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HomeMy WebLinkAboutS2023-0034 - Permits��EWPORT City of Newport Beach C Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r1 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgciFoa"�P newportbeachca.gov/inspections Combination Type - Work Class - Other 11111111111111111111111111111111�11111111111�1111111jjPool Permit : S2023-0034 Plan Check No: PC2023-0372 Issued Date : 03/1612023 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: 2415 FRANCISCO DR Legal Desc : N TR 3282 BLK LOT 12 Description: SFR NEW POOL AND SPA 578 SF W/ DRAINAGE Owner: SUN DONALD TR D SUN 2003 IRREVOC TR Address : 2415 FRANCISCO DR NEWPORT BEACH, CA 92660 Phone: (714)626-5819 Applicant : MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone: (800)616-7946 Owner/Builder Address : Phone Contractor: MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone: (800)616-7946 Con State Lic : 775011 Lic Expire : 02/29/2024 Bus Lic : BT30076346 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Architect Address Phone: State Lic Engineer: THOMPSONMATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Eureka Landscape Services Inc. Address : 1436 N Manzanita St ORANGE, CA 92867 Phone: (714)501-8754 NO Construction Valuation : NO Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: CMSD =c $35,000.00 0 0 OWNER -BUILDER DECLARATION I 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 fteri c(On 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 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 lessions 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 applioant to a civil penalty of more than five hundred dollars ($50D). L 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, iness 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 rovements 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 roved 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 ly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensure under the Contractors' Slate License Law for the following reason: _ •y my signature bolow I acknowledge that, exceptfor my personal residence in which I must have resided for at least one year prior to completion of the In ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a ropy of the sop 'rofesslons Code, is available upon request when this application is submitted or at the following Web siteihttp:lfwww.leginfo.ca.gov)calaw.html.. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION �y hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) IV! ' n 3 of the Business and nd effect. License Class License No Date 3 Contractor Siqna rents covered by this permit, I cannot law, Section 7044 of the Business and Date and my license is In full force NORKERS' COMPENSATION DECLARATION A I DARNING: FAILURE TO SeCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL., AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE HUNOR D THOUSAND DOLLARS t5100.0001, IN ADDITION TO THE :DST OF CCMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm underpenafty of perjury one of the following declarations: 1 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• lve mance of the work for which this permit is issued. Policy No. ,aand will maintain workers' compensation insurance, as required by Section 3740 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior rice carrier and policy number are: 'arid Policy Number Expiration Date of Agent Phone # rt3f t, In the perform ce of work r whyi this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compenlalion laws of California, and agree hould become subje t to prker co ffensaten provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 3lgnaWre of Applicant Data )'ECLARATION REG R ING .lcrn N LENDING AGENCY hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .Crider's Name Lender's Address )y my signature below, I certify to each of the following: i am the property owner or authorized to art on the roperty awrter's If. I have read this application and the informafio have tried i or ct. I agree to comply with all applicable ol'.ty and purity inane a state i,. elating to building construction. I authorize representatives of this city or coun to er the ve-Ida led pr erty for inspection purposes. ret"-I( ('� �,&/Z % ii nature of Pro ertOwner or Authorized A en rint Pre ertOwner's or Authorized A ant's Name /J�- Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 'tLJ ISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEtt n EPA All required alarms, latches gates and fences which serve as part of apool/spa bar ter, shall PERMIT EXTEND0 LIAQMD be in place prior to approval tofill pool/spa &shall remain in place & bVinalatatned for the PERMITFINAL b `rr g'�j ASBESTOS NOTIFICATION IS NOT APPLICABLE 10 life of the pool. e(� r CERT1fFC4TE OF rV/ PROPOSED DEMOLITION — \ D •\ V —� OCCUPANCYISSUED SIGNATURE: