HomeMy WebLinkAboutS2022-0141 - Permits (3)SEW Po"T City of Newport Beach II II I I II I II I II III I III I II
Community Development Department- Building Division COMB Permit : $2022-U 141
100 Civic Center Drive, Newport Beach, CA 92660 4lan Check No : 1551-2022
Permit Counter Phone: (949) 644-3288
Cnation Type
.a.. Inspection Requests Phone: (949) 644-3255
C��rF00.N�P newportbeachca.gov/inspections W' Class :Other
suE date
a 1 edt't071 Area
Q, 00�� �
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST D INSP fFO,�N, �Q� O LATER AN
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR DAY � V AREAS NO W(
OIO
Job Address : 3927 SANDUNE LN Legal Desc : ���
Description : SFR NEW POOL & SPA 731 SF W/ G LEC TO AND FIREPIT r0'C�
Owner:
Address
Phone
Applicant
Address
Phone :
QUESADA STEPHANIE D TR Contrabtor PACING PARADISE POOLS Architect
3927 SANDUNE LN CORO
92625
J.
Lic Expire: 08/31/20
Code Ed"' 'on'
Type of Const
Occupancy Gi
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
iw,, Carrier
W. C. Expire
s�
J ".. Fir k rs
F' rd Zone
Units
` a N o�tories
Cr
NO
N
Public Works Approval:
Plan Check By:
Approval To Issue:
EL MAR,
Address : 3007 S HARBOR BLVD SANTA ANA, CA
lgll�ess
-
^'-92704 � 1
-Phone;
(714)437-7665 .(�None:
Con State Lic : 522119, ] �J
State Lic
ORIGINAL ISSUANCE DATE
'AND HOLIDAYS IN ALL AREAS
TTHEW
AVE ANAHEIM, CA 92807
Construction Valuation :
Added/New sq. ft. Bldg :
Added/New sq. ft. Garage
a.v
`_ Q
OWNER -BUILDER
I hereby afllnn under penally of perjury that t am exempt from the Contractors' State License Law for the reason mdicalN
ction 7031."a, Business and Professions Code: Any city or county that requires a permit to construct, alter, i ve, demons
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' to License Law
fessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. AwOl7ipation of Section
more than five hundred dollars ($500}. ,n
I, as owner of the property, or my employees with wages as their sole compensation, will dlqeall of or L) portic
€usiness and Professions Code: The Contractors' State License Law does not apply to on?Mr of pro rty who, 18
nprovements are not intended or offered for sale. If, however, the building or improve is sot Wane ys£tn
nproved for the purpose of sale). \ N
1, as owner of the property, am exclusively contracting with licensed Contra to congAle prof action
ply to an owner of property who builds or improves thereon, and who con a for t fit cis pioiDt eased Car
I am exempt from censure under the Contractors' State License for the followi g rea�gQ 1_____
y my signature below acknowledge that, except For my personal Idence In which I m tsEp a resided fir. lea
ell a structure that I have built as an owner builder if it has not en construct in its entrer by Sic �ontreclo
the checkmark(s) I have placed next to the applicable items)
any structure, prior to Its Issuance, also requires the applicant for
(commencing with $action 7000j of Division 3 of the Business and
my applicant for a permit subjects the applicant to a civil penalty of
Ire Is not intended or offered for sale (Section 7044,
effort, builds or improves the property, provided that the
3r will have the burden of proving that it was not built or
6usmass and Prof Ions Code: The Contractors' State License Law does not
pursuant to the Con N
ars' State License Law).
is year prior to comp€anon of a €rrttscovnmen€s uuve€eu uy u rib pouu , bCl I„V
I understand that a copy of the plicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this appQ Ion is submit. d or at the following 4V, te:http:iiwww.leginfo.ca.govfcalaw.html. -
iignature of Property Owner or Authorized Agent _ 'a <O Date
IGENSED CONTRACTOR'S DECLARgTlO�
hereby affirm under penalty of perjury that a�ryq,. eensed tij�d rovislons`b Chapter 9 (commencing with Section 7 Div! I,QnFyes'I�ess and P ssb s C a, m rise is In full force
and effect. License Class Icense No Date Z /i C�Geer Signatu
IVORKERS' COMPENSATION D'i ARATION
WARNING: FAILURE TO SECVRE WORKS OMPENSATIO OVERAGE M UNLAWFUL, AND SHALL SueJEG t AN 6AtpL ER 10 CRIMINAL PENALT aIV1 INES UP TO ONE HUNOR TH AND DOLLARS (S5DD.000), IN AOOriON TO THE
:OBT OF CO PENSATION, DAMAGES PROYIOEO FOR t SECTION 3TOfi OFYH[LABOR CaDE, INTEREST ANtt ATmR 's FEES, �••
hared affi m under penal perury on the tol}owlnq declaratipn
hav and will taro a certif to of consent to sole Insure tot orkers onglensati issued by the Ycydof In rial Relations p o Ion 3700 of the Labor Coda, For th
arm nee o€ t •ork for Vyhtc is pernnrt`I9' ssuod. Pnugy No.CCCC���
e a ill ma' wAolrkers cmm�ens❑hon inset ace, es regwfri ny Section 3700 of the or ,Ofor performance. e w .�fbr w this permit is issued. My workers' compensatiol
n n ca ' rand ynumtzecal(,, Y
✓Number �� �tabe ate
flame of A'. t! 0
t., 5
—1I certify that A, Ih erfo n work i. Is It is issued, I shall t employ any persorkAerany m ner so a. b a subject to the workers' compensation laws of California, and agre
hat, If I should' al, u e e o ' co rovisions pt Sect' of the Labor C,qk, sh orthwlth m 'ih those provisions.
s J d sr ,yPCo
iignature of AppII f t D /� Z/
)ECLARATION RI-�,, I I I(. DING AGENCY OR
hereby affirm under Tq , perj that tit, a construction I a nraator the pal"a of the f ioh this permit is issued (Section 3097, Civil Code).
_ender's Name °' _ CT t ltiP�(der's re
3y my signature below, I ',y i each a following:nFt
I am the property owne a t rized to act a ow ehaif.�
I have read Ihis applicat o d t inform av ovi c .root.
I agree to comply with all ap b fly a cou%# ' or. i as a SIB relatin b ' Ing construction. 7�Z�
I authorize representatives of '< ,id r co o r as a -id Ted prop y f spection purposes. mil / L
Signature of ProBery Owner or Auth d I Print Property Owner's or AuUtorizetl A aril's Nan;4W,"I Dat
ACTION GATE },._ OF CO IA ITIi CODE OF FEDERAL FOR OFFICE USE ONLY
ATIONS PA el ITLF 40 ANt AQMD RULE
3
PERMIT EXPIRW 15U I SSFSTO5 NOTIFICATION TO
PERMITCANCELLED I DI —AI , FF All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMITEXTENDEo !,;.iMD be In place prior to approval tofill pool/spa & shall remain In place & be maintained for the
PERA41T FINAL t.UASBESIOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
CERTIFICATE OF PROFOSED DEMOLITION
OCCUPANCY 155UE0 SIGNATURE: