The URL can be used to link to this page

Home My WebLink AboutXR2022-2400 - Permits��EWPOR�. City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 cgcrao++�`P. newportbeachca..gov/inspections Combination Type - Work Class - Other II III I I I II I II I I I II II II COMB Permit : XR2022-2400 Plan Check No : Issued Date C 09/06/202z49-2021 Inspection Area : 5 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 : 420 SERRA DR Description : DRAINING FOR POOL (S2021-0280) Owner: JOHN ASSID Address : 3612 OCEAN BLVD NEWPORT BEACH, CA Phone Applicant Address Phone: Owner/Builder: Address Phone: Legal Desc : N TR 1237 BLK LOT 26 Contractor: ALAN SMITH POOLS Address : 227 W CARLETON AVE ORANGE, CA 92867 Phone: (714)628-9494 Con State Lic : 571196 Lic Expire : 06/30/2023 Bus Lic : BT00012422 Bus Lic Expire : 08/31/2022 Workers' Compensation Insurance Carrier: ARCH INSURANCE COMPANY Policy No: ZAWCI2545404 W. C. Expire: 4/1/2023 t Architect '!•• Address : Phone : (,,,,� `^^' C State Lic Engineer : THOMPSON MATTHEW' Address : 1201 N TUSTIN AVE , ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone: '.-..' Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/NewtTI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-2-6000 - Two -Unit Residential (6000 in as mimmu lot area) PROCESSED BY: r F(_ SPECIAL CONDITIONS $0.00 0 r 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 items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to Donslruc'L alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for To permit to file a signed statement that he 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 Tofessions 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 o€ more than five hundred dollars ($500). 1 I, as owner of the property, Or my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is not intended cr 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 theproperty, provided (hat the nprovemenls 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 nproved 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' State License Lew does not poly to an owner of property who builds or improves thereon, and %,he contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I 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 haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legally of a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code., is available upon request when this application Is submitted or at the following Web site:htip:llwww,leginto.ca.gov/calaw.htmi. Iignatum of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professjan C,. an Ty license is In full force nd effect. License Class License No Date Contractor Signature 1 VORKERS' CORA PF NRATION DECLARATION IA,,NINE Fi 1UJRE TO SECORE 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 ADDRION TO THE Okt LF COAPENSATot', OA#'AGES AS PROVIOEO FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under p3n,alty of perjury one of the following declarations: I I hvvand 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 IN pokwmence of the na.1. for which this permit isissued. policy Na. and will mainain 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,ane, Nulicy number are: iu D' Agent certify that, ir, the Pr I( I would become Ialure of Applh•Pnt _ Policy Number Date Of thR 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 Ogre( he orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / �y Data IECLARATION REGARDING ¢DN5TRUCTION LENDING AGENCY hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is Correct. I agree to comply with all applicable city and county 9krdin nces and state laws relating to building construction. I authorize representatives of this city or county to e ter t above -identified property for inspection purposes. I, ,'(1 lianature of PrDDertv Owner or Authorized Aoeirt / t 1/_ Print Property Owner's or Authorized Apent'S Name__,_ r(I l �'\I PERMIT EXTENDED PERMIT FINAL — ------ 3 --p�� YL' CERTIFICATE OF F �j7rt- OCCOPANCyiS�UEO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY PART 61. OF TITLE 40 AND AOMD RULE 1403 El SURMITTFO ASBFSTOS NOTIFICATION TO l..IASRESTDSNOT IHCATIONI5NOT APPLICABLE 'to PROPOSED DEMOLITION SIGNATURE: