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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