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HomeMy WebLinkAboutS2023-0037 - Permits��EWP�Rr City of Newport Beach p.- e 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 C4</FpPN�P 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 r 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.