Loading...
HomeMy WebLinkAboutXR2023-2228 - PermitsaEWPORT City of Newport Beach II II IIIII II IIIII I IIII IIII II II III I II COMB Permit : XR2O23-22,28 0� Community Development Department -Building Division x R 2 e 2 3 2 2 2 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-1957 Permit Counter Phone: (949) 718-1888 Issued Date : 0813112023 newportbeachca.gov/civic Final Date: Combination Type - MFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 4 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: 51 SEABROOK COVE Legal Desc : N TR 9676 BLK LOT 11 UN 71 TR 9676 LOT 11 UNIT 71 Description: MFR- INTERIOR ALTERATION INCLUDING KITCHEN, BATH, NEW BI-FOLD DOOR 1450 SF Owner: KENNETH GARDNER Address : 51 SEABROOK COVE NEWPORT BEACH, CA 92660 Phone: (650)773-0631 Applicant: OMID SOUTEHKASHAN Address : 3103 W CENTRAL AV SANTA ANA, CA 92704 Phone: (949)690-0098 Owner/Builder : Address : Phone: Contractor: OMID SOUTEHKASHAN Address : 3103 W CENTRAL AV SANTA ANA, CA 92704 Phone: (949)690-0098 Con State Lic : 923935 Lic Expire : 12/31/2024 Bus Lic : BT30082519 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lic: Engineer: MOBED MEHDIABADI SASAN Address: 3842 HENDRIX ST IRVINE, CA 92614 Phone: (310)433-7927 Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $120,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 1,450 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Sea Island Apartments PROCESSED BY: ' SPECIAL CONDITIONS: oil- Lzla OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Lawfor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 far :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 Profess ons Code) or that he or she is exempt from fcensure 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 lot more than five hundred dollars ($500), 1, as owner of the property, or my employees With wages 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, 3USheSS 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 mprovements 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 mproved for the purpose of sale). ❑ I, Be 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 properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). I am exempt from licensure under the Contmctors' State License Law for the fallowing 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 Improvements covered by this permit, I cannot )agally sell a structure that I have built as an owmor-builder if Ithas not peen constructed in Its entirety by licensad contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:f/www.feginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent �--. --�--�--_� _ .. Date ------�—�-- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PrOfe5510 Code, nd. my Ilse Is In full force and effect. License Class License No Date $/ 11.2 Z Contractor Signature,/,<- — ✓PORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T0S OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �h-Iereby affirm under penalty of perjury one of the following declarations: ,_.t 1 have and will maintain a certificate of consent (o self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance 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' ranee carrier and policy number are: Policy Number of Agent Dale 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 , if I should become subject to the wo Vers' compensaWn provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. of Data lr�3 areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issued'. (Section 3097, Civil Code). )der's Name _ _ Lenders Address 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, I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize represen(ativer ^f thit. Lity oI Lountd gBfi �r khhe Wi Le-identifi roperty for inspection purposes. ,-Is I I e-7) -4 / Owner's or Authorized Acent's Name Date ?13I z3 ACTION DATE Fly i DEC.LARAI ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51'OFTITLE nO AND ACMD RULE PERMIT EXPIRED 14(7_ _ i LJ I SLIRMITt ED ASBESTOS NOTIFICATION TO PER+MfTCANCF.LLED ! L�DPA ����_ PER14IT EXTENDED ' +A. QMD PERMIT flNAL CERTIFICATE OF _ 7�_ II /� } [Cf ASBESTOS NOTIFICATION 15 NOTAPPLICA9L 10 7)1/ = PROPOSED OEMOLI TE OCCUPANCYISSUED I SIGNATURE; 1 +