HomeMy WebLinkAboutS2023-0027 - PermitsCity of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Requests Phone: 644-3255
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Inspection (949)
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
11IIIIIII IIIIIIIIIIIIIII11111111111111illIIIIIIII jjPool Permit : S2023-0027
Plan Check No : PC2023-0270
Issued Date : 02/09/2023
Inspection Area : 5
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 : 14 SIDNEY BAY DR
Description: SFR REMODEL SPA W/ DRAINAGE
Owner: SKEPASMENO LLC
Address : 140 N CENTER ST
MESA, AZ 85201
Phone :
Applicant: SOUTH COUNTY POOL BLDRS INC
Address: 32962 CALLE DEL TESORO
SAN JUAN CAPISTRANO, CA 92675
Phone: (949)324-3369
Owner/Builder :
Address :
Phone
Legal Desc : N TR 15445 BLK LOT 18
Contractor:
SOUTH COUNTY POOL BLDRS INC
Address :
32962 CALLE DEL TESORO
SAN JUAN CAPISTRANO, CA 92675
Phone:
(949)324-3369
Con State Lic
: 1023064
Lic Expire:
01/31/2025
Bus Lic:
BT30074892
Bus Lic Expire : 04/30/2023
Architect
Address
Phone:
State Lic
Engineer: LACHER TODD
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (714)630-6100
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY
COMPANY
Policy No: FLA01345603 Designer:
W. C. Expire : 1/23/2024 Address :
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS:
Phone:
NO Construction Valuation :
NO Added/New/Tl sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
$100,000.00
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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 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 applicant for
le permit to file a signed statement that he or she Is licensed pursuant to the provislons of the Contractors' State License Law (Chapter 9 (commencing with Section 7C00) 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 (S500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044,
lusfneea 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).
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
poly 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).
3 1 am exempt from licensure 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 legally
ail a structure that I have builtas an owner builder 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
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:/An ,leginfo.ca.gov/calaw.htmi.
;ignature of Property Owner or Authorized Agent fi
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7CLmi i6wi ,ion of the Business and Pro „,ions ode and my licensee is in full force
nd effect. License Class License No Date Contractor Signature<
VORKERS' COMPENSATION DECLARATION
ARNING:.'AIL.4RE TO StCURE WORXERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100;0001, IN ADDITION TO THE
051 OF GOMPENSA'ION, nPMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I h^rebv affirm under penalty of perjury one of the following declarations:
Ll I !lcve and wilt maintain a certificate of consent to self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 370D of the Labor Code, for the
Rpe-formance of tha ac.k for which this permit is issued. Policy No.
c,ta\ na,,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' compensation
S,1jLra^.ce carrier and pulley number are:
0a, ria: Policy Number Expiration Date
,Ja,na cf Agent Phone 0
Ell certify that in tf-.e {: ertor anc of [he work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' comps anon/wa of California, and agree
that, I, ; should become ubj to he workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wth those provisions. 2Signature of Anrielrot DateZ��
DECLARATION REGARDIN CON UCTtON LENDING AGENCY
I 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).
Lenders Name Lender's Address _
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and count o Inances and state taws relating to building. construction.
I authorize representatives of this city or cou ty to th bove-identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE j BY I DECLARATION OF COMPLIANCE WITI4 CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART ES OF TITLE 40 AND AQMD RULE
PERMITE'XPIRED 4 LJiSUBMITTEDASRESTOSNOTIFICAtIONTO
PERMIT CANCELLED OEIPA All requl red alarms, latches gates and fences Which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED AQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
FERMIT FINAL �_U`2-il e , ASBESIDS�'NOT FICA ION Is f APPL1CA111 TO life of the pool.
CER7fFICATE OF F~ SGNoATURE' AQ I` 1 OCCUPANCY ISSUED