HomeMy WebLinkAboutS2023-0136 - PermitsR>
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone(949) 718-1888
newportbeachca.gov/civic
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Combination Type - SFP
Work Class -Alteration
111111III ��III1111111111111111111111111111111111111111Pool Permit : S2023-0136
Plan Check No
Issued Date : 06/28/2023
Inspection Area : 8
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: 323 MORNING STAR LN
Description : SFR POOL REMODEL
Owner: BERCU JELLEN FAMILY TRUST
Address : 323 MORNING STAR LN
NEWPORT BEACH, CA 92660
Phone : (818) 266-7487
Applicant:
MARCIANO PRECIADO
Address :
12700 FOOTHILL BLVD
SYLMAR, CA 91342
Phone :
(818) 361-1600
Owner/Builder :
Address :
Phone :
Legal Desc : N TR 4224 BILK LOT 171
Contractor:
MARCIANO PRECIADO
Architect
Address :
12700 FOOTHILL BLVD
Address
SYLMAR, CA 91342
Phone :
(818) 361-1600
Phone:
Con State Lic
: 373908
State Lic
Lic Expire :
04/30/2025
Bus Lic :
BT30049120
Engineer
Bus Lic Expire : 11/30/2023
Address
Phone
Workers' Compensation Insurance
Carrier: WCF SELECT INSURANCE CO
Policy No : 4027658 Designer:
W. C. Expire: 6/18/2024 Address :
Phone:
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : R3/U
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6
Flood Zone : AE, 8 FT. X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$12,000.00
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I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reaso(s) indicated below by the checkmark(s) I have placed next to the applicable items}
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
he permit to Rle a signed statement that he or she is licensed pursuant to the provisions of the Contractore' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
>rofesskms 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
iot 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 U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
Business 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
mprovements 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
mproved 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' State License Law does not
a ly 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 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, I cannot legally
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 copy of the applicable law, Section 7044 of the Business and
Professions Code, is avellable upon request when this application is submitted or at the following Web sits:http:/ANWW,leginfo.ca.govlcalaw.html.
Signature of Property Ior Authorized Agent Date
LIrENSEO CONS kACTOR'S DECLARATION
I hwreuy at•irm under oril ralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 Df Divi ion 3 of the Business and Professions nd my license is In full force
and effect. Licen-e C:3js License No Date -2 •- 2 Contractor Signature
WORrtERS' COMFENSATION DECLARATION
WARNING: FAILURE TO'leCU.t� WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADDITION TO THE
COAT nF CONPENSAI IPW UA AOES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under panalty of perjury one of the following declarations:
❑ 1 have and will me:r.tain 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 lh
rforma mpe of the work for which this permit Is issued. Policy No.
snd will n,sinWm 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' compensatioi
2urance carrier and policy number are:
Ca. nor _ Policy Number Expiration Date
'Name of Agent Phone #
❑I 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 agre
Sthat, If I should become subject to the orkers' compensation. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
5lgnaiure of Applicant _
_ -- _.. Data - Z _ J2J
naby 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).
Ider's Name Lender's 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 applicationand the information I have provided is Correct.
I agree to comply With all applicable city and county ordinances and state taws relating to building construction.
I authorize representatives of this city or County to Titer the abo e-identified property for inspection purposes. l
nature of Prooertv Owner or Authorized Agent Z! Print Property Owner's or Authorized Agent's Name 7�
ACTION DATE RY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART El OF TITLE 40 AND AQMD RULE
FEW EXPIRED ❑ I SUBMITTED A5RFSTOS NOTIFICATION TO
PER,bf/T GANCEilED EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
a€RnirrExtENDED 4MD be In place prior to appro%fill pool/spa & tall remain in place & be maintained for the
PERMl
—
T FINAL P► � ASBESTOS NOTIFlU710N IS NOT APPLICABLE of the pool.
LABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: