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Home My WebLink AboutS2022-0259 - PermitsCity of Newport Beach ��EWPo�r @� Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 o. Inspection Requests Phone: (949) 644-3255 °gaFoaH`r. newportbeachca.gov/inspections Combination Type - Work Class - Other 111111�11111111111111111111111111111111111111111111JillPool Permit : S2022-0259 Plan Check No: PC2022-2573 Issued Date : 12/23/2022 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 : 1936 GALAXY DR Legal Desc : N TR 4224 BLK LOT 19 Description: SFR POOL REMODEL W/ DRAINAGE (STANDARD PLANS) 122-3696 Owner: HOLIDAY FAMILY REVOCABLE TRUST Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: (949)630-8991 Applicant: ADAM HOLIDAY / JULIE HOLIDAY Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone Owner/Builder: ADAM HOLIDAY/JULIE HOLIDAY Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire i Architect Address Phone: State Lic d Engineer: Address Phone: Designer Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg Occupancy Groups : U No of Units : Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage: Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: O/B FORM W/ XR2022-2628 $22,009,D'Q; 0 0 f hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 7031.5, Business and Proressions 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 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 leensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, 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 sate (Section 7044, Business and Professions Cade: 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 sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or Improved for the purpose of sale). 0 1, 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 apply 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). [l I am exempt from licensure under the Contractors State License Law for the following reason: By my signature below 1 acknowledge that, except for my personal reside a in w I mu ve resided for at least one year prior to completion of the Improvements covered by this. permit, I cannot legall7 sell a structure that I have built as an owner -builder it has not been to ructe by licensed Contractors. I understand that a copy of the applicable law, Sactio 7044 of the Business and Professions Code, Is available upon request when th application Is s fitted a ing Web site:http:/fw .leginfo.ca,govlcalaw.html.. Signature of Property Owner or Authorized Agent Dat Z2� LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am I ceased under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,0001,. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: —11 have 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 th+ )erformance of the work for which this permit Is issued. Policy No. have and will 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' Fence carrier and policy number are: Policy Number of Agent Date .el certify that, in the penormance of thi work o which this permit 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 tat, it I ..hould become ubject to the A orker ' pensation pro Isions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions, ignature of Applicant Da IFW ARATION fcFAp HNG T TION LENDING AGENCY hereby affirm under penalty of perjury t a there Is a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code). s Name Lender's Address y my signature below,'I certify of each of the following: ! ar lye property owner or authorized to act on the property owner's behalf. I nave read this appu^abon and the information 1 haveprovideFf Is correct. I 9rJon to comply wltu all applicable city and unty & Ina and state laws relating to building construction. I anfhorize rernesel tabves of this city or cou toe t r ave-Ide iied property for inspection purposes. 4,2 ignature of Prope,y Owner or Authorized / Print Property or Authorized Agent's Name Date A ACTION DATE 8 ECL RATION OF COMPLIANCE WITI{CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Fl OF TITLE 40 AND AQMD RULE l 1403 PERMIT EXPIREp U 1 SUBMITlTD ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED 11AQMD. be in place prior to approval to fill pool/spa & shall remain in pIace_&baMamtahec1 for the PERMITFINAL SESTOS NOTIFICATION IS NOT APPLICABLE TO fife of the pool. / CERTIFICATE OF . PROFOSEO DEMOLITION PANCYISSUEO / !- Z�` 2 OCCUcir.NATI IRF. !!4