HomeMy WebLinkAboutS2023-0150 - PermitsF ��W aoRT City of Newport Beach
O Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
i Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
c44coaN�P Combination Type -
Work Class - Other
11IIIIII111111111111111111111111111111111111111111II jj Pool Permit : S2023-0150
Plan Check No : PC2023-1711
Issued Date : 07/31/2023
Final Date:
Permit Status: Issued
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 : 1800 NEWPORT HILLS DR E Legal Desc : N TR 7031 BLK LOT 75
Description: SFR INSTL BRIDGE ACROSS EXISTING POOL
Owner: RICHARDMCHUGH
Address : 1800 NEWPORT HILLS DR E
NEWPORT BEACH, CA 92660
Phone:
Applicant: INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
Owner/Builder
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
U
Bldg Height:
Building Setbacks :
Front: 22, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Harbor View Hills
Contractor :
INSTANT POOLS LLC
Address:
116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone :
(949) 795-0648
Con State Lie
: 1009644
Lie Expire :
07/31/2025
Bus Lie :
BT30053469
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire :
Fire Sprinklers : NO
Fire Hazard Zone: NO
No of Units :
No of Stories
Architect
Address
Phone:
State Lie
Engineer: KOLODZIEJ KENNETH J
Address : 400 E ESTHER PLACE
PLACENTIA, CA 92870
Phone: (714)996-1219
Designer:
Address
Phone:
Construction Valuation : $10,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
PROCESSED BY: ;
SPECIAL CONDITIONS:
USPECTOR
OWNER -BUILDER DECLARATION
1 hereby afllrm under penally of perjury that 1 am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmerk(s) I have placed next to the applicable ftem(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 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 ilbeosareand 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
not more than five hundred dollars ($500).
❑ 1, 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 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).
❑ 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)..
I am exempt from Ilcensure under the Contractors' State License Law for the following reason.By 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 legally
sell a structure that I have built as an owner -budder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site.http:llwww.leginfo.ca.govlcalaw,html. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) v oI the Business and Profe ns Code, a license is In full force
and effect. License Class License No Date I Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH ,000i, IN An DITION TO THE
COST OF COMPENSATION, DAM.AGEs AS PROVIDED FOR IN SECTION 0700. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
11 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will m certificateofof 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 Ill
performance work for which this permit Is issued. Policy No.
I e 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' compensatioi
1 urance carrier and policy number are:
Cartier Policy Number Expiration Date
Noma of Agent Phone
❑I certify that, in. the performance of t rk for which this permit' Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agre
that, if I should became subject t e workers' compensation ions of Se r Labor Code, I shall forthwith comply with those provisions.
Sunalure of Applicant _.___,Date_,
_ �—
areby affirm under penalty of Carlo)y there is a c eliomenas
Ider's Name —
my signature below, I certify to each of the following:
I am the property owner or authorized la act on the property ow ,
I have read this application and the information I have p ' ed
I agree to comply with all applicable city and count Lances and
I authorize representatives of this city or coun enter the above-i
Signature of Property Owner or Authorzed A4an
ACTION DATE BY
PERMIT EXPIREV `_L_ `__
PERMIT CANCEL lEl`
P€RMiTFxrtrvrfo
PERMIT FINAL
CERTFRCATE OF
OCCUPANCY ISSUED
I-5 -231 lire
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ Lender's Address —
vs relating to building construction.
property for inspection purposes.
REGULATION5 PART 51 OF TITLE 40 AND AQMD RULE
140E
JBMITTFD ASREST05 NC
NOTIFICATION 15 NOT APPLICABLE 70
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place priorto approval to fill pool/spa & shall remain in place & be maintained forthe
life of the pool. // s