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HomeMy WebLinkAboutX2022-1694 - Permits"EWvo"yV City of Newport Beach Illj1111111111111�111111111111111111111111111111111111111111111lJill COMB Permit: X2022-1694 oF. e Commy Development Department - Building Division x 2 0 2 2 - 1 6 9 4 Plan Check No : 2487-2021 101 CivicunitCenter Drive, Newport Beach, CA 92660 Issued Date : 05/16/2022 Permit Counter Phone: (949) 718-1888 Final Date: newportbeachca.gov/civic Permit Status: Issued 'cgciFoa+'`% Combination Type - SFP Inspection Area : 4 Work Class - Other _ 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 AREA$ AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2206 ARALIA ST Legal Desc : N TR 4705 BLK LOT 109 Description : SFR (INSIDE P/L) 64 LF x 12' HIGH R.W, 40 LF x 6' HIGH R.W. (NORTH & SOUTH SIDES) Owner: SHAW KAMAO C TR THE SHAW FAMILY TR Address : 2206 ARALIA ST NEWPORT BEACH, CA92660 Phone : (949) 945-0905 Applicant Address : Phone Owner/Builder Address: Contractor: UNITED CONTRACTORS Address : 3185 AIRWAY AVE D-1 COSTA MESA, CA 92626 Phone : (949) 945-0905 Con State Lic : 949005 Lic Expire : 06/30/2024 Bus Lic: BT30053869 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9119462 W. C. Expire: 12/6/2023 Architect Address Phone: State Lic Engineer : DEIHIMI AMIR HOSSEIN Address : 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS, CA 92653 Phone : (949) 954-7244 Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers: NO Construction Valuation Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : NO 0 Alteration sq. ft. Bldg: No of Units : Occupancy Groups : U No of Stories : 0 Added/New sq. ft. Garage: 0 Bldg Height : TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Use Zone : PROCESSED BY: SPECIAL CONDITIONS: REVISED 10/19123 - REMOVED FROM SCOPE OF WORK 95 LF x 6' CITY STD BLOCK WALL (INSIDE P/L) lalq� 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 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 for the 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 U 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 im roved 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 apply 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). I am exempt from licensure under the Contractors' State 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 it 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 app Professions Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Di i Ion 3 of the Business and and effect. License Class License No Date WORKERS' COMPENSATION DECLARATION'Z Contractor Signs NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI COST 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: 'rents covered by this permit, I cannot law, Section 7044 of the Business and full force DOLLARS ($100,000), IN ADDITION TO THE 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 'mance of the %Nrk for which this permit is issued. Policy No. have and will �� rance carrier I of Agent insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date •v � mm�e� I certify that, in the performance of the work for 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 ogre It, if I should become subje to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant �9 �1� � � Z ICLARATION REGARD CONSTRUCTION LENDING AGENCY Date _' areby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Tder's Name Lender's Address my signature below, 1 canny 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 pr wded is correct. I agree to comply with all applicable city and county Ord1 noes and sta ws relating to building construction. ) I authorize representatives of this city or county t��'nter a abode ,fde d�j��arty for inspection purposes. nature of Property Owner or Authorized Anenf Y /IA. A01) - A l H" LHN DATE BY / D RATIO OF COMPLIANCE WITH CODE OF FEDEI R LATIONS PART 63 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED _ I SUBPNTi EL ASBESTOS NOTIFICATION T'D PERMITCANCELLED EPrt PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO OCCUPANCYISF OCCUPANCYISSUED PROPOSED DFPMUTION SIGNATURE: FOR OFFICE USE ONLY Name