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S2022-0224 - Permits
City of Newport Beach 4"EWoo" p I Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G S Permit Counter Phone: (949) 644-3288 M? a. Inspection Requests Phone: (949) 644-3255 cg4c�af�r newportbeachca.gov/inspections - Combination Type - Work Class - Other II II I II I II II Pool Permit : S2022-0224 Plan Check No : PC2022-2711 Issued Date : 10/27/2022 Inspection Area: 3 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 : 16 CAPE. DANBURY Description: SFR NEW POOL & SPA 350 SF Owner: HUNT RANDALL JOEL TR Address : 16 CAPE DANBURY NEWPORT BEACH, CA 92660 Phone: Applicant: SCHWARZ POOLS Address : PO BOX 28437 SANTA ANA, CA 92799 Phone: (714)241-7665 Owner/Builder : Address : Phone Legal Desc : N TR.15012 BLK LOT B3 Contractor: SCHWARZ POOLS Address : PO BOX 28437 SANTA ANA, CA 92799 Phone: (714)241-7665 Con State Lie : 967325 Lie Expire : 09/30/2024 Bus Lie : BT30038738 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Upper Castaways PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone : NO Construction Valuation : $55,000.00 NO Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 toits issuance, also requires the applicant for to permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of tho Business and 'rofessions Code) or that he or she is exempt from ficansure 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 of more than five hundred dollars 1$500), 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, •usiness and Professinos 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 nprovernents 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 buill or nproved for the purpose of sale), 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The ContractorsState License Law does not poly 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). I I am exempt from lioensure under the Contrectors' State License Law for the following reason, •y my signature below l 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 cannot legall} all a structure that I have hu It as an owner -builder if it has not boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the fallowing Web siteihttp:ftwww.leglnfo.ca.govlcalaw.litmi. Ignature of Property Owner or Authorized Agent — to ICENSED CONTRACTOR'S DECLARATION qqq hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 0) of via '' i o the Business and Prgtes. c ny license Is in full force rid effect. License Glass License No bate ,d • Z contractor SignatuF VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRANNAL PENALTIES AND CIM FINES UP TO. ONE HONORED THOUSAND DOLLARS t$100.0001. IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: have and will maintain a certifdcate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Drmance of the work for which this permit is issued. policy No. have and will maintain workers' compensation Insurance, asroquirad by Section 3700of the Labor Code, for the performance of the work for which this permit is issued. My workers' compense: ranee carrier and policy number are. ter Policy Number Expiration Date of Agent I1Tertify that, in the orf Vor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workZ 'pensation laws of California, and agre rat, if I should becom s bcompensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Ignature of Applicant�""—�� pa /v/�7 �Z IECLARATSONREG LENDINGAGENCYhereby affirm underenane is a construction lending agency for the performance of the work. for which this permit is issued (Section 3097,de), ender's Name Landers Address y my signature below, I certify to each of the following: I. am the property owner or authorized to act on the property owner' behalf. i have read this application and the Information ! have provided 1 orract. I agree to comply with all applicable city and County ordl 0 a d state laws relating to building construction I authorize representatives of this city or county tP%/( D nflfied property for inspection purposes ,—,i„ru n[ Pmnnrl,r f . nor — ©„f —n —rl Ana.rr V orini P 10 1 fl--"� n.. A.,+hn ,-. A n—W, A�,...,..'/ / (7✓� P % ny+.. ACTION DATE ( BY if `RECLARATION OF COMPLIANCE W'ITil CODE OF FEDERAL � FOR OFFICE USE ONLY ji( ( REGULATIONS PART 61 OF TITLE40 AND AQMp RULE i 1403 PFBMI'I EXPlREP i SUaMiTf5D A5aE5705 Nft71 FICATION Tb P€RAi EXTENDED-- P€RM17 fi1NAt JI,1i A59E570S NOTIFICATION 1S NOf APPLICABLE TO CER77flCAZE OF"(�L L✓ J2 PROPOSED DEMOLITION OCCUPANCY 155UEL7 c1r.Nen LRF 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. 2Z