The URL can be used to link to this page

Home My WebLink AboutS2022-0234 - PermitsCity of Newport Beach ��tiWPORT p 6 Community Development Department- Building Division y 100 Civic Center Drive Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 CqC/pppN�r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11111111111111111111111111111111111111111111�1111 jj Pool Permit : S2022-0234 Plan Check No : PC2022-2792 e e Issued Date : 01/24/2023 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 : 63 CAMBRIA DR Legal Desc : N TR.7844 BLK LOT 122 Description: SFR (N) POOL AND SPA (400 SF) W/ EQUIPMENT Owner: BIRE II LLC Address : 7642 W IRVING PARK RD NORRIDGE, IL 60706 Phone: Applicant: PAUL ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone : (949) 683-9861 Owner/Builder: Address : Phone: Contractor : Montesantos Builders Inc. Address : 17 Tiburon Bay Drive, Corona Del Mar, CA 92625 Phone: (949)239-2022 Con State Lie: 1077463 Lie Expire : 06/30/2023 Bus Lie: BT30076141 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT- NO EMPLOYEES W. C. Expire: Architect Address Phone : State Lie: Engineer: THOMPSONMATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg :> , > > Bldg Height: No of Stories: Added/New sq. ft. Garage: '0 Building Setbacks: Front: 6, Side: 5, Rear: 30 ' Flood Zone : X Use Zone : PC - Harbor View Hills — PROCESSED BY: � / SPECIAL CONDITIONS: LANDSLIDE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(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 provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and °rofessions 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 fora permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($500), 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roproved for the purpose of sale). 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply 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). 0 1 am exempt from licensure 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 oneyear prior to completion of the improvements covered by this. permit, I cannot legail) sell a structure that I have built as an owner -budder if it has not been constructed in its entirety by licensed contractors. I understand there copy of the applicable law. Section 70" 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 7TO) Of Division 3 of the Business and Prof es ions Code, and my license is In full farce and effect. License Class License No Date Y —dt ^��T Contractor Signature I 6[��A WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS r1100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES" PROVIDED FORIN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 0 I have and 011 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 performance or the work for which this permit Is issued. Policy No. 11 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' compensatoa lsurance carrier and policy number are: :artier Policy Number Expiration Date lame of Agent Rhone If JI certify that, in the performance 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 +a, if I should become Su Iect to the Workers' compensallpn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applicant _ /—�— Date %t-L�� IECLARATION REGAR . STRU ON LENOtNC� i A ENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). antler's Name Lender'sAddress. ly my signature below, I certify to each of the following: I am the property owner or aumorizcd to act on the property owner's behalf. I have read this application eld ho ul olmation 1 have provided is correct. I agree to comply wRh ail applicable city and county ordinances and state taws relating to building construction. I authorize representatives o, th:s. city or county to enter the above-identifled property for inspection purposes, h�(I it nature of Prop a Owner or Authorized A ant Print Pro a Owner's or Authorized Agent's Name ( _ Date I �� ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY g� REGULATIONS PART 61 OFTITLF 40 AND AQMD RULE 1403 PERMIT EXPIR60 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEUED�11 OEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED LJAqmD. be in place prior to approval tof!it pool/spa & shall remain in place & be maintained for the PERMIT FINAi. , ASBESTOS NOTIFICATION IS NOT APPLICABLE i0 life of the pool. (O CERTIFICATE OF Q It,,.{-- F POSED DE CUTION OCCUPANCYISSUED �4q-21 � SIGNATURE: 11Y'L l/,(