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HomeMy WebLinkAboutXR2023-3366 - Permits (3)EWPOR City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive. Newport Beach, CA 92660 ...,,..„ Q Permit Counter Phone: (949) 718-1B88 newportbeachca.gov/civic Forv� Combination Type -SFP Work Class - Alteration COMB Permit : XR2023-3366 Plan Check No : PC2023-0262 Issued Date : 11/28/2023 Final Date: Permit Status: Issued 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 : 20071 CYPRESS ST Legal Desc : P BK 338 PG 29 PAR 1 Description: SFR ALT R/R 38 WINDOWS (SAME SIZE AND LOCATION) AND STUCCO PATCHING Owner: KHYBER & TANYA ZAFFARKHAN Contractor : PROJECT BLUE CONSTRUCTION Architect GROUP Address : 20071 SW CYPRESS ST Address : 2802 N PRESTON STREET Address NEWPORT BEACH, CA 92660 ORANGE, CA 92867 Phone: (310)990-2010 Phone: (714)473-4409 Phone: Con State Lie : 1099867 State Lie Lie Expire : 12/31/2024 Applicant : PROJECT BLUE CONSTRUCTION GROUP Bus Lie : BT30083103 Engineer Address : 2802 N PRESTON STREET Bus Lie Expire : 11/30/2024 Address ORANGE, CA 92867 Phone: (714) 473-4409 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9344418 Designer Address : W. C. Expire :. 12/8/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $98,000.00 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 : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan �S PROCESSED BY: SPECIAL CONDITIONS: [hereby afflun under penalty of perjury that P am exampt frorn the ContractorsSlate License Law for 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 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 permt 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 f_.) 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 oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or imnmproved for the purpose of sale). h.a I, as owner of the property., am exclusively contracting with hoensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to. the Contractors' State License. Law). 0 1 am exempt from Ncensure under the Contractors' Slate 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 legall: 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 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:liwwv✓,leginio.ca..gov/calaw,html, Signalure of Property Owner of Authorized Agent Dale __ „_ _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing MIT Section 700 F;FS. " 3 of the Business and Professi�, , e, antl y Ilea n-full force and effect. License Class License No Dafe K Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFIRES Up TO ONE HUNDRED THO AND DOLLARS( 00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE„ INTEREST, "a ATTORNEYS FEES. I' hereby affirm Under penalty of perjury one of the following declaratlons: Ie and will maintain a Certificate of consentto self -insure Tel workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th f lance 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 whichthis permit Is issued. My workers' compensate trance carrier and policy number are: Tier Pol' y NunT.ber Expiration Dale me of Agent 2 Phone 4 certify that, in She perforn4=ofrery f the rk for w his 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 afire t, if i should become subjee w rkers' e sa I Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appleanl _ - Date[ CLARATION REGARD NDING AGENCY areby affirm under penalty ry that the e a construction looting agancy [or the performance of the work far which this permit is issued (Section 3097, Civil Cl). rders Name my signature below, I certify to each of the f lowing: I am the property owner or authorized to acton the property own s behalf. I have read this application and the information I have provided' correct. I agree to comply with all applicable city and county ordinal cc end sta la I authorize repr-sentatives of this city orcounty to entehi eve-IcfeIie� 1-,ION DATE I BY PART Ft Address relatin to building construction. A)^ y'n a pid U Duly for inspection purposes. Print Properly Owner's or Authorized Aaent's Name INCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY TITLE 40 AND AQMD RULE Ell SUBMITTED ASBESTOS NOTIFICATION TO PFRMIF CAAi EN FA L_ LJEPA PERMIT WEIV DES _ a_ Mp rtR�eiT FINAL .._ 2,^22 L'1 .. ..._..__. ___. __ _.—__- A}eE}TO5 NOFINCAr tN PIE APPLICAR TO CERTIFICATE OF jt ( .6, PROPOSED DEMOUT10 CCL'JPANCY ISSUED SIGNATURE: Mr_nOMa1r