HomeMy WebLinkAboutP2022-0207 - PermitsCity of Newport Beach
Community Development Department- Building Division
04,
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.govlinspections
II (I I I II I II I I) I) I I II II II Plumbing Permit : P2022-d2o7
Plan Check No: PC2022-2000
Work Class : Other
Issued Date:
Inspection Area: 6
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 : 1215 OUTRIGGER DR Legal Desc
: N TR 6634 BLK LOT 45
Description: PLUMB- GAS LINE TO BBQ & FIRE PIT
Owner: BRETT ELLIOTT
- Contractor : INSTANT POOLS LLC
Address : 1215 OUTRIGGER DR CORONA DEL MAR, CA 92625
Address :: ' 116 SENCILLO PL LADERA RANCH, CA 92694
Phone:
Phone: (949)795-0648
Con State Lie : 1009644
Applicant: INSTANT POOLS LLC
Lie Expire ; 07/31/2023
Address : 116 SENCILLO PL LADERA RANCH, CA 92694- -
Bus Lie:
Phone : (949) 795-0648
.Bus Lie Expire:
Workers' Compensation Insurance
Owner/Builder:
Carrier:
Address :
Policy No:
Phone :
- W. C. Expire:
Code Edition : 2019
Fire Hazard. Zone.: N
Type of Construction : - -
Occupancy Groups :
Building Setbacks : Front: 21, Side: 6, Side: 6, Rear:6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: 1`
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1111VUL ZASUILLI1=K LltZ.GLAKA 11UN'. -
I hereby affirm under penalty of perjury that I am exempffrom the Contractors' State License Lawfor the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(s)
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Section 7031-5, Business and Professions Code'. Any arty or county that requires a -permit to construct, altar, improve-, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie permit to file a.. signed statement that he orshe lalitersed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencfng with Section 7000) of Division3 of site Business and
'tofessions Code) or that he or she is exempt from licensura and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant le a civil Density of
of more than five hundred dollars ($500):. '..
3 1, as Owner of the properly; or my employees with wages as their compensation, wit i do (,.) all ofor(_;) portions of the work'; and the -structure is not intended or offered for sale (Section 7044,
rusiness and Professions Vie: 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
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aprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compleflom the Owner -Builder will have the burden of proving that It was not buill. or
nproved for the purpose of sale).
3 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
pply to an owner of property who builds or improves thereon, and wbo contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 lam exempt from ]]censure under the Contractors'- Stale License Law for the following reason _
ly my signature. below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to completion of the improvements covered bythis -permit, I.Cannot legally
ell a structure that I have built as an owner -builder if it has not been Constructed in its entirety by licensed Contractors. ) understand that a -copy of the applicable law, Section 7044 of the Business -and
'rofessloris Cade, is available upon request when this application is submitted prat the following Welt site.liftp,./A w ,leginto.ca.goviCaiaw.btmi.
signature of Property Owner or Authorized Agent
.iCENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury than am likened under provisions of Chapter (commencing with Section 7000 f Divi Ion 3.- in the Business and: s ns Cod , an 's In full force
Ind effect. License Class License: No Data 1�—Z atmdtorsig
VORKERS' COMPENSATION DECLARATION
iARNING: FAILURE TO SECURE wORHERS' COMPENSATION COVERACE.IS UNLAWFUL, AND'SHALL SDaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE-HUNDRED THOUSAND DOLLARS (SlIle000),I1N ADDITION TO THE
DST OF COMPENSATION; DAMAGES AS PROVIDED. FORM SECTION 3706 OF THE LADORCODE, INTEREST, Alic ATToRNET's FEES.
hereby affirm under penalty of perjury one Of the €ollowing, declarations:
I I have,andwill maintain a certificate of consent toserf-insure for workers' compensation, issued by the D€rector of industrial -f elation as provided for by Section 3700 of the Labor Code, for the
errormance of the work for which this Permit Is issued. Policy No..
If 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' compensation
isurance carrier and policy number are:
Policy Number
Date
c4dify that,xn the pad aiTtl5ce of I bus -permit is issued, I shag not employ any person in any manner so as. to become subject to iha workers' compensation. laws of California, and agr
I should b om. ub' . w kegs' compensation provisions of Section 3700 of the Labor Code, I shelf forthwith comply with those provisions.
natureof Applicte6
CLARATION R TRUCTION LEN ENCY
!Toby affirm and perjun tlia. €e s a construction landing agency -for the performance of the work for which this permit is issued. (Section 3097, Civil Code):
Oafs Name Lender'sAddress _
my signature below, I certify to each of the followthtp -
I am the property owner or authorized to ad on the: property owner's behalf.
i have read this applicatlonand the information -I have provided is correct.
I agree to comply with all applicable city and Dounby6rcl na _ building construction.
I authorize representatives of this city or couny � ertheabov identifin a*r_ v„=nsp as.
ACTION j DATE I BY
TITLE
CERT1ffCArfOF �JZ_ZZ Z p��
OCCUPANCY ISSUED
All required alarms, Imcbes gotes and fenceswhich serve as part of a pool/spa barrier, Shall
be in place prior ;twpprcLVW to:f1l poa pa &Tjif: l in in place &tie maintained for the
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