HomeMy WebLinkAboutS2023-0023 - Permitse ...
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111111III ��III�IIII��III�IIIIIIIII�IIII�IIII1111111111Pool Permit : S2023-0023
Plan Check No: PC2023-0199
Issued Date : 03/16/2023
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT ATER THAN 3 Y�
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN NIGH DENSIT EAS AND NO WOF(
Job Address: 621 DONALD PL Legal Desc ;N T 156 BI,�*0 2..�tid /
Description: SFR NEW POOL 200 SF W/ DRAINAGE s v c
Owner: BRENNAN KEVIN P TR K & L
Address : 621 DONALD PL
NEWPORT BEACH, CA 92663
Phone
Applicant: P R CONSTRUCTION IN -"-
Address : 1995 BATAVIA ST
ORANGE, CA 9 v l�
Phone : (714) 223-7
Owner/Builder: •�'",, ;�
Address
Phone:
BAT
vrt_ v�o,
Pho � (714 )- 23-
n State Lic : 67
y� Lic Expire : 03/3
s Lic tf3007
I �Ezplre:082
-7Norkers o,
Carrier
Expire : 1/1/2024
Code Edition : 202 M � Fire Spri,
'NI NO
Type of Construction : Fire H.�ne : NO
Occupancy Groups : U No'%ff LFWs
Bldg Height: i St 4j;&)t
Building Setbacks : Front: 20, Si : 4, Se 0
Flood Zone : X 0� /
Use Zone : R-1 - Single- sl al
PROCESSED BY:
SPECIAL CONDITIONS:
X'IION INC
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Architect
Address
Phone:
State Lic
ORIGINAL ISSUANCE DATE
I AND HOLIDAYS IN ALL AREAS
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i71201* N TU13E urance 1. 1rr~ �." ���
ONAL+INSU \
D f
dry\\�'`
ptme
/ onstruction Valuation : $40,000.00
Added/New/Ti sq. ft. Bldg: 0
��. Alteration sq. ft. Bldg :
-001 Added/New sq. ft. Garage: 0
JAMES
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(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
the permit to file a signed statement that ho or sbe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Blisinaes and
Professions Code) or that he or she is exempt from licensors, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a oivil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or impmves 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).
❑ I, 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,j 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 residence In which I must have resided for at least oneyear poor to Completion of the improvements covered by this: permit, I.cannot legal
sell a structure that I have Wit as an owner -builder if it has not been constructed in its entirety by licensed contractors, j understand that copy of the applicab .lailv, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Woo site:http:/hvww.teginfo.ca,gDv7CaIBW.htm1.
Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 Business an o ode, a I ense Is In I force
and effect. License Class License No Data ntractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT
LOST Of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 DF THE LABOR CODE, INTERESjtl
hereby affirm under penalty of perjury one blithe following declarations:
I have and will maintain a certificate of consent to
ormance of the work for which this permit is issued._
and will maintain workers' compta.+rN6tfinsuranca, as
carrier and policy number are:
ie of Agent
certify that, in the Dorf ct
if I should bade fee to
iafure of Applict _
hereby affirm under penalty of perjury that there is
ender's Name
y my signature below, I certify to each of the fOfiOY
I and the property owner or authorized to act on
I have read this application and the Into
I agree to comply with all applicable c' y an
I authorize representatives of this city or eoun�
innature of Pronarty Owner Or Authorized ADent
DATE I
PERMIT EXPIRED - - e/% l tl.I l suRNI TTED
PERMIT CANCELLED EPA
kACATV6
CERTfFlCATE OF ' PROPOSED
OCCUPANCY ISSUED i. SIGNATURI
3700
any
TO CRIMINAL Pi 14aaf�.6WiI CIVIL FlV uil` hA t�\QNE kUNDREDrrHOUSAI
FEES. \
O�
c� �t OfD t
o ty he Director bt'Ind slrial Relations aapIdedraG% for by Sectic
t, OX
r Code for the pdgDIAlioo of the work for which this permit is
._ • Expiration Date
as to become subject to the
Imply W 01 those provisions.
work for which this permit Is
o
ration purposes.
rint PropaOwner'
OF FEDERAL FOR
MD RUC€
, Civil
kRS t$100,000i IN ADDITION TO THE
00 of the Labor Code, for Ih
ad. My workers` compensatiol
�. w California, and afire
A-rr—e9ttited%1'arms, latches gates and fences which serve as part of a pool/spa barrier, shall
beivid lace prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.