HomeMy WebLinkAboutXR2023-1907 - Permits�EWPp�T City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit : xR2o23-1907
O� 6 Community Development Department- Building Division X R 2 0 2 3 1 9 0 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO
Permit Counter Phone: (949) 718-1888 Issued Date : 0711312023
fie+. newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 4
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 : 2018 PORT WEYBRIDGE PL Legal Desc : N TR 6624 BLK LOT 32
Description : SFR REROOF -T/O WOOD SHINGLES; 1 LAYER 30# FELT; R/R SHEATHING; INSTALL 33 SQ COMP
Owner: HERMAN HOVAGIMYAN
Contractor: MAR DEVELOPMENT LLC
Architect
Address : 2018 PORT WEYBRIDGE PL
Address : 24952 Sutter Drive
Address
NEWPORT BEACH, CA 92660
Laguna Hills, CA 92653
Phone:
Phone: (949)412-7516
Phone:•
Con State Lic : 1074008
State Lic
Lic Expire : 03/31/2025
Applicant: MAR DEVELOPMENT LLC
Bus Lic: BT30079455
Engineer
Address : 24952 Sutter Drive
Bus Lic Expire : 05/31/2024
Address
Laguna Hills, CA 92653
Phone: (949) 412-7516
Workers' Compensation Insurance
Phone:
Carrier: KINSALE INSURANCE COMPANY
Owner/Builder :
Policy No: 0100142497
Designer
Address :
W. C. Expire : 1/12/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$5,006X ' > >
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 : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY: -�
1?SP.f?+ I -A
SPECIAL CONDITIONS: i ��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Arty 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
io 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 iicensure 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),
7 1, 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,
,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
nprovemenls are not intended or offered for sale. II, 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).
I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not
p€y 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 (censure under the Contractors' Stale License Law for the fallowing reason:
y 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
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 thaat a copy of the applicable law. Section 7044 ofthe Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Mww.teginfo.ca.gov/calaw.html.
.ignature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivision 3 of the Business and Pro ssions Code, and my Ilcense is In full force
nd effect. License Class License No Date l Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING' FAILURE TO rli IRE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE RU HOUSAND DOLLARS lst9&,090j, IN ADDITION TO THE ,
GET OF CCMPENSkrICH, DA-0AGES AS PROVIDED FOR IN SECTION 97e8 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES.
r.areby affirm under penalty of perjury one of the following declarations:
.r I have and volt 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 th
15ri-Atapee of the work for which this permit is issued- Policy No.
and will mainWn 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 aria Gabby number are:
Policy Number Expiratic
of Cogent Phone lf
Date
UI certify 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 agre
1h,it ' I st.ouid become s i1blept to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2
Si.;j-rt !ra of Applicant _ Dat
Dtf"I.ARATION kEC;Att Y G C C' 'INDINO AGENCY r
I hereby affirm ur d ,r p,a,n erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address.
By my signature balow. 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 city and county ordinances and state laves relating to building construction.
I authorize representatives of this city or county t enter the a ove-identified property for inspection purposes. •' q ,
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY D ARATION'.OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PEFAMiT G4NCELCEO ---ff— \ -
PERMIT FINAL �Q IirASSESTOSNOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF 5'Q' FROPOSEi'OD OLITION J^
OCCUPANCY ISSUED StGNATUR
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