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HomeMy WebLinkAboutXR2023-3341 - Permits"E PoR, City of Newport Beach 1�11pp11111111111p111�lpl11111111111IIp111111111111l 11COMB Parmit : XR.2 �23-3341 o�` 9 Community Development Department- Building Division X R 2 0 2 3 3 3 4 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Cnec'c No f'C2G25-285J n Permit Counter Phone: (949) 718-1888 Issued Oate : 11/29/2023 newportbeachca.gov/civic Final Date: c94 roaN`P Combination Type - Permit Status: Issued Work Class - Other Inspccticn 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: 1985 PORT EDWARD CIR Description: SFR - YARD DRAINAGE Owner: ARDEN COMPANIES LLC TR VMF TR Address : 17595 HARVARD AVE #C511 IRVINE, CA 92614 Phone: Applicant: BRIAN'S POOL PLASTERING Address : 701 S ESPLANADE ORANGE, CA 92869 Phone: (714)497-8675 Owner/Builder : Address : Phone Legal Desc : N TR 7030 BLK LOT 20 TR 7030 LOT 20 POR OF LOT Contractor: BRIAN'S POOL PLASTERING Architect Address : 701 S ESPLANADE Address ORANGE, CA 92869 Phone: (714)497-8675 Phone: Con State Lic : 821323 State Lic Lic Expire : 07/31/2025 Bus Lic: BT30068753 Engineer: Bus Lic Expire : 09/30/2024 Address : Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No : C51303386 W. C. Expire: 2/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : 0 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: — _— SPECIAL CONDITIONS: Phone: Designer: ROBERTOAGUILERA Address: 7272 WALNUT BUENA PARK, CA 90620 Phone: (714)244-6757 Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of'uer,,y alit (aw exempt from th.: Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Profecs!ors ( One' my ci(y G: counb, that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or silo is licensed pursua,it 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 dollan. ;$500) ❑ [,as owner of the property, or my ei.iployces wi+n wages as th,ex so'e-compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: Thr Contractors' State License I.aw does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the improvements are not intended orbffereu improved for the purpose of sale).). for sale.:f, hcv ever, 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 ❑ I, 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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, 1 cannot legall, sell a structure that I have built as an owner -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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) pf ivi on 3 of the Business and Professions d se i II force and effect. License Class License No Date 9� ill' Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (F100,000), IN ADDITION TO THE OS F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. aer y affirm under penalty of perjury one of the following declarations: I ave 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 IN rfo ance of the work for which this permit is issued. Policy No. viand 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' compensatiol in ance carrier and policy number are: C iner Policy Number Expiration Date N me of Agent Phone k I certify that, in the perfo mane the o to ch 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 agree that, if I should become sub ct t he r rs' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Date DECLARATION REGARDING S TI LENDING AGENCY --- I hereby affirm under penalty 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). Lenders Name Lenders 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 correc I agree to comply with all applicable city and ou ordinanc nd s laws relating to building construction. I authorize representatives of this city or cou e r th a ve-i ratified property for inspection purposes. 9 Signature of Property Owner or Authorized A en Print Property Owner's or Authorized A ent's Name �' Date ACTION GATE I BY LA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED 1:11 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED I OMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCy155UED ti h (I }:I r-1I r,,....