HomeMy WebLinkAboutS2023-0037 - Permits��EWP�Rr
City of Newport Beach
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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
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
11111111111111111111111111111111111111111111�1111111jjPool Permit : S2023-oo3%
Plan Check No: PC2023-0413
Issued Date :
Inspection Area : 6
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 : 10 FAENZA
Description: SFR POOL AND SPA REPLASTER 430 SF
Owner: GARETH EVANS
Address : 10 FAENZA
NEWPORT COAST. CA 92657
Phone:
Applicant : Outdoor Concepts
Address: 28241 CROWN VALLEY PKWY, F293
LAGUNA NIGUEL, CA 92677
Phone : (949) 295-4417
Owner/Builder :
Address :
Phone
Legal Desc : N TR 15467 BLK LOT 22
Contractor : Outdoor Concepts
Address : 28241 CROWN VALLEY PKWY, F293
LAGUNA NIGUEL, CA 92677
Phone :
(949) 295-4417
Con State Lic:
831378
Lic Expire :
02/29/2024
Bus Lic :
BT30060506
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: BENCHMARK INSURANCE COMPANY
Policy No: CST5021783
W. C. Expire: 6/18/2023
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS: VHFHSZ
Architect
Address : m
C" a
Phone:
State Lic:
Engineer:
Address
Phone :
Designer : Outdoor Concepts
Address: 28241 CROWN VALLEY PKWY, F293
LAGUNA NIGUEL, CA 92677
Phone : (949) 295-4417
NO Construction Valuation :
YES Added/New/TI sq. % Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
$16,000.00
0
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VY11\CR�IYVIL VL,\ V.----.-.-
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(%) indicated below by the checkrnark(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, prior to its Issuance, also requires the applicant for
:he permit to file a signed statement that he or she Is licensed pursuant to the provislons of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that heor 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
not more than five hundred dollars ($500)
D 1, 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,
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 improvementis 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).
D 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
ar�,piy 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),
EI am exempt from licensors 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 legal
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:http:Lfwww,leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O} of Divs ion 3 of the Business and Pr salon ode nd. my licen is in full force
and effect. License Class License No Date Contractor Signatu
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 HUNDRE THOUS COLLARS ISiD0,000), IN ADODION TO TH
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following. declarations:
D 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 Cods, for t
p ormance of the work for which [his permit is issued. Policy No.
ve 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' compensati
iiiinsurance carder and policy number are:
to of Agent _
certify that, in the
if I should becoq
Iature of ApDlinari
Policy Number
Date
Ice 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
o the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�______NC Date
G TRU TIGN L NDING AGENCY
areby affirm under pen IQ tyvef perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda).
iders Name. V Lenders Address
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 I have provided is correct. �� COS rz,l
I agree to comply with all applicable city and c=rdlastate vs relating to building construction.I authorize representatives of this city or countant rope for inspection purposes.
nature of Property Owner or Authorized Agent Print Pro e Owner's or Authorized Agent's Name D
TION DATE I BY E T€ON OF COMPLIA C CODE OF FEDERAL FO'R OFF ICE USE ONLY
PERMIT EXPIRED
PERMIT FINAL.
CERTiFfCATE Ot
OCCUPANCY ISSUED
PART 61 OF TITLE 40.AND AQMD RULE
I SUBMITTED A59ESTOS NOTIFICATION TO
erL�n T
—I trio-
ON40—
n I ASBESTO5 NOTIFICATION 15 NOT APPLICABLE TO
YA-4�_ I PROPOSED DEMOLITION
I SIGNATURE'
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
life of the pool.