HomeMy WebLinkAboutS2023-0050 - Permits�EwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Community Development Department- Building Division 5 2 0 2 3 0 0 5 0
> y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
,+R Inspection Requests Phone: (949) 644-3255
CgGipnpN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
Pool Permit : SZO23'�OrJO
Plan Check No: PC2023-0552
Issued Date : 03/13/2023
Inspection Area : 4
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 : 1956 PORT LAURENT PL
Legal Desc : N TR 7031 BLK LOT 34
Description: SFR POOL AND SPA REPLASTER (650/50 SF)
Owner: GURNEY JUSTIN B TR THE GURNEY LIVING
Contractor: CRYSTAL POOLS
Architect
TR
Address : 1956 PORT LAURENT PL
Address : 19631 BROOKHURST ST #13
Address
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH, CA 92646
Phone:
Phone: (714)420-5473
Phone:
Con State Lic : 867770
State Lic
Lic Expire : 11/30/2024
Applicant : CRYSTAL POOLS
Bus Lid: BT30053161
Engineer
Address : 19631 BROOKHURST ST #13
Bus Lic Expire : 11/30/2023
Address
HUNTINGTON BEACH, CA 92646
Phone: (714)420-5473
Phone:
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No : 9089361
Designer
Address :
W. C. Expire: 12/19/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $22,260.00' ,
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: 18, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Harbor View Hills
Y.I
PROCESSED BY: l /^{�_ \
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SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicaled below by the checkrnark(s) I have placed next to the applicable Item(s)
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 apoll cant for
re 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
'rofessions Code) Or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 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 L) all of or U portions of the work, 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 employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nproved for the purpose of sale).
11, 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
poly 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).
7 I am exempt from Ilaensure under the Contractors' State License Law for the following reason:
%y 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 legall,
ell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand 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 siterhttp:IAw .leginfo.ca.govfcalaw.html..
signature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of panury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di sign 3 of the Business and.Profess od d my lice se Is I_iu11 force
nd effect. License Class License No 06te Z 3 Contractor Signatute
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNORED HOUSAND DOLLARS (1000,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETs FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
I I 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 Ih
erformance of the work for which this permit is issued. Policy No.
A have and will maln'ain 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' compensatiol
n�oranoe carrier and policy number are:
ranter Policy Number Expiration Date
Vrm^ of Agent Phone rf
JI certify that, in toe cel:orm nca of the work for which this permit is issued, I shall not employ any person to any manner so as to become subject to the workers' compensation laws of California, and agre
hit,'f I st:ould Decome:upjec o 4h orkers' Gomittetasation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Si;ln; l ire of Appi,cant ---acoN
Date3 3 Z0zri_ARATION HEG.1RDlUCTt N LE G AGENCYhereby affirm unde, penahatthere is a construction lending agencyfor the performance of the workfor which this permit Is issued (Section 3097, Civil Code).
_cod ar s Name Lender's Address
3y my signature uelpw, I, certify to each of the following:
I am 'he property owner or authorized to act on the property owner's behalf.
I have read thia aonhcatlon and the information I have provided is correct.
I agree to comply with all applicable CRY and cei Itiy ordinanc s and state laws relating to building construction.
I authorize representatives of this city or county n art ab ve-identi 'e ropedy for Inspection purposes. I t
3i nature of Property Owner or Authorized A ant Print PropertyOwner's or Authorized A ant Name - Vl A, fft e V, viiZ. l I Date
ACTION DATG iRY j ECLARATI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
FGULATIONS PART Fl OF TETI.F 40 AND AC1MD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED 1JEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT WENDED QMD be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMITFINAI. /j %.3'. BESTO5 OTIFICATIC IS NOT APPLICABLE 'fb life of the pool
9/
C€RTIfrCATE OF PROP SCD DE L17p ?
OCCUPANCY ISSUED 1-Rl,N,,,RP. /\\\ 1f(N o 503