HomeMy WebLinkAboutXR2022-3235 - Permits�EWPURT City of Newport Beach 111 IIIIIIII 1111111111111111111111111111111111111111111 111� 111 COMB Permit: XR2022-3235
04 @ Community Development Department- Building Division X R 2 0 2 2 3 2 3 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
6 = Permit Counter Phone: (949) 644-3288 Issued Date :
Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
Cq</FOPN�P newportbeachca.gov/inspections
Combination Type - MFP
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: 4 SIDRA COVE
Description:
MFR - PEX RE -PIPE
Owner:
PIERRE MARKS
Address:
4 SIDRA COVE
NEWPORT BEACH, CA
Phone:
(617)962-0344
Applicant: PIERRE MARKS
Address: 4 SIDRA COVE
NEWPORT BEACH, CA
Phone: (617)962-0344
Owner/Builder : PIERRE MARKS
Address : 4 SIDRA COVE
NEWPORT BEACH, CA
Phone: (617)962-0344
Legal Desc : N TR 15810 BLK LOT 1 UN 1 TRACT 15810, LOT 1 OF PROJECT 935- 34 LOCATED ON
Contractor
Address
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks;
Flood Zone :
X
Use Zone :
PC - Newport Coast
PROCESSED BY: A I
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$18,000,00
0
0
0
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 checknrark(s) I have placed next to the applicableitem(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 appiL:ant 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 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
not more than five hundred dollars ($500).
71 I, as owner of the property, or my employees with wages as their sole compensation, will do U Eli of or U 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved for the purpose of sale).
f, 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
to an owner of property who builds or Improveslhereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law).
I m exempt from licensure under the Contractors' Stale License Law for the following reason: ___
By m signature below t acknowledge that, except for my personal residence in which must have resided for at least one year prior to cornplatlon of the improvements covered by thEs permit, Lcannol legally
sell structure that I have built as an owmGr-builder if it has no[ been constructed in €ts entirety by licensed contractors. understand that a copy of the applicable taw, Section 704A of the Business and
essiona Code, Is available upon request wh tn{s 'nation is sub fitted orat the tollowing Web sire:htip:liwvnv.leginio.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent_:7___�_�
LICENSED CONTRACTOR'S DIE ARAT�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my [!cerise is In full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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 i6100,000), IN ADDITION TO T
IOST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and wilt 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
performance 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 which this permit is issued. My Workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent
31 a ify that, in the performance of the work for which this permit Is issued, I shall not employ any person in ony manner so as to become subject to the workers' compensation laws of California, and ogre
tat, I I should become subject to the workers' o ensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
fig ure of Applicant / Datey,-t, 1 Z�
LARATION REGA i CONSTRUCTION LENDING AGENCY j( '
hereby affirm under,dii of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name LendersAddress
y 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 application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to e/ntefr/�t/�a above-i ad property• for inspection purposes. D / )
ionature of Prooerty Owner or Authorized Adenty /�/./i/L.- �r1 �/ Print Property Owner's or Authorized Anent's Narfle® I I ¢ J .- MPf � Date 'il 13/zap
PERMIT EXPIRED
PERMIT EXTENDED
PER+VirT FINAL �_
CERTIFICATEOF
OCCUPANCYISSUED
REG ULATIONS PART 61 OF TITLE 40 AND AQNID RU LE
��. UASSEST'OS NOI IFICA'IION IS N01'APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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