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HomeMy WebLinkAboutX2021-3121 - PermitsD��EWPO�T City of Newport Beach Community Development Department- Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u .tea. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH Work Class - Addition/Alteration COMB Permit : X2O21 -3121 iiiiiiiiiii Plan Check No : 2703-2021 Issued Date : 12/13/2022 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 : 10 ROCKY POINT RD Legal Desc : N TR 7386 BILK LOT 90 Description: SFR ADD 877 SF, BALCONY 65 SF, REMODEL 400 SF, GARAGE ADD 330 SF, W/YARD DRAINAGE Owner: AMIR AKHAVI Address : 10 ROCKY POINT RD CORONA DEL MAR, CA 92625 Phone Applicant: EVERETT ANTHONY DEV INC Address : 31103 RANCHO VIEJO RD #D250 SAN JUAN CAPISTRANO, CA 92675 Phone : (714) 745-1121 Owner/Builder : Address : Contractor: EVERETT ANTHONY DEV INC Address : 31103 RANCHO VIEJO RD #D250 SAN JUAN CAPISTRANO, CA 92675 Phone: (714)745-1121 Con State Lie : 856746 Lie Expire : 03/31/2023 Bus Lie : BT30071154 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9273370 W. C. Expire : 3/24/2023 Architect : MARGERUM MICHAEL B Address : 1454 AVENIDA ALVARADO PL CA 92870 Phone: (714)961-0191 State Lie Engineer: Address: Phone: Designer: Address: Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units: 1 Alteration sq. it. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 46-44 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: HAULER: TIGHT QUARTERS $200,000.30= 877 0 B77 UWNEK-bUILLI UC(:LAKAIIUN I hereby affirm under penalty of perjury Lhat I. am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarl 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, dernolish, 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 liconsad 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 flora 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Corse: 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 Improved for the purpose of sale). 0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El 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 improvements covered by this permit, I cannot legally ,all a structure that I have built as an owner -builder if it has not been constructod in its entirety by licensed 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:llwww.leginfo.ca,govlcalaw,btmt. Signature of Property Owner or Authorized Agent _ Data 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 Oiyisign 3,of the Business and Professions Co e, and m license is In full force and effect. License Class _ License. No Date >G/,a-- /�j—big Contractor Sionature 5< ZP-I:,— ice COMPENSATION DECLARATION EARNING: FAILURE TO SECUkE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si0D,000). IN ADDITION To THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. -CTty effirm under penally of perjury one of the following dec€arations: 4I have and WiL ,A0in,8¢n 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 the erfdl mar.ce of the � pork for which this permit is issued. Policy No. and will malntr,in 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' carrier and policy number are: Policy Number Expiration Date of agent Phone ca.i:f; 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 bf.come Fubject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. gnalure of Applicant 7 ,EZ "3ATION REG,Nk:)ING CO'W TRIfCTION LENDING AGEI:NCY Data ) �- /�� O—L (Z' hereby 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). enter s Name. Lenders 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. I agree to comply with all applicable cry, and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county to t ov tiff d property for inspection purposes. i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name f( 4 C- i. j d d G ICTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6.1 OF TITLE 40 AND AQIV RUlF PERMIT EXPIRED PERMIT C4NCELLE0 P€RIYp7'Ea?ENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION TO NOl"IrICAIJON 15 NOT APPLICABLE TO