HomeMy WebLinkAboutXR2023-0344 - PermitsaEwPo�T City of Newport Beach II IIIII I IIIIII IIIIIIIII III II II IIIIII II COMB Permit : XR2023-0344
OF :, Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0275
G ? Permit Counter Phone: (949) 644-3288 Issued Date : 03/02/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
cgcrcoa�'�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 : 4 SIDRA COVE Legal Desc : N TR 15810 BLK LOT 1 UN 1 TRACT 15810, LOT 1 OF PROJECT 935- 34 LOCATED ON
Description: MFR ALT R/R FIREPLACE, ADD ARCH AT MASTER BEDROOM, INTERIOR REMODEL 310 SF
Owner: Pierre Marks
Contractor :
Architect
Address : 4 Sidra Cove
Address :
Address
Newport Beach, CA 92657
Phone: (617) 962-0374
Phone :
Phone
Con State Lie:
State Lie
Lie Expire
Applicant: Pierre Marks
Bus Lie:
Engineer : BENJAMIN AMGAD SAMWEL
Address : 4 Sidra Cove
Bus Lie Expire :
Address : 24310 MOULTON PKVVY #Q-105
Newport Beach, CA 92657
LAGUNA WOODS, CA 9263`i'
Phone : (617) 962-0374
Workers' Compensation
Insurance
Phone : (949) 446-1417
Carrier :
Owner/Builder : Pierre Marks
Policy No:
Designer
Address : 4 Sidra Cove
W. C. Expire :
Address
Newport Beach, CA 92657
Phone : (617) 962-0374
Phone:
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation : $50,000,00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U,R-4
No of Units :
1
Alteration sq. ft. Bldg : 310
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
"`. '
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 placednext to the applicable items)
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 applicant for
is permit to fife 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 licensure 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)..
"1 I, 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 Coda: 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 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
-n,proo d for the purpose of sale).
.lP 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
poly to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I 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 most have resided for at least one year prioria completion of the improvements covered by this permit, I cannot legal]
oil a structura that I have built as an owmar-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 tho Business and
rofessions Code, is available upon request when `th�applir. Is submttte t the fallowing Web site�http:f/www.leginfo.cg.gov/calaw.html, 7- L7>
Ignature of Property Owner or Authorized Agent lr� inirn. � ❑a � b .y
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penDlty, of pequry that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cede, and my license is In full force
rid effect License Class License No Date Contractor Signature
CCCM"ENSATION DECLARATION
EARNING: 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 (5100,000), IN ADDITION TO THE
CST nF CC MPENSATIO.:, DAMAGES AS PROVIDED FOR IN SECTION a7DS OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES.
hereby affirm under F =,ialty of perjury one of the following declarations:
I I nave and 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 th
erformance of thu work for which this permit is issued. Policy No.
ha,•e 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`
rancR carrier and policy number are:
Policy Number
of Agent
Date
.,crlfj that. in ,he performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions.
Signature of Applicant _ Date_
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, 1 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 count to ter ove-Ide property for inspection purposes. / n D lt/t , , /—r/
Signature of Procenv Owner or Authorized Adent � �"�✓ Print ProoertV Owner's or Authorized Apart's Name Se5 1 L=f� l" t+'^L�� Date%/3�1
ACTION I DAT€. i BY ' I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE USE ONLY ' I
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CE.RTIFPCATE OF
OCCUPANCY f5SU£O
REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE
C.1',1-711 ((L VSEESTpSNp1"1FICATtpNI5NO7APPCICABtE 7p
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