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HomeMy WebLinkAboutXR2023-0459 - Permitsy.aeipokr, City of Newport Beach p e` Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U ,� ` Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CN<�F00.N`P newportbeachca.gov/inspections Combination Type - Work Class - Alteration I 3' 4 COMB Permit : XR2023-0459 Plan Check No : Issued Date : 02/17 2023 Inspection Area 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 SATURD'AY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 718 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 736 LOT 20 Description: DUPLEX R/R SIDING AROUND BUILDING. R/R ALL WINDOWS AND DOORS. Owner: Mandana Ziai Contractor: 0 C REMODELING Architect Address : 6 Viola Address : 1801 WHITTIER AVE, 7 Address Irvine, CA 92620 COSTA MESA, CA 92627 Phone: (310)936-9405 Phone: (949)800-9185 Phone: Con State Lic : 1031220 State Lic Lic Expire : 09/30/2023 Applicant : O C REMODELING Bus Lic: BT30080760 Engineer: Address : 1801 WHITTIER AVE, 7 Bus Lic Expire : 02/29/2024 Address COSTA MESA, CA 92627 Phone: (949) 800-9185 Workers' Compensation Insurance Phone: Carrier: EXEMPT -NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 " Flood Zone: X "" Use Zone : R-2 - Two -Unit Residential �+c `.I 0,R1�`G 9 !ON NOISE No iC;O PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE " ON THE WEEKEND " OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori indicated below by the checkmark(s) have placed next to the applicable itemts) (Section 7031.5, Business and Professions Code: Any oily 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 provisions 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 forthe 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 L-) all of or U 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 -Builder will have the burden of proving that 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 ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law). ff I am exempt from licensure under the Contractors' Slate 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 legally 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 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:httpl/ww .leg nfo.ca.govkalaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION '.I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Dis 3 of the Business and Professions C _ni;L eerlse is in full force and effect. License Class License No Date r 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 TOONE HUNDRED THOUSANO DOLLARS ($100,000), M ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the workfor which this permit is issued. Policy No.. ❑I 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' compensatio insurance carrier and policy number are: Carriar _... Policy Number Expiration Date Jame of Agent 11 ' ". .. . EI certify that, in the performance of the work 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 hat, if I should became subject to the wo pensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Signature of Applicant�_____�.., Dale — DECLARATION REGARDIN O RUCTION LENDING AGENCY hereby affirm under penalty of edury that there is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Civil Code). _enderrs Name Lander's Address 3y 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 I agree to wmply with all appticable city and county ordinances and ws relating to building construction. I author ire lapresentatives of this city or county to enter the abov d property for inspection purposes, /n1 a S.gnature of PrC-art. Owner or Authorized Agent Print Property . Owner's or Authorized Aent's Name Z I DateZ ° Z ACTION DATE BY — I DECLA TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY { REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403 f ERMiT EXPIRED SUBMITTED ASBESTOS NOTIFICATION FICATION TO PERMtT C4NCfC E9 EPA _ __... ERMITEY' - 0 MD PCRMIT ONF.1 ASBESTOS NOTIFICATION IS PisLICABLE TO ERTIFICATE OF ,Ofo.Z3 PR OPOSEDOEMOUTION OCCUPANCY 6SUd0 I SIGNATURE: ,_