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Home My WebLink AboutS2022-0193 - PermitsCity of Newport Beach Community Development Department- Building Division ' y. 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</FOPN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other Pool Permit : S2022-0193 Plan Issued eOe Check ckNo/: P222022-2284 Inspection Area : 4 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 : 921 ALDER PL Description: SFR NEW POOL & SPA 663 SF Owner: PAUL JONES Address : 921 ALDER PL NEWPORT BEACH, CA 92660 Phone: Applicant: BLAKERIELLY Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660 Phone: (949)679-7086 Owner/Builder : Address: Phone: Legal Desc : N TR 4705 BLK LOT 6 Contractor: LEGACY CUSTOM HOMES INC Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660 Phone : (949) 887-4750 Con State Lic : 986194 Lic Expire: 08/31/2023 Bus Lic: BT30045036 Bus Lic Expire: 10/31/2022 Workers' Compensation Insurance Carrier: OAK RIVER INS CO Policy No: 219928 W. C. Expire : 12/2/2022 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : 1 Bldg Height : No of Stories : 0 Building Setbacks : Front: 6, 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 Lic Engineer: LACHER TODD Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone: Construction Valuation : $50,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) section 7031.5, Business and Professions Code: Any city or county Ihat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for m permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of Die Businoss and 'rofessions Code) or that he or she is exempt from hcensure 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, ,usiness 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. 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 roved for the purpose of sale). .,1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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 licensure under the Contractors State License Law for the following reason y 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 legalIN 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.govlcalaw.html, ignature of Property Owner or Authorized Agent `. Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pe ury�Th�at I a IlG�jens¢d under provisions of Chappte 9 (commencing with Section 7000) o Divi ion 3 of the Business and Professions Code an my license is In full force nd effect. License Class in 2y1�0.1 [�onlxcv'fr,F License Nog.f� 61 �1{f- D 04 13 707Z Contractor Signature�bft— VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS t$100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, hereby affirm under penalty of perjury one of the following declarations: J-"ave and 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 Ih erformance of the work for which this permit Is issued. Policy No. 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' carrier and policy number are: Policy Number. .Expiration Date of Agent :11 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 Tat, if I should become subject to the workers co o flan provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions. 1� I iiynatura of Applicant _� Da erg �I (3 ZO zZ. IECLARATION REGAR G ONSTRU ON LENDING AGENCY hereby 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), .enders Name Lenders Address ly my signature below, I certify to each or the following: I am the property owner or auOlorized to act on the property 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 taws relating to building construction. I authorize representatives of this city or county to nterr the a�e-' entifled property for inspection purposes. (/ linnaf ire of Prnnnev Owner or Aulharioad Aaeni 7 `-YO// �� Print Pronertv Owner's or Authorized Anent's Name L-e Lqt � k --, Data tl /3 Zd z- ACTION I DATE BY VECCARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY v r REGULATIONS PART 61 OF TITLF. 40 AND AQMD RULE 1403 PERIwfITEXFIRFO U I SUBMITTED ASBESTOS NOTIFICATION TO PERNUTCAN'CELLED OEPA All required alarms, latches gates and ,fences whi6i serve as `tart of a pool/spa barrier, shall -_.._..— .___�--__ — be in place prior to approval •a!ill ,roc l/spa & shall,emain In Piare Y: be maintained for the PERMIT EXTENDED PERMITFINAL Qs� J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED