HomeMy WebLinkAboutS2022-0195 - Permits (3)WPo City I II I III I I III IIIII
Fay. Rr Pool Permit: $2022-0195
� @ Commuof nity NewP Development DepartmeBeach nt- Building Division
o- t 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2337
i) z Permit Counter Phone: (949) 644-3288 - Issued Date: 09/19/2022
e'.Inspection Requests Phone: (949) 644-3255 y
C'tG)pepN�P newportbeachca.gov/inspections { -I, b F A Inspection Area : 3
Combination Type - i ° =- �- b.lTO
Work Class -Alteration
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: 1 HAMPSHIRE CT
Description: SFR POOL REMODEL AND DRAINAGE.
Owner: ROWLAND & JAIME DAY
Address : 1 HAMPSHIRE CT
NEWPORT BEACH, CA
Phone: (949)795-4881
Applicant: INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
Owner/Builder
Address :
Phone
Code Edition : 2019
Type of Construction :
Occupancy Groups: U
Bldg Height:
Legal Desc : N TR 3852 BLK LOT 33
Contractor: INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
Con State Lie : 1009644
Lie Expire : 07/31/2023
Bus Lie: BT30053469
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units : 0
No of Stories
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: 375
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
BIEDENBACH CHRISTOPHER JAMES
Address:
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
Designer: INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
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 or perjury that I am exempt from the Contractors' State 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, poor to its issuance, also requires the applicant for
is permit to file a signed statement that he or sho is licensed pursuant to the provisions of the Contractors' State License Law (Chaptor 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesstons 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
of more than five hundred dollars ($500).
3 I, 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,
lusiness 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. 11, 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' State License Law does not
ply 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 licensors under the Contractors' Slate 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 legalll
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
'rofassions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ea.gov/calaw.html.
signature of Property Owner or Authorized Agent -_. at
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapler 9 (commencing with Section 70 )-f p iion3sf the Business and Pr essions Co' x lee -e is in full force
nd effect. License Class License No Date l G�Contractor Signal e
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Ia UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LA80R CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate or 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 th
erformance 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'
ratios carrier and policy number are:
Policy Number
Agent
:artify that, in the performance of the work for which this permit is issued, I shall not
if I should become subject to the workers' ompensation provisions R-376f
Date
in any manner so as to become subject to the workers' compensation laws of California, and
I shall forthwith comply with those provisions. �%
ignature of Applicant �___�, ,,.._,_,�.„�-� ____._____.__. Dala_ `
ECLARATION REGARDING NSTRU DING AGEN
hereby affirm under penalty of perjury c on lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender s Name Lender's 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 IfrF Ppplicabon and the Information I have provided is correct.
I agree to cmmniv with all applicable city and countyo c d state tntelaling to building construction. q
1 authorize representatives of this city or county to rater the above de �00[ 6n purposes. •� '� �, l —Z'Z
of P,00e. N Owner or
1 ER,AT FINAL
C€RTI `ICATE C'
nr'CIJ-ANCY ISSUtO
WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 ANO AQMD RULE
TO
—__
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the
NOTIFICATION 15 NOT APPLICARLE TO life of the pool.
PROPOSED DEMOLITION
PERMIT FEE DETAILS FOR PERMIT S2022-0195
Fee Name
Fee Amount
Fee Paid Amount
Transaction Date Payment Method
Trans. Paid Amount Paid By
Building
Building Permit Valuation Fee - Pool/Spa
$760.00
$0.00
Building Plan Check Percentage Fee - Pool/Spa
$661.20
$0.00
Drainage Permit Fee
$242.00
$0.00
Drainage Plan Check Fee
$203.00
$0.00
Drawing Fee
$6.00
$0.00
Green Building Fee
$1.80
$0.00
Plan Check Fee - Planning
$53.00
$0.00
GRAND TOTAL:
$1,927.00