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Home My WebLink AboutX2022-1030 - PermitsORT City of Newport Beach 6 Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 G S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cg4coa"�� newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration IllXll�llll0lllllllllll��llll�l�ulll�03lllllll III COMB Permit : X2022-1030 Plan Check No : 0526-2021 Issued Date : 01/30/2023 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NQ CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 6 NIGHT SKY Legal Desc : N TR 16461 BLK LOT 48 Description: DELTA 5 *ADDITIONAL SCOPE* BATHROOM & POWDER ROOM REMODEL & REPLACE (E) FIREPLACE Owner: SONAZ HAMIDIAN SAYED MIRRAFATI Address : 6 NIGHT SKY NEWPORT BEACH, CA Phone: (949) 677-1698 Applicant: SONAZ HAMIDIAN SAYED. MIRRAFATI Address: 6 NIGHT SKY NEWPORT BEACH, CA Phone: (949)677-1698 Owner/Builder : SONAZ HAMIDIAN SAYED MIRRAFATI Address: 6 NIGHT SKY NEWPORT BEACH, CA Phone : (949) 677-1698 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire Code Edition : 2019 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 : 0 Building Setbacks : Flood Zone : X Use Zone: PC -Newport Coast PROCESSED BY: SPECIAL CONDITIONS: O/B FORM SEE X2021-3243 Architect Address Phone: State Lie Engineer: MEHDIZADEHNASRABADI MOHAMMAD Address: 145 COTTONWOOD IRVINE, CA 92618 Phone: (949)554-7900 Designer: Address Phone : Construction Valuation : $15,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARAI JUN 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 placednext to the applicable ftem(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 Drofessions 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with %Vegas as their sole compensation, will do (_) all of or (� 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 theproperty, 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 ar1d for the purpose of sale). L2.t`s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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).. 1 am exempt from licensure under the Contractors' Stare License Law for the fallowing reason:.__..__, By my signature below I acknowledge that, except for my personal residence in which 1 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 ikiTas not n Construe d in its entirety by licensed contractors. I understand that a copy of the applicable taw, Sectio 7 44 of the Business and Professions Code, is available upon request whe s appl ' -s ed or at the following Web site:h4p'!1www.leginfo.ca.govlcalaw:html. Signature of Property Owner or Authorized Agen LICENSED CONTRACTOR'S DECLARAT.. N I hereby affirm under penalty of perjury that I am licensed u er pmvi ' apter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. license Class reel No Date Contractor Signature WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IEt00,000L IN ADDITION TO THE [COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE. INTEREST', AND ATTORNEyo FEES. 'I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth performance of the work for 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' compensatiol insurance carder and policy number are: Carrier n Policy Number Expiration Date no of Agent Certify first, in the performance f in r for which this pa" is issued, I shall not employ any parsanin any manner so as to become subject to the workers' compensa ion laws Of Califgmia, antl ogre t, if I should becom s jtu Wor er CompertsatIon provisions o(Seclion 3700 of the Labor Code, I shall forthwith comply w4th those provisions.nature or Applicant D CLARATION REG R. CTION LENDING AGENCY achy affirm under penally of erjury that there is a construction lending agency for the performance of the work for vfilch this per It is issued QSection 3097, Civil Code). ,tiers Name Lender's Address my signature below, I certify to each of the following: .�71ps�r1� I am the property owner or authorized to act or, the. property owner's behalf. I have read this application and the information I have provi is correct. 0/�� I agree to comply with all applicable city and county ordfna s a s to laws relating to building construction. I authorize representatives of this city or cc u to Sabo dontified property for inspection purposes. G� ) ,nature of Property- Owner or Authorized A ai Print Property owner's or Authorized Agent's Nam fj Dat 'TMN I DATE i BY RATION OF PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY EXPIRED OF FO.NO"IFICATION -O PERMIT EXTENDED— uvumu �PMI� FINAL A58ESIOS 4NOTAPPLICABLE TO CERnFICA7'£Of 2- D PR OSEDEi7 OCCUPANCYISSUEO ' SIGNATURE: