose provisions. ,� nature of Applicant _i Date / - CLARATIGN REGAR NG $TR#!G BI. AGENCY •'--ii areby affirm under penalty of perjury tha is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode), rder's Name ` Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property own ' all. I have read this application and the information 1 have provid rs c I agree to comply with all applicable city and county ordi ce a wsjj��llsting to building construction. I authorize representatives of this city or county,lp.en -Itle fiya�(Opesyiertnspec[ion purposes, n f ACTION DATE BY r I PERMIT EXPIRED 1403 Print PART 61 DF TITLE 40 AND AQMD RULE PERMIT FINAL b tERTrfICATE OF "�� i LJ A59F5TOS NJI"IFICAt'ION 15 NOT APPLICABLE TO — � 1.-7�--1PROP05ED DEMOLITION OCCUPANCYISSUED SIGNATURE: Owner's or FOR OFFICE USE ONLY