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Home My WebLink AboutS2022-0171 - PermitsCity of Newport Beach ��tiwvoRT p e Community Development Department- Building Division 100 Civic Center Drive, New) ort Beach, CA 92660 u T Permit Counter Phone: (949 644-3288 ... Inspection Requests Phone: (949) 644-3255 �9Gito RN�P newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : S2022-0171 Plan Check No: PC2022-2000 Issued Date: 08/11/2022 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 Dese : N TR.6634 BLK,LOT 45 Description: SFR 500 SF POOL W/ DRAINAGE *CITY STANDARD* Owner: BRETT ELLIOTT Contractor-; INSTANT POOLS LLC Address : 1215 OUTRIGGER DR CORONA DEL MAR, CA Address : 116 SENCILLO PL LADERA:RANCH, CA. 92625 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 Sprinklers': NO Type of Construction : Fire Hazard Zone-: - _No Occupancy Groups : U No of Units : Bldg Height: No of Stories 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: SPECIAL CONDITIONS Architect Address : Phone: State Lie: -Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714) 630-6100 Designer: Address Phone: Construction Valuation : $45,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 OWNER -BUILDER DECLARATION - - I hereby affirm under penalty of perjury that t am exempt from the Contractors` State License Law forthe reason(s) indicated below by the checkmark(s) I have placed nexi to the applicableftem(s) rction 7031-5, Business and Professions Code: Any city or county that requires a permit to construct, after. improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permit to file a. signed statement that he orshe is licensedpursuantto the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Dlvislon 3:of the Business and Ifessions Code) or thathe or she is exempt from fscensure end the basis for the alleged exemption, Anyvlolatlon of section 7031:5 by applicant for a permit subjects the applicaht to a civil penalty of more than five hundred dollars 1, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or (_) portions oflhe work'; and the structure Is not intended or offered for sale (Section 7044, ;mess and Professions Code: The Contractors' State License Law does not apply to an ownerof property who, through employeas' or personal effort, builds or improves the property, provided that the Iravements are not Intended or offered for sale. if. however, the building or improvement is sold within one year of completion,: the Owner -Builder will havetheburden of proving that it was not built or Iroved 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. Ily to an owner of property who builds of Improvesthereon, and who contracts for the projectswitha licensed Contractor pursuant to the Contractors' State License Law). L.. am exempt from licensure under the Contractors' State License Law for the following reason: _ my signaturebelowI acknowledge that, except for my personal residence in which I must have rasided for at least one year prior to completion of the improvements covered by this permit, I.cannot legal'. a structure that I have built as an owner•buildaf I It has not been: constructed in b entirety by licensed Contractors. ) understand that a copy of the applicable law, Section 704d of the Business and desslons Code, Is available upon request when this application is submitted or at the following Web site:hUp:llw v:leginfo.ca.govicalaw.htrbl. nature of Property Owner or Authorized Agent Date -ICENSEA CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio00) 1 3 of the Business and essions ti force. Indeffect. License Class License: No bete Contractor5ign AIORKERS' COMPENSATION DECLARATION UARNINOt FAILURE TO SECURE WORKERS' COMPENSATION .COVERAGE, -IS UNLAWFUL AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLAR�S"tSTa, DnION TO THE =nr OF COMPENSATION; DAMAGES As PROVIDED FOR IN SECTION 373E OF THE LABOR COPE, INTEREST, AND ATTORNEY'$ FEE$, hereby affirm under penalty of perjury one: of the following declarations: Tand 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 IN ce of the work for which this permit is. Issued. PolicyNo. and will maintain workers compensation insurance,. as -required by Section 3700 of the -Labor Code, for the performance of the work for which this permitis issued. My workers' compensatior carrier and policy number are. Policy Number Expiration Date gent Phone ff e that, tntha p - rmance of e-work far which ibis permit is issued; f shall not employeny parsontn any manner so as to became subject to the warkers'compansationlaws of Galifomia. and agrer t, if should bacon sub'act to the odcers" oo provisions of section 3700 of the Labor Code, f shall Forth With somply wish those provisions. a1uYe of Applican _ pgy�� — , � ' �•� }ECLARATIQN R6GA�AING TICSN L)rNDINC+ACa6N. hereby atfUm coder pone atther 's a constru gency for Ute pariorinanoe of fhework forwhiCh this pBrmiYis issued (Secllon 30g7, Civil GodB). .ender'sName Lender's Address. 3y my signature below, t certify to each of the following.: I am the property owner or_authorized to act on theproperty 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 lam-ralaUng to building Construction, I authorize representatives of this city or county to enter the above -identified propertyfar inspection purposes. ) — ZZ 3i nature of Property Owner ar Authorized Agent Print Property Owner's or Authorized A - ent's Name I"l.� t Date ACTION DATE Ry DCLARATh3N'OFCOMPLIANCEWITHCODE OFFEDERAL FOR OFFICE USE ONLY - E6ULATIONS PART 61. Of TITLE AO ANO AQMD RULE 1403 PERMIT EXPIRED 01 SUBMITTEDASBF.STOS NOTIFICATION TO PERMlrCANC€LLED C EPA. All required alarms, latchesgates and fences.which serve as part of pool/spa barrier, shelf p€RM7T-EXTENDED qMp: be In .pdorfo-approval to: fill pool/spa & shall remain in place & be maintalned.for the P€RMITFINAL 0 AS OS 140TI FXAtIO N IS NOT AP PU life of the pool. CER77FICATEOF