HomeMy WebLinkAboutS2022-0184 - PermitsCity of Newport Beach
�EWPO,T
o� j e.
Community Development Department- Building Divisior
1 Civic Center Drive, Newport Beach, CA 92660
U
r
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
AH�P Pnewportheachca.govlinspections
Combination Type -
Work Class - Other
COMB Permit : S2022-0184
Plan Check Issued Date: 9a/o : C2022-2213
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 : 18 SHERWOOD Legal Desc : N TR 15409 BILK LOT 69
Description: SFR (N) POOL & SPA (348 SF) AT REAR YARD. INCLUDED DRAINAGE.
Owner: OKELLY GRAHAM TR
Contractor: CRYSTAL POOLS
Architect
Address : I SHERWOOD NEWPORT BEACH, CA 92660
Address : 19631 BROOKHURST ST #13
Address
HUNTINGTON BEACH, CA 92646
Phone:
Phone: (714)420-5473
Phone:
Con State Lic : 867770
State Lic
Applicant : CRYSTAL POOLS
Lic Expire : 11/30/2022
Address : 19631 BROOKHURST ST #13 HUNTINGTON
Bus Lic: BT30053161
Engineer: THOMPSON MATTHEW
BEACH, CA 92646
Phone: (714) 420-5473
Bus Lic Expire : 11/30/2022
Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807
Workers' Compensation Insurance
Phone: (714) 630-6100
Owner/Builder :
Carrier: STATE COMPENSATION INSURANCE FUND
Address:
Policy No: 9089361
Designer:
Phone:
W. C. Expire: 12/19/2022
Address:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $70,000.00
Type of Construction :
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
Building Setbacks: Front: 15, Side: 5, Side: 5, Rear: 5
.. .
Flood Zone: X
Use Zone: PC - Bonita Canyon
��
4
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law (or the Peasants) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.6, 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of ar U portions of the work, and the structure is not intended or offered for sale (Section 7044.
Business 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
Improvements 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
improved 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
ap 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' State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason. __, ___._ ....— _.._------ _ ...__ . _._ ----------------
By my signature below I 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 legall:
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:htlp:l/w .loginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ _ Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 iv' ion 3 0(the Business and Prbfessir) s Code, aI my license is In full farce
and effect. License Class License No Date t 7. Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO NO DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 th
perfgaFiance Of the work for which this permit Is issued. Policy No.
X LInl 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' compensatioi
urance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the performar ce of the work for which this permit is issued, I shall not employ any person in any mannor so as to become subject to the workers' compensation laws of California, and agre
that, it I should become subject the workers pi Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant �Ak0 Date j Z--
DECLARATION REGARDTN CO TRUCTION DING AGENCY
I hereby affirm under penalty er' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behal€.
I have road this application and the Information I have provided is correct.
I ayrde to comply with all applicable city and count ordinances nd stale laws retailing to building construction.
I authorize representatives of this city or county toe the abov enti'ed roperty for inspection purposes, II y�
EI nalurc of Pro art Owner or Aulhonzed A ens jj Print Property Owner's or Authorized Agent's Name IJ I ✓v� V
ACTION I DATE BY f R C CATIONS OF'edPART 61 LIANF TITCE4TH AND OFAQMD FEDERAL FOR OFFICE USE ONLY
FERMITEXORPD
PERMIT CAP Cr' ("1
r'ERMIT EXTENDED
C RTIFfCATE OF
OCCUPANCt GSUEU
ED ASBESTOS NOTIFICATION TO
V� All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval val t99 fill pool/spa
/& hall remain In place & be maintained for the
NOTIFICATION IS NOTAPPLICABLE TO life of the pool.
��A/��
MOLII'ION I