HomeMy WebLinkAboutXR2023-3012 - Permits-Wno?T City of Newport Beach II III I IIII IIII IIIIIIIIIIII IIIIIIIIIIII II COMB Permit : XRZO23�30 2
,e. Community Development Department- Building Division
y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2607
cn Permit Counter Phone: (949) 718-1888 Issued Date : 10131/2023
N J newportbeachca.gov/civic Final Date:
1"ogr1".� Combination Type- Permit Status: Issued
` Work Class - Other Inspection Area : 5
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: 203 DRIFTWOOD RD Legal Desc : N TR 1116 BILK LOT 47
Description: SFR INSTALL 8 CAISSONS FOR (N) POOL (S2023-0227) - -
Owner:
LARRY WOOD
Address :
203 DRIFTWOOD RD
CORONA DEL MAR, CA 92625
Phone:
(714)318-4695
Applicant:
DE VORE POOLS & SPAS
Address :
PO BOX 828
SJC, CA 92693
Phone:
(949)370-9576
Owner/Builder :
Address :
Contractor: DE VORE POOLS & SPAS
Address : PO BOX 828
SJC, CA 92693
Phone:
(949)370-9576
Con State Lic
: 401549
Lic Expire :
04/30/2024
Bus Lic:
BT97026761
Bus Lic Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 1222520
W. C. Expire : 11/1/2024
Architect
Address
Phone :
State Lic
Engineer: PLAMEN BORRISOV PETROV
Address: 28161 CASITAS CT CASIT,Aa,CT
LAGUNA NIGUEL, CA 92677
Phone: (714)717-7542
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $90,000.00°
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0 j
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks :
Front: 30, 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: NSFR PERMITXR2022-3140
R 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 placed needle, the applicable Items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
to 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
'rofessions Code) or that he or she is exempt from ticensure and the basis for the alleged exemption. Any. violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
.at more than five hundred dollars ($500).
1, 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 or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law doe.; not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovemenls 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
Tlproved for the purpose of sale).
1 1, 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
ppty 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).
Z 1 am exempt from ticensure under the Contractors' Stale License Law for the following reason:
fy my signature below f 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, I cannot legail;
oil a structure that I have built as an awrior-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted orat the following Web site;http:tAvww.leginfo.ca,gov/calaw.html.
tignature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with S iI ly/tI ) f is' the.Basi'. and Professi bd my license is in full force.
nd effect. License Class License No 9 Cantracto ignature o
VORKERS' COMPENSATION 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 ($100,000), IN ADDITION TO THE
DST 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 following declarations:
I have and wiil mai,llain a cerlilfcate, 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
lnq,ance of thin e.c:k for which this permit is issued. Policy No.
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'
-ca.rner ai,d policy number are:
Policy Number
of Agent
Date
ca tiny that, 'r t I ,J�rfornranc ork for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and ogre
f .should coon, sub! the 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of AppLAtti .N - DX
CATlO 'A2DI ,NG CANSTRt7CTI0N LENDING AGENCY /
:r.:Ly affirm and r penalty of perjury that there is a construction landing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
: h3's Name Lender's Address
my signature uelow, 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 correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building. construction,
I authorize representatives of this c tVq;-douniy too thP�bove-identified property for inspection purposes.
Si nature of Property Owner or AutholAlAgent. Print Property Owner's or Aull— d A2Lhks Name gi° l//— Dat
ACTION DATE J BY DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLF 40 AND AQMD RULE
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PE.RM,,7 EXPIRED I $UBMITTFD ASBESTOS NOTIFICATION TO
PERMIT EXTENDED_ 'r—I-I�-1iCIM D _
PC-RILliT FINAL _iQ ucLyBESTOS NOI IFICATION: 15 NOTAPPLiCAELE TO
CERTIFICATE OF (/l PROPOSED DEMOLITION
OCCUPANCYISSUED I SIGNATURE:
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