HomeMy WebLinkAboutS2023-0020 - PermitsF ��WPORT City of Newport Beach IIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Pool Permit S2U23-UU2U
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0189
� n
Permit Counter Phone: (949) 644-3288 Issued Date : 01/27/2023
u Y+�b T Inspection Requests Phone: (949) 644-3255 Inspection Area : 2
°+��Fr�aN`P` newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
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 : 117 VIA QUITO Legal Desc : N TR,;907.BLK LOT 131 TR 907 SWLY 12FT OF LOT 130 AND ALL OF LOTS 131
Description: SFR- REPLASTER, REPLACE LIGHT/DRAIN COVERS INSTALL TRIM & PUMP
Owner: MIYASHIRO NOLAN T TR
Address: 117 VIA QUITO
NEWPORT BEACH, CA 92663
Phone
Applicant: ALAN SMITH POOLS
Address: 227 W CARLETON AVE
ORANGE, CA 92867
Phone: (714)628-9494
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
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 :
08/31/2023
Workers' Compensation Insurance
Carrier: ARCH INSURANCE COMPANY
Policy No : ZAWC12545404
W. C. Expire : 4/1/2023
2022 Fire Sprinklers :
Fire Hazard Zone
No of Units
No of Stories:
Front: 4, Front: 10, Side: 4, Side: 4
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS: HIGH -DENSITY
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address:
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldc, :
Alteration sq. ft. Bldg
Added/New sq. ft. Garage
e P _
$18,785.00
0
U','I ION NOISE
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 iterr i
(Section 7031.5, Business and Professions Cade: 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" State 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 llcensure 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 4500).
0 I, 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,
Residues 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 soli within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
EI roved for the purpose of sale).
LJr 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
�a 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).
1 am exempt front licansure under the Contractcrs' State License Law for the following reason:
By my signature below I acknowledge that, except for 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 cannotlegally
sell a structure that I have ouilt as an owner-bul dor if tt has not been constructed in its entirety by licensed contractors. ) 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:/fwwvaleginfo.ca.govlcaiaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby Damn under penalty of perjury that I am Ifcensed under provisions of Chapter 9: (commenoing with Section 7000) of 6iuision 3 of the Business and Prafes�' Code..andirry license Is In full force
and effect. License Class License No Date 1� 2�' Z?J Contractor Signature (( �4;
tNORKERS' COMPENSATION DECLARATION
NARNIN@ FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUS.tECT AN EMPLOYER TO CR INNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I6100.000I, tN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LASOR CODE, INTEREST, AND AIFTORNEY'S FEES,
hereby affirm under penalty of perjury one of the fallowing declarations:
0 1 bane 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 Bu
aerformance of the work for which this permit is issued. Policy No.
have andwill maintain workers' compensation insurance, as requited by Section 3700 of the Labor Code, for the performance of the work for which this permit is. issued. My workers' oompensatioi
mace carder and policy numbir are:
tar Policy Number Expiration Date
To of Agent . - _ - _ _ Phone #
certify that, in the performance of the work for which this pe it 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
, if i should become subject to the work cgmpens 4 ary.f�risions of Section 3700of the Labor Code, I shall forthwith comply with those provisions.
I hereby affirm under ^malty of perjury tf.at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lenders Name Lender's Address
y my signature below- i CRT* to aiLh cf the following:
I am the property owner or auCwrizeC to act on the property owner's behalf.
I have read this Ppplicntion and �" irfarnfation I.have provided is correct.
I agree to comply'^ath in appkcRhle city and county ordman s and plate tews relating to building construction,
I authorize representatives of this city or county, ter the ve ntihe I property for Inspection purposes. _
Si nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name ugaigi Data
ACTION DATE BY DECLARA ON OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PANT 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT ENPIRETJ U I SUBMITTED ASBESTOS NO'TI FICATION TO
PERMIT CANCELLED - EPA. All required alarms, latches Bates and fences which serve as part of a pool/spa barrier, shall
PERM17 EExT€IVDED UAQMD be In place prior to approval to fill pool/spa & shall remain to place & be maintained for the
PERMIT FINAL /�/��^,/, ASRESTIIS NOT1HCAtION 15II'�,N\li1OT APp [ABLE TO
life of the pool.
CERTIF
ATE OF
OCCUPANCY
-7.1(•23 %/// SIGNATUREOt.E�MY OCLUPANCYf55(JED /,/