HomeMy WebLinkAboutX2022-0514 - Permits�EWPp�T City of Newport Beach II III I II I II I II IIII I I II II
COMB Permit:X2022-0514
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0459-2022
Permit Counter Phone: (949) 644-3288 Issued Date : 08/10/2022
.x. Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
C4C�F00.H`P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
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: 322 IRIS AVE _ Legal Desc : A TR CORONA DEL MAR BLK 236 LOT 24 CORONA DEL MAR LOT 24 BLK 236 AND LOT 26
236
Description: MFR INT REMODEL 1500 SF R EXPAND ROOF DECK
Owner: THIERRY POMBART Contractor : Marco Marmolejo
Address: 459 PANORAMA LAGUNA BEACH, CA 92651
Phone: (714)273-3170
Applicant: Marco Marmolejo
Address : 24952 Sutter Drive Laguna Hills, CA 92653
Phone: (949)412-7516
Owner/Builder :
Address
Phone:
Address : 24952 Sutter Drive Laguna Hills, CA 92653
Phone : (949) 412-7516
Con State Lie : 1074008
Lie Expire : 03/31/2023
Bus Lie : BT30079455
Bus Lie Expire : 08/1012023
Workers' Compensation Insurance
Carrier: KINSALE INSURANCE COMPANY
Policy No: 0100142497
W. C. Expire : 1/12/2023
Architect
Address
Phone:
State Lie
Engineer
Address:
Phone:
Designer
Address
Phone :
SARKIS PETER
17981 SKY PARK#O IRVI�,'F, CA
(949)748-7170
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 :
R-2
No of Units :
2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
Building Setbacks :
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: NO CONSTRUCTION NOISE
ON THE WEEKEND
$350,000.00
0
1.500
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)
3eCtion 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 lvr
to 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 ate Business and
'rofessions Code) or that he or she is exempt from licensors 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
of more than five hundred dollars ($500).
3 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 70",
lusiness 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 arenot 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
nproved for the purpose of sale).
1, 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
ply 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
ly 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 legali}
ell 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affir n unde penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectfo 7 00) Div ion 3 of the Business and P of slops C e, an license f roe
nd effect License Class License No Cat Contractor Signatur
VGPKERS' COM?ENSATION DECLARATION
IARNING: FALURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA O DOLLARS A100,000), iN ADOMON TO THE
OST IF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
hereby affirm under oenalty of perjury one of the following declarations:
Id 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
of the wr,rk for which this permit is issued. Policy No.
andwill 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'
carrier and policy number are:
Policy Number
Date
lame of Agent _ _ Phone #
?c nify that; in +he performance of the work for to is permit is issued, I shall no ploy any son in any manner so as to become subject to the workers' compensation Is of Cali mile, and ogre
tat. It I should become"par
ers' mp Salton provisions of ciion of the La. /r' Code, I shalt forthwith comply whit those provisions.
signature of Applicant _ Datcsl/1 �l
IECLARATION REGATIO NDING. NCY
hereby affirm under pthere is a construction lending agency for th performance of the work for which this permit is issued (Section 3097. Civil Cade).
enders Name _ Lender's Address
ly my signature below, I certify to each of the following;
I am the property owner or authorized to act on the property owner's b -alf.
I have read this application and the information I have provided is c et,
I agree to comply with all applicable city and county ordina $
state law 1 ❑ �Ilding construction.
I authorize representatives of this city or county` toenter e a v-Ideniifie r e for nspectton purposes.
fionature of Prooertv Owner or Authorized Agent 7c_, l�____ Print Property Owner's or Authorized Agent's NaAz//,D0
DEdkKRATIOI COMPLIANCE VvKr4 CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED ' L.I SUBMITTF.D ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMi7 EXTENDED AQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL. t — `o S8t51'OeS'NUI IP%ICATION i5 APPLI LE 7U life of the pool.
CERTIFICATE OF 1Z 3 v^ j 5 GNATURC\E LI/ / e
OCCUPANCY ISSUED i