HomeMy WebLinkAboutP2022-0144 - Permits��EWPORT City of Newport Beach II I I I II I II IIII I �I C d Community Development Department- Building Division �Il
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
CqG/FOAN�p newportbeachca.gov/inspections
Work
Permit : P2022-0144
No : 1551-2022
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE LAST VALID INS &]ON, -NO LATER THAN 3 YEARS FROM
NO CONSTRUCTION RELATED NOISE ON SATU AY OR SI�XCAY IN HI H DE Y AREAS AND NO WORK ON SUNDA
Job Address
Description
Owner:
Address
Phone:
Applicant:
Address
Phone:
�O
3927 SANDUNE LN egal
SFR GASLINE TO BBQ AND EPIT
QUESADA STEPHANIE R ontractor
3927 SANDUNE LN RON D AR, :;)Address
hone
A, L Con SlAec
PAUL
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
�r�
EFOR VC
0
F
�1 x2p
�y 'Leal
sNvf.. S
B Lic Ili re
Workers' Coml
Carrier
Policy
W. xpire
Fir pyl'i%lers : NO
frine0azard Zone: N
NADISE POOLS
,�PR BLVD SANTA AN*,,
65
VP
v� �
ISSUANCE DATE
(DAYS IN ALL AREAS
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the r5litiff6ri indi
coon 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, all , improve,del
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrac ' State License
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemptio, my violation of Sefqc�
more than five hundred dollars ($500), A`
.J I, as owner of the property, or my employees with wages as their sole compensation, will (
lusiness and Professions Code: The Contractors' State License Law does not apply to ag caner
nprovements are not intended or offered for sale. If, however, the building or improvement is so
nproved for the purpose of sale). \\�
1, as owner of the property, am exclusively contracting with licensed Contr ors to o t I
ply to an owner of property who builds or improves thereon, and ",he corg.. ets for th;r jects�
I am exempt from licensure under the Contractors' State License L06 for the following r �)
ly my signature below I acknowledge that, except for my personal residence in which I muaw
ell a structure that I have built as an owner -builder if It has notpeen construe, In its entirety by
'rofessions Code, Is available upon request when this appl!Pelon is submG d or a✓rtjre fcllowingt
llgnature of Property Owner or Authorized Agent-
.ICENSED CONTRACTOR'S DECLARATICIINN
all of or L)
of
(Section
the checkmark(s) I have placed next to the applicable items)
any structure, prior to its issuance, also requires the applicant for
commencing with Section 7000), of Division 3 of the Business and
ppiicant for a permit subjects the applicant to a civil penalty of
zmplo es' or pl
d n, the Owm
Business and P
pursuant to the
fbr at least one year prior to con
contractors. I understand that
hereby affiml under penalty of perjury that I am used un1�r ovisio(ns of. Chapter g rnmencing with Section 70q)~
nd effect. License Class - 'cense No Dot WN
VORKERS' COMPENSATION DEO ATION
NRNING: FAILURE TO SECURE WORKERS' R PENSATION ERA
IS N AWFUL. AND :SMALL SUBJECT pA EMPLadER TO CRIMINAL PEP
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IH CTION 3'OGnr THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
re affirm under penalty of perjury one o e follovnn.i eclarations
I eve andWlll meinteiri a certffica of consenhEo ull insure Inr.;Inrko75'compansation I�slecl h,Y theI
e ranee of the work for which th' pertmt,Is issecd. P Ac No. ,, i
I va and w -maintain kers compensation insurRnce. as reci rnd her Section 3700 of the tbor C�Jr;e, f`o�e
i tics card and p Elmber are
er _pot cy Number
.i
lame of Agipt. _
certify that
, If I should
iature of At
hereby affirm under pel�ylollE
ander's Name
y my signature below, I certto
I am the property owner of
I have read this application a
I agree to comply with all appl
I authorize representatives of
Dnature of Property Owner or AL
,CTION I DATE
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPAOICY 155UEO
to act on
Is issued, I shall
is not intended or offered for sale (Section 7044,
)t, builds or improves the property, provided that the
011 have the burden of proving that it was not built or
in of tl
of the
UP TO
Date
The Contractors' State License Law does not
e License Law),
Section 7044 of the Business and
and Profe's,5bp)l apd my}'nse is In full force
IS100,000i, IN ADDITION TO THE
by Section 3700 of the Labor Code, for
this permit is issued. My workers'
any person in an( tier so to Dine subject to the workers' compensVionws of Callfomia, and agre
Labor Code forthNit o with those provisions. 4 L
D
il
rj)ann>Wod thew f .hick this permit is issued (Section 3097, Civil Code),
construction.
artywoV Rfi k
n purposes. l/
uperty Owner's or Authorized Al Name
W- MF 4e N CODE OF FEDERAL
OF FEDERAL
PARTT .. 40 AND AQMD RUtE
A .TOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
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.