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HomeMy WebLinkAboutXR2023-0616 - Permits�aeWPoRr City of Newport Beach II IIIII I I IIIII I IIIII III II II IIIIIII II COMB Permit : XR2023-0616 p t A Community Development Department- Building Division > - 100 Civic Center Drive, Newport Beach, CA 92660 - n Plan Check No: PC2023-0487 i) Z Permit Counter Phone: (949) 949) 644 Issued Date: 03/27/2023 Inspection Requests Phone: (949) 644-3255 cgproaN`P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP ELEC PLUM 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: 2 PADUA CT Legal Desc : N TR 14772 BLK LOT 3 Description: SFR REMODEL TO KITCHEN AND MST BATHROOM 187 SF Owner : TSUBOTA TAKESHI TR Address : 33 CLERMONT NEWPORT COAST, CA 92657 Phone : (949) 929-2203 Applicant: SAEED MOHAMMAD[ Address : 26611 NACCOME DR. MISSION VIEJO, CA 92691 Phone: (949)308-3137 Owner/Builder : Address : Phone Contractor: SAEEDMOHAMMADI Address : 26611 NACCOME DR. MISSION VIEJO, CA 92691 Phone : (949) 308-3137 Con State Lie : 1077008 Lie Expire: 06/30/2023 Bus Lie : BT30081088 Bus Lie Expire : 02/29/2024 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 : YES Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: M Architect : BROWN KENNETH Address : 25401 CABOT RD #207 LAGLANA HILLS CA 92653 Phone : (949) 981-5106 State Lie: Engineer Address Phone: Designer: Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : SPECIAL CONDITIONS: z 4 f^ $71,000.00 0 187 0 0 OWNER -BUILDER DECLARATION t 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 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 ;ho permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (eolnmencing with Section 7000) of Division 3 of the Business and aroessions 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 applicant to a civil penalty of not 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 portionsofthe 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 -Builder will have the burden of proving that it was not builtor improved for the purpose of sale). El 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 properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Stale 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 legallt sell a structure that I have built as an owner -builder if it has not been constructed in its ontirety, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted orat the following Web site:htip:llwww.leginfo.ca.gov/colaw.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 7000) of Division 3 of the Business and Professi its Code, and my license. is In full force and effect. Licence Class; License. No Date _Ar2 Contractor Signatur � WORKERS' COMPENSATION DECLARATION WHINING FnILURE TJ S2CURc WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT N EMPLOYER TO FEES. CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, aAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND I hwraw, nuirm under penalty of perjury one of the following declarations: ❑ 1 havJ and wN T Llntim 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, forth pe•forrr=ice or the work for which this permit is issued. Policy No. 01 nave 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' Compensate �iinc. t.Tn-L carrier and policy number are: is of Agent _ - _ Certify that. In the pi , h I should bednRlP isture of Applicant I Policy Number Expiration Date ice 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 ogre to the workers' compensation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. Delta 3L2�/70>z ,ECLARATION REiGARDiNQ QQN,9IKIJ4 i ILIN LknrilNL AUGNL, r 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 y my signature below, I certify to each of ilia following: I am the properly 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 ilindinances and state laws relating to building construction. I authorize representatives of this city or county to Ater the above Identifted property for inspection purposes. ..__ _. ...-_- _ ,r.--. A n,.o„, /- Print Property owner's or Authorized Agent's NapuL=D ACTION i DATE. PERMITCANCELLED PERMIT FINAL {� CERTIFICATE OF OCCUPANCYISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS IS NOT APPUCABLE 'TO