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HomeMy WebLinkAboutXR2022-2908 -D��gwaoRr City of Newport Beach { d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u o- Inspection Requests Phone: (949) 644-3255 cq(.(rnpN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration 111I��III��1111111111111111111111111111111111111111111111 jj COMB Permit : XR2O22-29os Plan Check No Issued Date : 11/02/2022 Inspection Area : 3 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: 1121 KINGS RD Legal Desc : P BK 51 PG 7 PAR 1 Description: SFR KITCHEN REMODEL 215 SF *CITY STANDARD* Owner: AZADIAN GHASSEM GUS TR Contractor: DEA CONSTRUCTION INC Architect Address : 1121 KINGS RD Address: 20240 VIA MANZANILLO Address NEWPORT BEACH, CA 92663 YORBA LINDA, CA 92887 Phone : Phone : (206) 795-1404 Phone State Lie: Con State Lie : 1092078 Lie Expire : 05/31/2024 (. Applicant : DEA CONSTRUCTION INC Bus Lie : BT30080001 Engineer : R Address : 20240 VIA MANZANILLO Bus Lie Expire : 11130/2023 Address : a� YORBA LINDA, CA 92887 Phone: (206) 795-1404 Workers' Compensation Insurance Phone: . Carrier Owner/Builder : Policy No : EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: e OWNER -BUILDER DECLARATION 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 placed next to the applicable items) 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 ie permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessioos Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 L, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lUS mRSS 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 nprovements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the Owner-Builderwill 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 poly 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). a 1 am exempt from licensee under the Contractors' State License Law for the fallowing reason ly 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 legal] all a structure that I have built as an ownor-builder it it has not been constructed in its entirety by licensed contractors. I understand that a ropy of the applicable law, Section 7044 of tho Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:livnvw.Ieginfo.ca.gov/calaw.html, signature of Property Owneror Authorized Agent _ _ _ Date T_v hereby ED CONTRACTOR'S DECLARATION ��� hereby affirm under penalty of paqury that I am licensed under provisions of Chapter 9 (commencing with SectiD 7 0) of Div' ion 3 of the Business and Profs no and y se Is rideffect. License Class License No Date LI, J, 0.91,Bontractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENA IES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS St0a;000j.1N AODTfION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm under penalty of perjury one of the following declarations: I I 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 in Demance of the work for which this permit Is issued. Policy No. 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 Isurance carrier and policy number are: Policy Number Expiration Date 1❑❑5r//�ry'�s1v gent Phone H .pert' y,that, in the perform ce he war or is 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 at, if ould beco e s his a wor r c sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. d �I lure of Applicant I_ Dayt✓, iECLARATION REG C LENDING GENCY hereby affirm under per perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (SectlDn 3097, Ci. "I Code). Ender's Name Lender's Address 3y my signature below 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 agree to comply with all applicable city and county ord)rranges aX late laws relating to building.. construction. / authorize representatives of this city or coon t Erikve I ed fo ctlon purposes. l Signature of Pro a Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION _]_DATE BY=RFGJLAiTl01QNN :OF/COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY PART 6I OF TITLE 40 AND AONID RULE PERMIT EXPIRED �ySL3fi,TTFD ,1>F;FSTOS NOTIFICATION TO PEAMYT CANCEIl.EO I�IEP,I P€FMr1T FXTFND€D _ ,i MD PEAMl7 FlflAL 22 yaES SN11TIIV" I' "AP LJVI aB E l CERTIFICATE Of _IJ _2> I P POSED M OCCUPANCYISSUED t 51GNATURE: