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HomeMy WebLinkAboutXR2022-3267 - PermitsaeWPoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 F!Y Inspection Requests Phone: (949) 644-3255 CqC/F00.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other X R 2 0 2 2 3 2 6 7II COMB Permit : XR2O22-3267 Plan Check No : 0916-2022 Issued Date : 12/20/2022 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: 29 RIDGELINE DR Legal Desc : N TR 9861 BLK LOT 5 Description: DELTA 3 - (REV2022-2271) ADD RAISED DECK AROUND POOL APPROX 400 SF Owner: BEN HECHT Contractor: B D REALTY Architect Address : 29 RIDGELINE DR Address : 29 RIDGEGLINE DRIVE Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone : (310) 867-3056 Phone : (310) 867-3056 Phone Con State Lie : 939334 State Lie Lie Expire : 10/31/2023 Applicant: BEN HECHT Bus Lie: BT30076579 Engineer Address: 29 RIDGELINE DR Bus Lie Expire : 09/30/2023 Address NEWPORT BEACH, CA 92660 Phone: (310) 867-3056 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9134078 Designer Address : W. C. Expire : 6/2/2023 Address Phone: Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone Use Zone : 2019 V-B U Front: 5, Side: 5, Side: 5, Rear: 5 X PC - Harbor View Hills Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories PROCESSED BY: SPECIAL CONDITIONS: �sl C) DEIHIMI AMIR HOSSEIN 23172 PLAZA POINTE DR STE� LAGUNA HILLS, CA 92653 (949)954-7244 NO Construction Valuation : $20,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 applicableitem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a pormit to construct, alter, improve, demolish, or repair any structure, prior io its issuance, also requires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3.Giffin Business and Professions Code) or that he or she is exempt from loensure 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do O all of or (_) portions of the work, and the structure is notintended 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 properly, 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) - El 1, 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 legml sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by Iicensod contractors. I understand that copy of the applicable law, Section 70" of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:(lwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of parjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of DI I ion of the. Business and Profess , and I on a is In full f 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 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST; "a ATTORNEY's FEES. I 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 IN rformance 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 Code,. for the performance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfor, once 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 work ompansation laws of California, and agrD that, if I should become sub) ork c pensatio i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat'-- DECLARATION REGARD G S CTION LENDING AGENCY I hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's 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. I have read this application and the information I have provided incorrect. I agree to comply wflh all applicable City and un ordinances and slate laws relating to building construction. I authorize representatives of this city or count t enter the above -identified property for inspection purposes. Si nature of Pro any Owner or Authorized Agent Print Pro p erty Owner's or Authorized Agent's Name Date (� ACTION DATE I BY E LARATiON OF COMPLIANCE WITH CODE Or FEDERAL FOR OPFICE USE ONLY REGULATIONS PART 61 of TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED IU IISSUB—MITTFp—ASBESTOS NOTIFICATION TO PERMITCANCELLED ir_-PL A _ PEPoN7T FXTENDED Y CIME _ FRAomT FINAL �,f ASBEST S .OT ` `ON 15 T LICABLE TO CERTIFICATECIF ) 'I "�� SEO 0 OCCUPANCYISSUED LSIGN1TU E IM