HomeMy WebLinkAboutS2023-0170 - PermitsCEWPORT City of Newport Beach 111111111111111111111p11111111111111111111111111111Pool Hprmlt : 3"T"S-0170
C4 Community Development Department - Building Division
_ y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Chrck Nu : Pt :2J2 3- 983
Permit Counter Phone: (949) 718-1888 Issued Dn1e: 11,17I2013
newportbeachca.gov/civic Final Date:
r9<,6o RH�r. Combination Type - SFP Permit Status: Issued
Work Class - Other InspPetion Prea : 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 : 2328 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BILK 329 LOT 1 CORONA DEL MAR L
Description: SFR - POOL & SPA 140/49 SF
Owner
Address
Phone:
RICARDO BANOS/RESURRECTION Contractor:
FLORMINE
2328 PACIFIC DR
CORONA DEL MAR, CA 92625
(562) 572-9931
Applicant: RICARDO BANOS/RESURRECTION
FLORMINE
Address :
2328 PACIFIC DR
CORONA DEL MAR, CA 92625
Phone:
(562)572-9931
Owner/Builder
: RICARDO BANOS/RESURRECTION
FLORMINE
Address:
2328 PACIFIC DR
CORONA DEL MAR, CA 92625
Phone :
(562) 572-9931
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2022
R-3/U
Front: 20, Side: 3, Side: 3, Rear: 10
X
R-1 - Single -Unit Residential
Address:
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire :
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect :
Address :
Phone:
State Lic
Engineer: XIAO QIANG
Address : 1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
Phone: (714)662-0510
Designer;
Address :
Phone:
Fire Sprinklers : NO
Construction Valuation : $55,000.00
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
No of Units : 1
Alteration sq. ft. Bldg :
No of Stories :
Added/New sq. ft. Garage : 0
NO CONSTRUCTION �/OR1K?STR�IC�14t�Q�
SPECIAL CONDITIONS:
ON SATURDAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty c` perjury Thal I rm exempt from foe Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Pmfevsions Code Any city or cour.ty 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 ,mat hr, or she I, IICJnLed purcuant 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 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
not more than five hundred dollars (S500).
111, as owner of the property, cr my employees with wages as Their sole compensation, will do O all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The r Contractors' Stag: License Law dcas not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the
improvements are not Intended pr offerLd for sale., If, however. the buiding or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale):r
Itd 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).
❑ t 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 i hich I ust ave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been const ed in its nti ty 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 i application Is sub ad or a e folwing Web site:hftp://www.leginfo.ca.gov/calaw.html, ! z
Signature of Property Owner or Authorized Agent -!i w^- - Dale x
LICENSED CONTRACTOR'S DECLARATIO IFI hereby affirm under penalty of perjury that I am licensed unde provisions of ha er 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 (E100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have 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 the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for ich this er ' Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
L if I should becomes bject to the workers' mpensat n p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -t
nature of Applicant _ 7,Gw- i . Dated 7 Z J _
CLARATION REGARDING CONFAUCTION LE IN AGENCY
Ireby affirm under penalty of perjury that there i colilstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
iders Name Lenders Address
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 c ect
I agree to comply with all applicable city and county ordinances d state aws relalin to building construction.
I authorize representatives of this city or countvVto enter t ove-lde red prop for inspection purposes.I� �/
nature of Property Owner or Authorized Agent /� = Print Property Owner's or Authorized AGent's Name k G Q l��^-� �Oate /�
ACTION DATE BY DECLARATION OF COMR&ANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
VCKIWII tAVIKtU
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELL£D
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PERMITEXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
7_ f`_?K
IM
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
I SIGNATURE -
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
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