HomeMy WebLinkAboutXR2024-0375 - PermitsaEWPO.q�, City of Newport Beach
D� ;S Community Development Department- Building Division COMB Permit : XR2024-0375
>- m 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 4 0 3 7 5
( p Plan Check No : PC2024-0157
Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024
cK newportbeachca.gov/civic Final Date: C9<irp0.N�P Combination Type - Permit Status: Final
26
Work Class - Other Inspection Area : 3
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 : 1833 SANTIAGO DR
Description: SFR POOL DEMO "METHOD B" 472 SF
Owner: ALEX CAMACHO
Address : 1833 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone: (650) 995-4425
Applicant:
NICK ANTHONY FLORES
Address:
2101 GLENNEYRE ST, 6
LAGUNA BEACH, CA 92651
Phone:
(805) 405-6881
Owner/Builder
:
Address:
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 4709 BILK LOT 1
Contractor:
GENESIS POOLS
Address:
2101 GLENNEYRE STREET
LAGUNA BEACH, CA 92651
Phone :
(805) 405-6881
Con State Lic
: 1007494
Lic Expire :
02/28/2025
Bus Lic:
BT30083436
Bus Lic Expire : 01/31/2025
Workers' Compensation Insurance
Carrier: EXEMPT -NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Fire Sprinklers : NO
Fire Hazard Zone : NO
Fire Alarms : NO
No of Units : 0
No of Stories : 0
No of Basement:
Front: 20, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Architect
Address
Phone:
State Lic
Engineer: THOMPSON MATTHEW
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
ROBERTOAGUILERA
Address :
7272 WALNUT
BUENA PARK, CA 90620
Phone:
(714)244-6757
Construction Valuation :
$10,000.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
0
Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
io 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 Iicensure 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply 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).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
ly 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, I cannot legaill
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html.
Iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
wmance 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' oompensa'i
rance carrier and policy number are:
Policy Number
Date
le of Agent Phone If
certify that, in the performance of the work for which 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
ignalure of Applicant Dr
,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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
ender's Name Lenders Address
y 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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and stale laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
C
y�g i5
ASBESTOS NOTIFICATION IS NOT APPUCABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
Civil Code),
Date