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HomeMy WebLinkAboutXR2022-2952 - Permits��EwPoRr City of Newport Beach II III IIIIII IIII III IIIIIIIIIIIIIII IIII II COMB Permit: XR2O22-2952 Community Development Department- Building Division X R 2 0 2 2 2 s 5 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2811 Permit Counter Phone: (949) 644-3288 Issued Date: u 2 Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 C9(.(pnµN�P newponbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 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 : 270 CAGNEY LN, 207 Description : MFR REMODEL 1672 SF Owner: GURBIR CHHABRA Address : 321 INDEPENDENCE DR CLAREMONT, CA 91711 Phone: (909)260-7544 Applicant: JMG Architects Address : PO BOX 9942 NEWPORT BEACH, CA 92658 Phone: (949)873-8879 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 I -A R-3 PC - Versailles on the Bluff SPECIAL CONDITIONS: Legal Desc : N TR 8336 BILK LOT 6 UN 101 TR 8336 LOT 6 UNIT 101 OF PROJECT LOCATED ON AP Contractor: AHMADMOGHADAS Address : 14 ALDERWOOD IRVINE, CA 92604 Phone : (949) 573-6595 Con State Lie: 1077124 Lie Expire : 06/30/2023 Bus Lie: BT30080109 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES W. C. Expire: Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 45 No of Stories : 3 Architect : JMG Architects Address : PO BOX 9942 NEWPORT BEACH, CA 92658 Phone: (949)873-8879 State Lie Engineer Address Phone: Designer Address : Phone: Construction Valuation : $100,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 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 reasons) indicated below by the checkrnark(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, prior to its issuance, also requires the applicant for is permit to file a signedstatement 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 lieensure 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 of more than five hundred dollars ($500), 1 1„ as owner of the property, or my employees with swages 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, usines , 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 nprovements 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 nproved for the purpose of sale). 11, 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 poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason ,y 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 legally ell 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, is available upon request when this application is submitted or at the following Web site:http:liw ,Nv.leginto.ca.gov/calaw.htmi. .ignature of Prroperty Owner or Authorized Agent ry Date .ICENSED CONTRACTOR'S DECLARATION 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 Profession. or , n tfy license's-} UI force nd effect. License Class License No Date 2 o29bontractor Signatures - -- i— VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES Up TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN AOORION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self4reure for workers" compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih erformance of the work for which this permit Is issued. Policy No. 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. My workers' rance carrier and policy number are: of Agent �iliy that. in the performance of the I should become subject to the we Policy Number Date 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 _ aben pros' "Titus of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, ignature of Applicant ECLARATION REGA CONSTRUCTION LENDING AGENCY 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 Code). ender's Name Lender's Address Iy 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 applicable city and county ordinances arylsta auvs (elating to wilding. construction. I authorize representatives of this city or county to enter ve= ntified prop 20mspection purposes. Iionature of ProiJertv Owner or Authorized Anent ..yY-' tf u /tea/' - Print Property Owner's or Authorized Agent's Narn4 C r>Jd C-..-:Dote/��,� Z'1Lz ACTION DATE BY L/ \DECLARATION. OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE .., 1403 PERMITEXPiRED LJ I SUBMITTED ASRESTOS NOTIFICATION TO _ PERMITCANCELLED __—...__.EPA PERMIT EXTENDED OMD PERMIT FINAL ASBESTOS NOTIFICAIIOLL ISN'n;RP ICAHI TO CENT7FICATE OF 5 tiz i3 R POSED DEMOLITtof _ OCCUPANCY ISSUED SIGNATURE: z