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Home My WebLink AboutS2023-0016 - Permits��EWPoRr City of Newport Beach t ' @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgt��epN�P newportbeachca.gov/inspections Combination Type - Work Class - Other 1111111111111111111111111111111111111111111111111111 JillPool Permit : S2023-0016 Plan Check No : PC2023-0159 Issued Date : 0112512023 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: 17 CYPRESS POINT LN Legal Desc : N TR 7223 BLK LOT 20 Description: SFR (N) POOL 448 SF W/ DRAINAGE ALT PER CITY STANDARD Owner: TRESKA MICHAEL A TR Address : 17 CYPRESS POINT LN NEWPORT BEACH, CA 92660 Phone Applicant: INSTANT POOLS LLC Address : 116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694 Phone: (949)795-0648 Owner/Builder : Address : Phone Contractor: INSTANT POOLS LLC Address : 116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694 Phone: (949)795-0648 Con State Lic : 1009644 Lic Expire : 07/31/2023 Bus Lic: BT30053469 Bus Lic Expire : 1213112023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Side: 5, Side:5, Rear: 15 Flood Zone: X Use Zone : PC - Big Canyon PROCESSED BY: - SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER JAMES Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone : Designer Address Phone: NO Construction Valuation : $50,000.00 NO Added/Newrrl sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 o . `J o ' 4uu u ' 3"�.al i a`t OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s) circa 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for permit to file a signed statement that be or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ressions Code) or that he or she is exempt from licensors 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_J portions of the work, and the structure Is not intended or offered for sale (Section 7044, loess and Professions Coda: The Contractors' $late License Law does not apply to an owner of property, who, through employaes' or personal effort, builds or Improves the property, provided that the rovements arenot 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, 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 ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). LJ I am exempt from licensers under the Contractors' State License Law for the following reason' By my signature below I acknowledge that, exceptfor 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors.) understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site;hltp.,IAvww,leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent A Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of lii 3� a Business and P ns Code, an y licensers In full force and effect. License Class License No Date 1 L ontractor Si u WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have 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, Derformance of the work for which this permit is issued. Policy No. :11 have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code,. for the performance of the work for which this. permit is issued. My workers' compensatior 'nsurance carrier and policy number are: Gamer Policy Number Expiration Date a e of Agent Phone # rt' that, in the pert ce of thgA -or wh ch this p it Is Issued, I shall not employ any person in any manner so as to become subject to the workers' 'mpensatfon laws of California, and agree at, If I should become subj t to .workers' compens• 1 prove DO of the Labor Code, 1 shall forthwith comply with Chose provisions. i Signature of Applicant D e s DECLARATION REGARD L ENCY hereby affirm under pens of perjuryt re Is a construction lending agency for the performance of the work for which this permit is issued (Section 30 17. Civi Code): enders Name Lenders Address ly 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 this application and the information 1 have provided is correct. I agree to comply with all applicable city and coon ordinances and state laws relating to boil ing consiructon. I authorize representatives of this city e� ^ounly t e ter the ified pro nspection purposes. .ignatupe of Property Owner or Authorized Agect _: I Pro a Owner's Dr Authorized A eni's Name, �� Da 1Cr1ON DATE Rv pgC OMPLIANCE WITH CODE OF FEDERA_D I FOR OFFICE USE ONLY z -T t SULAI ION5 PAO 01 O`TITL€ 40 AND AQM PERMITEXPIREO U I SUBM'TTED ASBESTOS NOTIFICATION TO PERMITCANCELLED -- -- PERMIYEXTENDED rtMID PERMITFINA! CERTIROTEOF OCCUPANCY ISSUED L'-�/ �? ✓ N J /J/ ry/� AS6k5TO5 NOTIFICATIONISNOTAPPLICABL TO PROPOSED DEMOLITION SIr.NAT1IRF- AR required alarms, latches gates and fences which serve as part ofapool/spa barrier, shall be in place prior to appryVal to fill pool/s as shall remain in place & be maintained for the life of the pool. -14/s3 /j/ji/ S