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Home My WebLink AboutXR2023-1648 - Permits04'. City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 in newportbeachca.gov/civic Combination Type - Work Class - Alteration iiiiiiiiiiiiiiii II COMB Permit : XR2023-1648 Plan Check No : PC2023-1463 Issued Date : 06/29/2023 Inspection Area : 5 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 : 617 CARNATION AVE Description : DUPLEX NEW BI FOLD DOOR SYSTEM Owner: FATIMAH RAZAVI Address : 617 CARNATION AVE NEWPORT BEACH, CA 92625 Phone: (949)293-3342 Applicant : FATIMAH RAZAVI Address : 617 CARNATION AVE NEWPORT BEACH, CA 92625 Phone : (949) 293-3342 Owner/Builder: FATIMAH RAZAVI Address : 617 CARNATION AVE NEWPORT BEACH, CA 92625 Phone: (949)293-3342 Legal Desc : P BK 183 PG 22 PAR 1 UN 1 P M 183-22 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lic Engineer: HAKEMI FAHIM Address : 26982 MARBELLA MISSION VIEJO, CA 92691 Phone: (714)427-9778 Designer: Address Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : 54 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone : X irk Use Zone : R-2 - Two -Unit Residential w1@ �-ytl c_TION � ORK r� �1® 'ONS PROCESSED BY: SPECIAL CONDITIONS: SATURQrA,Vs ON OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 'action 7031.5, Business and Professioos Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for is 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 rofessions Code) or that he or she is exempt from Hcensure and the basis for the alleged exemption. Any violation of Section 7031:5 by any applicant far a penaft subjects the applicant to a civil penalty of of more than five hundred collars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness 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 -Builder will have the burden of proving that it was not built or Yoved 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 Iply 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), 1 am exempt from licensors under the Contractors' State License Law for the following reason: __ y my signature below f acknowledge that, except for my personal residence in which I must have reslded for at least one year prior to completion of the improvements covered by this permit, I cannot legall, ell a structure that I have built as an owner -builder if it h not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request en t pl ation is submitted or at the following Web site:http:liwww.loginfo.ca.govlcalaw.html, agnature of Property Owner or Authorized Agen _ Date `Cv .ICENSED CONTRACTOR'S DECLA..RAT1 N 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 Professions Code, and my license is In full force Ind effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: 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 T01 GET OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, INTEREST, Me 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 erformance of the work for which this parmit 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 permitis issued. My workers` rance carder and policy number are: Policy Number Expiration Date of Agent Phone # _ minify that, in the parlor nca 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 1, If I should become sub' t to the wo kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / Date— CLARATtGN REOARP G CONS RU TION LHNDINfl AGENCY % %y— Ireby affirm under penal of per ury t there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). rdar's Name Lender's Address 3y 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 appl,cation and the Information I have provided is correct, i agreb to como,v mo all applicablecity and co ty ordinances and state laws relating to building. construction. I authorize rep,ese I.afives of this city or county enter the aF'r�\ve-identified property for inspection purposes. j2oaidre of Property Owner or Authorized Agent t L Print Property Owner s or Authorized Ag ACTION I DATE I BY kDECLARAT16a6F COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 9fTb RED —I— ( LJ I SUBMITTED ASBESTOS NOTIFICATION TO PE+fMiT EX 'ENDED LIAQMD P['zrx T F F4t�� tf � F;WS NOTIFICATION IS NOT APPLICABLE TO CENTIFtrA 16 OF I (, PROPOSEDMO ON OCCUPANCY ISSUE& , SICNATURFr L Name