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HomeMy WebLinkAboutS2023-0129 - PermitsQ �gWPpRT City of Newport Beach II�IIIIIIII IIIIIIIIIIIIIIII III II Pool Permit : S2U23-0129 D em Community Development Department -Building Division S 2 0 2 3 0 1 2 9 Y 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No: 1352-2022 ' n Permit Counter Phone: (949) 718-1888 Issued Date : 06/21/2023 U c r S newportbeachca.gov/civic a '' _ "" •'"� eo. Inspection Area : 4 gcrcoaN` Combination Type - Work Class - Other 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 : 17 BOARDWALK Legal Desc : N TR 15478 BLK LOT 13 Description: **CHANGE OF CONTRACTOR TO S2022-0117** SFR CONSTRUCT (N) 710 SF POOL W/ 81 SF SPA. Owner: TERrI SACKS Contractor: HASKETT JIM CONSTRUCTION INC Architect Address : 17 BOARDWALK Address : PO BOX 379 Address NEWPORT BEACH, CA 92660 SURFSIDE, CA 90743 Phone: (951) 9634659 Phone: (714) 8944800 Phone: Con State Lic : 738498 State Lic Lic Expire : 08/31/2023 Applicant: AUSTIN ORTIZ Bus Lic: BT30060773 Engineer: BIEDENBACH CHRISTOPHER JAMES Address: 5069 ARROYO LINDO AV Bus Lic Expire : 10/31/2023 Address : 1201 N TUSTIN AVE SAN DIEGO, CA 92117 ANAHEIM, CA 92807 Phone: (949) 795-4884 Phone: (714) 630-6100 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Owner/Builder: Policy No: WSA506753600 Designer: Address : W. C. Expire: 10/1/2023 Address: Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : Fire Hazard Zone : NO 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: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X ' Use Zone: PC - Bonita Canyon BY: PROCESSED SPECIAL CONDITIONS: CHANGE OF CONTRACTOR TO S2022-0117 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawforthe reasons) indicated Wow by the chackmark(s) I have placed next to the applicable items) 3ecton 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 m permit to file a signed statement that heor 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 ficensura and the basis for the alleged Exemption, Any violation or Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portion$ of the 1 vork, and the structure is not Intended or offered for sale (Section 7044, -usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through Pint loyees' or personal effort, builds or improves the property, provided that the nprovemenls 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 n roved for the purpose of sale). i, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu mass and. Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu suant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for the following reason; ly 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 Legal]) ail a structure that I have built as an owinr-buHdar if it has not Dean constructed in its entirety by licensed contractors. I underrand 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 following Web sitm:http:llwww.teg4do. .govtcalaww.html, agnaturo of Property owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7WO ',sston_3 of the Business and Prof s�ibns c .rlr+d-ltfy license is In full force nd effect. License Class License No Date 66 (( - / Contractor Signature / tKERS' COMPENSATION DECLARATION ING! FAILURE TO SECURE WORKERS* COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37ee OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: have. and *11 maintain a certificate of consent to soli -insure for workers' compensation, issued by the Director of It 3rmanee 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 perfi rams carder and policy number are: ler Policy Number is of Agent certify that, In the performance of the work for which this permit is issued, i shall not employ any person in any manner so if I should became ie w" cation provisions of Section 37`00 of the Labor Code, I shall forthwith c Of hereby affirm untopenalty of perjury that there is a construction lending agency for the performance of the work I enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this epd"Xabon and the information I have provided is correct. I agree to comp!j tith all applicable city and County ordinances and state laws relating to building construction ' v thrrize repr^^en'a#ivies of this city or c en er the1kl;IDve, elentifie erty for inspection purposes. ACTILN PFRMC4KPRFO CERTANCAIF or ©, CUPANrY ISSUL0 DATE: BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEf REGULATIONS PART al OF TITLE 40 AND AQMD RULE 2403 I SURMITTED ASBESTOS NOTIFICATION TO LMmi8ESTOS NOTIFt S NO7 APPLICABLE TO PROPOS D 0 SIGNATURE: LIT CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS 15i00,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre pry with those provisions. Date____ permit is issued (Section 3097, Civil Code). (,7/i-`iIJ)6 h/lrr$5'E/ Date AIM All required maims, latches gates and fences which serve as part of a pool/spa barrier, shall be in place print to apppyal to fill pool/spa & shall remain in place & be maintained for the life of the pool.) /W