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Home My WebLink AboutXR2022-2163 - Permits�eWPORT City of Newport Beach II IIII I I II! II I III II Ilill� Pj COMB Permit : XRZO22-2163 Community Development Department- Building Division I II y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0310-2022 Permit Counter Phone: (949) 644-3288 Issued Date : oq��FoaN `P Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 newportbeachca.govhnspections Combination Type - SFP 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 : 520 IRIS AVE Legal. Desc : A TR:CORONA DEL MAR BLK 536 LOT 22 Description: DELTA 3 - ADD'L SCOPE -BLOCK WALL INSIDE P/L - 42' X 53' &'SKIRT WALL,4'6' X 30'. ADD L':INTERIOR LIGHTING Owner: TOM MILLER Contractor: JOHN MASTROPAOLO CONSTRUCTION Architect: Address: 520 IRIS AVE CORONA DEL MAR, CA 92625 Address.: 16291 MAGELLAN LANE HUNTINGTON `: , Address : Phone Applicant: JOHN MASTROPAOL Owner/Builder : Address Phone: Code Edition : Type of Construction 0 acupancy G�Mdps a3ld9jVeight:o �& s . plt-ld.r5g Setbacks: 9LD-ndZone IJso�ne: kOC.ESSED BY W. 0 Address : 16291 MAGELLAN BEACH, CA 92647 Phone: (562)200-1024 Owner/Builder : Address Phone: Code Edition : Type of Construction 0 acupancy G�Mdps a3ld9jVeight:o �& s . plt-ld.r5g Setbacks: 9LD-ndZone IJso�ne: kOC.ESSED BY W. Phone::: (562)200-1024 '-Phone: Con State Lic : 975340 ''.. State Lie CONSTRUCTION Lic Expire : 07/31/2024 LANE HUNTINGTON Bus Lic': BT30075965 'Engineer: KHAEF ESMAIL Bus Lie Expire : 07/31/2022 Address : 4005 CALLE SONDRA #2B LAGUNA WOODS, CA 92637 Workers' Compensation Insurance Phone: (714) 504-8260 - Carrier:- - Policy No: EXEMPT Designer: W. C. Expire: Address Phone: Fire Sprinklers : NO Construction Valuation : $12,000.00 Fire Hazard Zone : - No Added/New/TI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : I' Added/New sq. ft. Garage: 0 Front: 10, Side: 3, Side: 3, Rear: 5 , X R-2 - Two -Unit Residential S EC!AL CO'NblIT-CONS: sees N. snj �C IUri Front: 10, Side: 3, Side: 3, Rear: 5 , X R-2 - Two -Unit Residential S EC!AL CO'NblIT-CONS: sees N. snj �C IUri I. hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) t haave�placed' next to the applicable item(s) coon 7031.5, Business and Profession$ 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 for permit to file a signedstatementthat he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3'at the Business and �fessions Code) or that he or she is exempt from,{censure and the basis for the alleged exemption. Any violation of Section 7031,5by any applicant for a permit subjects the applieantto a civil penalty of more than five hundred dollars ($500); I, as owner of the property„ or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended oroffered for sale (Section 7044, :mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throughhemployees'' or personal effort, builds or improves the property; provided that the irovements are not intended or offered for sale. if, however,: the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it not built or (roved for the purpose of sale).. 1, as owner of the property, am exclusivelycontracting with licensed Contractors to Construct tile project (Section 7044, Business and Professions Coda:The Contractors' State License Law does not ly town owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the.: Contractors'5tate License Low for the following reason 0 W in or at law, Section :7044of sL�4.--" hereby affirm under penalty of perjury that I ani'licensed under provisions of Chapter 9 (commencing with Section '700 P si 3 b# the Business and role i ns£i my - ult force nd effect. License Class License too Date �7 ContraDidr S'mgna VORKERS' COMPENSATION OECIIAPATION IARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL', AND SHALE- SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINFS UP TQ ONE HUNOR THOUSAND DOLLARS IS/00,e00), IN ADDITION TO THE CST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3706 OF THE LABOR CORE, INTEREST, AND ATTORNEYS FEEA - hereby affirm under penalty of perjury one of the following declarations: I I have and wfli maintain a cedlficate, 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 IN erfommance of the work forwhtch this permit is issued.: Policy No. 31 have and will maintain workere compensation Insurance, as: required by Section 3700-of the Labor Code, for the flerformance.of the Work for Which this permit is. Issued. My workers' componsatior isu5ance carrier and policy number are:. WPotfey Number Expiration Date ant Phone # at; in the p4pury ork for which this perm t is"issued, I :shall not employ any person in any manneY so as. to become subject to the workers' compen ation laws of -California, and agree uld becomrs' compensation provisions of Section:3700 of the Labor Code, I shall forthwith comply with those provis'sons. Signature of Applicant D DECLARATION REGA. N.LENDING AGENCY I hereby affirm under pthere is a construction lending agency for the performance of the Work for which this per'mitis issued- (Section 3097, Civil Code). Lender's Name - Lender's Address .. By 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 coned ` 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 coon to a he ab va-identified property for inspection purposes. • / .: ,,,, Signature of Property Owner or Authorized Agent v L Prim Propert Owner's or Apitharizatl Agent's Name ti+� 49fltj•. I �I,=i ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE 0P FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610F TITLE 40 AND AQMD RULE : •' • • • 1403. a< PERMITEXPIRED U I SUBMITTED ASBESTOS NOTI FICAT,ON. TO PERMITCANCELLED UtPA. All required alarms, latches gates and fences which serve as part of a pagli',oa barrief, shall , .PERMIT EXTENDED LJAQviD. ba In place';priorto approval to fit pool/spa &shall remain in place & b,-aaj . ntaine d Jorl&; PERMIT FINAL_ life of the pool. •„ • _ ASBESTOS NOTIFICATION NOT APPLICABLE TO CERTIFICATE OF ^a 9'21 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: