HomeMy WebLinkAboutS2022-0183 - PermitsCity 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) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
COMB Permit : S2022-0183
Plan Check No: PC2022-2187
Issued Date : 09/21/2022
Inspection Area : 2
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 : 11 SEASCAPE DR
Description : MFR POOL REPLASTER 943 SF
Owner: SEAWINDNEWPORT
Address : 11 SEASCAPE
NEWPORT BEACH, CA 92663
Phone:
Applicant:
ALAN SMITH POOLS
Address:
227 W CARLETON AVE
ORANGE, CA 92867
Phone:
(714)628-9494
Owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
Legal Desc : N TR.:8381 BILK LOT 1 UN 1'TR'8381 LOT 1 UNIT 1 1-P, 1-G OF PR OJECT LOCATED
Contractor : ALAN SMITH POOLS
Architect
Address : 227:W CARLETON AVE
Address :
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ORANGE, CA 92867
Phone: (714) 628 9494
Phone
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990n3+
Con State Lie : 571196
State Lie
Lie Expire: 06/30/2023
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Bus Lie: BT00012422:
Engineer:
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Bus Lie Expire : 08/31/2023
Address:
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Workers' Compensation Insurance
Phone:
Carrier: ARCH INSURANCE.. COMPANY
PolicyNo: 'ZAWCI2545404
Designer:
JONATHON CARDENA�
W..C. Expire: 4/1/2023
Address:
227 W CARLETON AVE '.•°
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ORANGE, CA 92867
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Phone.:
(714)232-6702
2019 Fire Sprinklers : NO Construction Valuation : $16,490.00
Fire Hazard Zone i NO 'Added/New/TI sq. ft. Bldg : 0
U No of Units : Alteration sq. ft. Bldg :
No of Stories : Added/New sq. ft. Garage: 0
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RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
affirm
or
nt to t
basis
permit to construct, alter,
.License Lay
,n of Section
more than live hundred dollars ($500).-
I, as owner of the property, or my employees with wages as their sole compensation, will do all of or U portions Gift
;mess and Professions "a: The Contractors' State License taw does not apply to an owner of property who, through
rovementsare not intended or offered for sale. If; however, the building or improvement is sold within one year of comp.
roved for the purpose of Sale).
I, as owner of the property,am exclusively contracting with licensed Contractors to construct the project (Section 7044,
ily to an owner of prop" who builds or improves thereon, and who contracts for: the projects with a licensed Contractor
I am exempt from licensureunder the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y
a structure that (have built as an owner -builder if it hasnot been constructed in its: entirety by licensed contractors. I un�
fessions Code, is available upon request when this application is submitted oratthe following Web s1te:htfp,1/www.legmI
nature of Property Owner or Authorized Agent
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700
lid effect. License"ass License No Date
VORKERS' COMPS 4bATICIN DECLARATION
ARMINSPF'AILURE TVSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRMRNAL PENAL)
osr OF C+SMPENSAYit/r. AAWCEB. AS. PROVIOEp FOR IN SECTION 370E Of THE LABOR CODE; INTEREST, AND ATTORNEY'-9 FEES:
hgfepyalfirm under�penalty of perjury one of the following declarations:
I I have and wilkma.Rkain a certificate of consent to self -insure for workers' compensation, issued by the Director of
�".tl Awe of thRi v„o4k for which this permit is issued. Policy No.
n
I all and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,. for the pe
o mce.caTierantl' polZy numbar are:
artier Policy Number
I have placed next to the applicable item(s)
)r to its issuance,' also requires the applicant for
or personal effort; builds or improves the property, provided
Owner -Builder will have the burden of proving that it not
:mass and Professions Code; The Contractors' State License Law does not
suantto the Contractors' State License Law).
Lod that a
Date
M1
of
vision 3 of the Business and PrafessirdD,sjtade, and t r ,.is In full force:
L-7 - contractor signature �,!%7ZM,.
AND CIVIL FINES UP' TO ONE HUNDRED THOUSAND DOLLARS ( 100,0001• IN ADDITION TO THE
Relations as provided for Oy Section 3700 of the. Labor Code, for
the work for which this, permit is issued. My
ion Date
.that, in the perYormance of the w rk-for which this permit is Issued, I shall not employ any person In any manners as to become subject to the workers' Compensation laws of California., and ogre
tould bPsit:mes�u the war a s' co pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith amply with those provisions
ofApplicant. _-.___.. _ . _-._.-._ . __.._.. Date Z—A
I hereby affirm Lender's Name rider penaltyof perjury thatlhere is a construction lending agency for Lender's Address of the. work for which this permit is issued (Section 3097,. Civil Code),.
By mysignature 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 iscorrecC
I agree to comply with all applicable city and county ordinances and state la relating to building construction.
I authorize representatives of this city or county he above k le property for inspection purposes.
Si nature of Property- Owner or -Authorized A ant 4 Print: Prnnertv Owners or Authorized Rgank's Nerve l l-D e • M u
ACTION DATE BY MECLARATtON OF 60POPUANCE:WITH CODE OF FEDERAL I FDROFF3CE. USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
P€RyITEXT6NDED
PERMIT FINAL.
or
ISSUEDIv�'
NOTIFICATION I$ NOT APPLICABLE TO
Alt required alarrrr�„�• ..--
gBte� & no s hi hs serve
Bffi art of p
Ga r shall e in place
prior to a at to fill
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