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,,....