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HomeMy WebLinkAboutXR2023-2307 - PermitsCity of Newport Beach IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-2307 ff" v@m Community Development Department - Building Division X R 2 0 2 3 2 3 0 7 0O100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2632-2021 Z. Permit Counter Phone: (949) 718-1888 Issued Date : 0812112023 newportbeachca.gov/civic Final Date: oq<�ar`r Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Other Inspection Area : 6 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 : 16 FERRAND Legal Desc : N TR 15935 BLK LOT 93 Description: SFR *RPLC EXPRD X2021-3026/CHNG OF CONTRACTOR* INTERIOR ALTERATION OF 1 BATHROOM, INSTALL TANKLESS WATER HEATER *STOP WORK* 121-3248 Owner: MOHAMMAD KHAN Address : 3007 SEILER DR NAPERVILLE, IL 60565 Phone Applicant: AMPLE CONSTRUCTION Address : 5500 CALLE SONORA YORBA LINDA, CA 92887 Phone : (714) 454-4305 Owner/Builder: Address : Contractor: AMPLE CONSTRUCTION Architect Address : 5500 CALLE SONORA Address YORBA LINDA, CA 92887 Phone: (714)454-4305 Phone: Con State Lic : 957060 State Lic Lic Expire : 01/31/2025 Bus Lic: BT30057810 Engineer: Bus Lic Expire : 06/30/2024 Address Workers' Compensation Insurance Phone: Carrier: NORGUARD INS CO Policy No: HAWC334520 Designer W. C. Expire: 11/1/2023 Address Phone: Phone INIIIz� i Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units: 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq, ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: I NO CONSTRUCTION NOISE ON SATURDAYS 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 checkmark(s) I have placed next to the applicable Rem(s) Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for is permit to Ole a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70001 Division 3 of the Business and rofesslons Code) or that he or she is exempt from licensors and the basks for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($900), 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal mind. builds or improves the property, provided that the nprovemenls are not Intended or offered for sale. If, however, the holding or Im nwemant 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). 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 �ptply 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). 1 I are exempt from licensors under the Contractors' State License Law for the following reason: ly my signature below 1 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 ownior-buildor if it has not ueen constructed in its entirety by licensed Contractors. t understand that a copy of the applicable law, Section 7044 of the Business and aofesslens Code, is avaltable upon request when this application is submitted or at the following Web siteaitfp:/ANwvr.leginfo.ca.govlcalaw.html. �ignahim of Property Owner or Authorized Agent _F _ Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se the Business an afessions Cale nd my license is in full farce no effect. License Class License No !r0A7L�1AT1E5ANKD Contractor SignaPORKERS' COMPENSATION DECLARATION'ARNIN©: FAILURE TO BECURE wORNER$' COMPENSATION COMERAGE I$ UNLAWFUL, AND SHALL $WBUECT AN EMPLaYER TO C ClwiL FINEB UP TO ONE UNaREo TH SAND OLLARS (5100p00), SN AOan'ION TO THE CET OF CCMPENSATIOH; DAMAGES As PROVInED FOR m SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'§ FEES - hereby affirm under penalty of p,�qury One of tho following declarations: a 1 have and will lasntai,l a cenifcale of consent to selGinsure for workers compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the psformance of the work for whicl, this perarit is issued. Policy No. ,4acrtrand will Fri Norkers' 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' compensatioi ranee carrier ano:%rlicy r umtsr am: Or _ _ Policy Number Expiration Date is of Agent _ Phone M certify that, in the performance �f /s work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the works ' compensation laws of California and agre if I should beco ipit .rb;act f it we kern compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rl (� sture of Appti _ - � w . �,...,..., .,,...,.,., �..,�.. _.,_.. e_ hereby affirm under penalt�4peoury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30d7,1 tvil Code). ender's Name Lender's Address y 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. agree to comply with all applicable city and a I1ty ordinanc�s��rid state laws relating to building construction. I authorize representatives of this city c my to enter the;apeve4dentified property for inspection purposes. y j 1 o...,.d,+ n„,„.. n, n„ir,r.ri�on ani //.�� Print Prooertv 6wner's or Authorize Atl oar3t's Name ICI C) �.C'� (� , In ACTION 1 DATE I' Illy gEGAU A'1ONS OFC MLIANC61 Of EWIT 40 �CODE OF EDERAL ( FOROFEICE PEFM7'F EXPIRED L.J I SUBMITTED ASBESTOS NOTIFICATION TO PEAMri CAM1CFY CF) E PA PEMITEXTENDEDPEHNHTFINA! TIF! TIO NOT APPLICABLE TO CEn iiFICAiE Oi IITI NQCCUPANCVISSUEb I