HomeMy WebLinkAboutS2022-0162 - PermitsSEW Pp�T City of Newport Beach II II I I II I II I II I III I I II
Community Development Department- Building Division
,. 100 Civic Center Drive, Newport Beach, CA 92660
y. Permit Counter Phone: (949) 644-3288
H.. Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
COMB Permit : S2U22-0� 62
Plan Check No : PC2022-1864
Issued Date : Inspection Areeaa : 6 2922
6
a
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER
THAN 3 YEARS FROM ORIGINAL ISSUANCE E S
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND
NO WORK ON SUNDAY AND HOLIDAYS IN ALL A
y
J
Job Address: 3601 SEABREEZE LN
Legal Desc : N TR 6228 BLK LOT 30
Description: NEW POOL AND SPA 560 SF, GAS AND ELECTRIC
Owner: LITTAUER STEPHEN L TR
Contractor: LANDCRAFTERS INC
Architect
Address : 909 TILLER WAY CORONA DEL MAR, CA
Address : 29512 ANA MARIA LANE LAGUNA
Address
92625
NIGUEL, CA 92677
=,
Phone:
Phone: (949)249-1086
,
Phone:
Con State Lie : 754071
„
State Lie
Applicant : LANDCRAFTERS INC
Lie Expire : 09/30/2022
Address : 29512 ANA MARIA LANE LAGUNA NIGUEL, CA
Bus Lie : BT30039467
Engineer: BIEDENBACH CHRISTOPH,ER JAMES '
92677
Phone: (949) 249-1086
Bus Lie Expire : 05/31/2023
Address : 1201 N TUSTIN AVE ANAHEIM, CA 92dD7 '
Workers' Compensation Insurance
Phone:
Owner/Builder:
Carrier: AMERICAN+ZURICH+INSURANCE+COMPAN .
Y
Address :
Policy No : WC5897031
Designer:
Phone:
W. C. Expire: 12/1/2022
Address
Phone: ,...'
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $50,000.00
Type of Construction :
Fire Hazard Zone : Y
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups : U
No of Units :
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit ReoiAential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS
I hereby affirm under penally of perjury that l am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable item )
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 tcensure and the basis for the Staged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation., will do U all of or U portions of the work, and the structure is not Intended or Offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved for the purpose Of Sala).
I, as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' Stale License Law does not
3p-fply 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).
J 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: .T __�.. .....___�....—_-...--
3y 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.Cannot legally
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 copy of the applicable law, Section 7044 of the Business and
professions Cade, is available upon request when this application is submitted or at the following Web site:hlt,p://www,leginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agent _ __ ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Clion 70 pl i ory;3 of the Business and Profe ode2�_
ull torte
and effect. Licc-ae Class License No Date r� (i Contractor Signatura
INOR)SERS' COMPENSATION DECLARATION
AA,L.ING: FAI_UPE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN £h1PLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (sitt0,000), IN ADDITION TO THE
Cost OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST'. AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
� y/have an7 wi;: 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
ed miance rf the:vork for which this permit is issued. Policy No.
IE. and w4i 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' Compensatorail e csrrier and policy number are:
;arrler Policy Number Expiration Date
,aura of Ager,t . _ Phone #
J rectify chat, in Lhe Pe ormance f is war or w ' IT this p is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
hat, If I shoulu become s b`` Ct In orke ' co per io ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Dale��/a�/2'�
)ECLARATION REG D G NS C _ DING CY
hereby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.endera Name - Lender's Address —
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the roperty owner's behalf.
have read This application and the informalio hav rovidatl is correct.
agree to comply with all applicable city and ounty or as an a fas re ins f0 building construction. �w 7 r1 2
I authorize representatives of this city or co my a the ao entified party for inspection purposes. L
>i nature of Property Owner or Authorized A ' Prmt Propert Owner's or Authorized Agent's NameFIX Date
ACTION ( DATE ❑ RATt COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE USE ONLY
i REGIAATIONS PART 61 OF TITLE 40 AND AOrv1D RULE
PERMIT WIRED i ' U I SUBMITTED ASBESTOS NOTIFICATION To
PERMITCANCELLED EPA. All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED i _M a_ be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL ASBESTOS NOTIFICATION l5 NOT APPLICABLE TO life of the pool. (0 Yi�9 D
CERTIFICATEOF 6-T"1'13 Dom. PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:--