HomeMy WebLinkAboutS2023-0173 - PermitsQ ��WPO�T City of Newport Beach
D @m Community Development Department - Building Division
y y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
S newportbeachca.gov/civic
Cq<IFp0.H�P Combination Type - SFP
Work Class - Other
�11111111111111111111111111111111111111111111111Pool Permit : S2023-0173
Plan Check No:
Issued Date : 08122/2023
Final Date:
Permit Status: Issued
Inspection Area : 6
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 : 1000 WHITE SAILS WAY Legal Desc : N TR 2202 BILK LOT 27
Description : SFR POOL & SPA 392/49 SF RENEW EXPIRED PERMIT (S2022-0134)
Owner:
RAJESHMASINA
Address :
1000 WHITE SAILS WAY
NEWPORT BEACH, CA 92625
Phone:
(713)689-9097
Applicant :
JEFF LOZUN
Address :
4122 WINTERHAVEN ST
YORBA LINDA, CA 92886
Phone:
(714)337-7790
owner/Builder: RAJESH MASINA
Address : 1000 WHITE SAILS WAY
NEWPORT BEACH, CA 92625
Phone: (713)689-9097
Contractor
Address:
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition :
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories:
Architect
Address
Phone :
State Lie:
Engineer: PASOL DAWN
Address : 1411 N BATAVIA STE 208
ORANGE, CA 92867
Phone : (714) 363-3585
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg: 0
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
Building Setbacks : Front: 27, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
i hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolisli, or repair any structure, prior to Its Issuance, also requires the applicant 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). 1
J 1., as owner of the property. or my employees with wages as their sole compensation, will do (_) all of or (—) portions of the v
usiness and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through amp
nprovements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completic
nproved for the purpose of sale).
] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Bus
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pur
7 I are exernpl from licensure under the Contractors' State License Law for the following reason
y my signature below I acknowledge that, except for my. rs rail residence in which I must have resided forat least one year
ell a structure that I have built as an owner-bwldor it it ha t peon constructed in its entirety by licensed contractors. under,
'rofesslons Code, Is available upon request when dh'ts In i submitted or at the following Web sfts:http:/iwww.leginfo.m
,Ignature of Property Owner or Authorized
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dic
no effect. License Class Licensee No Date
RS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the fcllowing dectarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensation. issued by the Director or In(
erformance of the work for which this permit is issued. Policy No.
71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfoi
Issrance carrier and policy number are:
arrier Policy Number
ame of Agent
k; and the structure is notintended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and. Professions Code: The Contractors' Slate License Law does not
i to the Contractors' State License Law).
to completion of the improvements covered by this permit, 1 cannot legalit
that a copy of the applicable law, Section 7044 of the Business and
lcalaw-html..
Date D R/Z 2l23
3 of the Business and Professions Code, and my license is In full force
Contractor Signature
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS en(Al IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so al to become subject to the workers' compensation taws of California, and
if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code,. I shall forthwith co ply with those provisions.
ignature of Applicant __ .....
CT tECLARATPON REGARIN DGCONSTRUION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which
enders Name _ ____ Lenders Address
y my signature below'. certify to each of the fallowing',
I am the property owner or audtorjzed to Oct 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 or an' Is and state laces relating to building construction.
I authorize representatives of this city or 1 r co"e-idcr.'.i`.ied p.cpe,ty for inspection purposes.
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ACTION
PERMIT EXPIRED
PERrNI T CANCELLED
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PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE i BY OrCLA'PP"EMN C" ClM. LIAV _C VJ T:I CODE OF FEDERAL
1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE.
I SL'9MTTFP ASP`STOS NCTI FICA. ION TO
LJASHESTOSNOTIFICATION ISNOTAPPLICABLE TO
I PROPOSED' DEMOLITION
FOR OFFICE
All required alarl
be In place prior
life of the pool.
Date —
is issued (Section 3097, Civil Cade).
Date
latches gates and fences which serve as part of a pool/spa barrier, shall
approval to fill pool/spa & shall remain in place & be maintained for the
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