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HomeMy WebLinkAboutXR2023-2174 - Permits��E,xpo�w City of Newport Beach III III IIIIIII IIIIIIIII IIIIIIIIIIIIII II II II COMB Permit : XR2O23-2174 Q Community Development Department- Building Division X R 2 0 2 3 2 1 7 4 00 ClvleCenter Drive, Newport Beach, CA 92660 Plan Check No �PermitCnter Phone: 949 718-1888( ) Issued Date : OB/eB/2023 , newportbeachca.gov/civic Final Date: Combination Type -MFP Permit Status: Issued ,�....,K Work Class - Repair Inspection Area : B 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 : 1501 HAVEN PL Legal Desc : N TR 1718 BLK LOT 20 Description: MFR REROOF. T/O (1) LAYER OF COMP, INSTL (1) LYR OF SYNTHETIC SHEATHING, R/R SHEATHING AS NEEDED, INSTL 45 SOS COMP Owner : SHAHROKH SHENAVAI Address : 359 VISTA MADERA NEWPORT BEACH, CA 92660 Phone : (949) 402-7675 Applicant: SHAHROKH SHENAVAI Address : 359 VISTA MADERA NEWPORT BEACH, CA 92660 Phone : (949) 402-7675 Owner/Builder : SHAHROKH SHENAVAI Address : 359 VISTA MADERA NEWPORT BEACH, CA 92600 Phone : (949) 402-7675 Contractor : Architect Address : Address Phone : - Phone Con State Lic : State Lic Lic Expire Bus Lic : Engineer Bus Lic Expire : Address Workers' Compensation Insurance Phone Carrier: ' Policy No : Designer W. C. Expire : - Address Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg Occupancy Groups : U,R-2 No of Units : 4 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage -I TOTAL sq. ft. : Building Setbacks: Front: 20, Rear: 0 Flood Zone : X Use Zone : RM - Multi Residential PROCESSED BY: SPECIAL CONDITIONS: O/B AUTH SCANNED $15,525.00 0 I OWNER -BUILDER. DECLARATION I hereby anion under penalty of perury that I are exempt frorll the Contractors' Slate License Lawlor the reason(s) indicated belmv by the checkmark{sI I have placed next to in applicable item (a) (Section 7031-5, 13usiIioss and Professions Code: Arty oily ar county that Tequhes a permit to Construct, alter, Irnprove., demolish, or repair any sFoote To. , prior to 11s issuance, also requires the applicant for the permit to file a signed statement that [in or she Is Ilconscd pursuant to the provisions of the ContractorsState License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and asslons Code) or That he or she is exempt from licensure and the basks for the alleged exemption. Any violation of Section 7031.5 by any applioaot for a permit subjects the applicantto a civil penalty of oa ura than five hundred dollars ($500)s ownerofthe property, ormy employee with wages as theirsole compensation, will do t )all ofor(_)portions ofthework, andthe structure is not intended or offered for sale (Section7044, ss and Prolessions Coyle: 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 of offered for sale. If, however, the building or improvement is sold within one year Of completion„ the Owner -Budder will have the bllydell or proving that it was riot built or Irnpioved for the purpose of sale). 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 TI to an owner of property who builds or improvesthereon and Who contracts for the projects with a Focused Contractor pursuant to the Contractors' State UCOTF5e Law). I ere exempt from llcensure under the Contractors' State License Law for the foilnwrng reason By my slgnGlurU LerLw ackno�.vlcdgG that, except for my personal residence in wh ich blob m must have resided torat least one prior to of 11Te implovemyed onls eby his parmiL I Cannot legal], Sell c suuclurn Ih:J, I .Tva butll as an ownerbuildcs has not - n r-onstructed In its enI IconsDd contractors. I understand that a copy of the applicable law, Sn 4on 7044 of the Businoss and I wtoq Inn Code Is c lallable upon request this appfir n s sudm tad or of he foJf In 'e6 sds;hitp:(lvmw,legln[o oa govlcelaw html. �Ignaturo of Propelr 'T afar or Authorized Ag1. /j� _� ..�a a e � rl -, LICENSED CON fRnC'IOR'S DE TI N__-_._ ._._.. _., .e Y .2.I.I(L C'. ____,.._...._....... ._._____.................. __..._.._.._ -.—. (/fi---� �---- I haretiy affirm under PI.141y of perjury that I am Ooensed under provisions' of Chapler g (Commencing With Section 7000) of Division 3 of the Business and Professions Coda, and my License is In full force and effsct. Licedsz Czss- License No Date Contractor Signature J'!Oh VE',�S' COMPENSATION DECLARATION A-V%T C. FAILURE 103ECLRE WORKERS' CC PAPE NS AT ION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOI'ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNUSED THOUSAND DOLLARS $100,D(Sh, IN AUDITION TO THE COST OF COMPEN5A', Tory, DAMAGES AS PROVIDED FOR IN SECTION 7106 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S F LES- horeby affirm under penalty of perjury one of the fo roviln,g declarations, ::ru,, and Fill n-_II In a carlificale of consent to selpinsure for wofkerS' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih Terh-r^r, ,o of the wort: orwhich this permit is issued_ Polley No a Id wit; n.aintoin 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' ranee mrrior ar,d pcliC; numher arc: AT Policy Number _ Expiration Date VamL ,)f !,gent __ Phone N _ Candy that, in the performance of the work for which INS permit is is ed I shall not employ any Person 141 any manrlyr so as to become subject to the work us' compensation laws of Calffomia, and afire hq If I should��euom subject I worker • cum r Ise Inn ror ns [ f Secli� o L bar Code., I shall forthwith cam -with those rovlsinns 1 P.{�//J ,j P S 3 comply F >I, nature DIA tic' ��Z M.. ate. JECLARA iION ARDING ONS't C ON k OINGAG �.V hereby affirm Under IT anairy of perjury that thera Is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Civil Code), ,.eoder's Name _.......�. ...._ _.. Lender's Address 3y my signature bk'Ilew, I Durtlfy to eavh of the rulluwuly. I am the property owner or authoniad TO act on the properly owner'c behalf. I have read this application and the 'information I have provided is correct, I agree to comply voth all applicable coy and coo Tty or 1 ncos and state fa r Iln to building Oonsanctlon. I authorize representatives of this my noun to a f e above idenl' e., pr. IT for inspection purposes, 31gnaLve of Property Owner Or Authonzed A l o. Print Properly CYwner's Or Authorized .4 aril's N _ _ _-1 ACTION ( OATS RY nRATtO b .,OMPLIA .1h ITI .. ERAt FOR OFFICE USE ONLY A REGULATIONS PAR151 DFTITLF,90AN©AONfDRULE 44 N YI PFRAOT EXPIPFO I U SyLIAMFRITTFD ASRFSTOS NOTI ATION TO �I Pt RM1Mi cAA"r FLt IJ EO I Cpl1 ........ PCP,Yf/T fa TtNOfD l CIARMP PLNNI iFl NAU MEWS NQ'fiFICAIION IS NO`I APPLICABLE TO ����� CEP TFFICATE of PRO D DEMOLITION OCCUPANUf,SII