HomeMy WebLinkAboutS2023-0080 - Permits��EWPORT
City of Newport Beach
d
Community Development Department- Building Division
:A.
n100
Civic Center Drive, Newport beach, CA 92660
u Y
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C4�IF00.N`P
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111111111111111111111111111111111111111111II 11Pool Permit : S2023-0080
Plan Check No : PC2023-0919
Issued Date : D412812023
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 : 74 HILLCREST LN -
Description: SFR NEW SPA 80 SF W/ DRAINAGE
Owner: CREIGHTON TAORMINA FAMILY TRUST
Address : 74 HILLCREST LN `
NEWPORT BEACH, CA 92660
Phone : (714) 408-0220
Applicant: HUNTER ELLISON
Address: 24564 VIA RAZA
LAKE FOREST, CA 92630
Phone : (949) 315-1511
Owner/Builder :
Address :
Phone :
Legal Desc : N TR 7223 BLK LOT 32
Contractor: CA SMARTSCAPE - PACIFIC PARADISE Architect:
POOLS
Address :
1612 LYON ST
Address
SANTA ANA, CA 92705
Phone:
(949)677-0873
Phone:
Con State Lie
: 1033262
State Lie
Lie Expire :
11/30/2023
Bus Lie:
3`17300146310
Engineer
Bus Lie Expire : 0212S120Zt}
Address
Phone:
Workers' Compensation Insurance
Carrier: TECHNOLOGY INSURANCE CO INC
Policy No : TWC4240272 Designer
W. C. Expire: 3/7/2024 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 : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY: a"5
SPECIAL CONDITIONS: LANDSLIDE
Phone:
THOMPSON MATTHEW
1201 N TUSTIN AVE
ANAHEIM, CA 92807
(714)630-6100
NO Construction Valuation : $28,000,00' -
NO Added/NeW/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : '
0 Added/New sq. ft, Garage: 0 ' '
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Lew for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Cade: 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
to 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
Irofessions 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 civil penalty of
of more than five hundred dollars ($500.).
L, 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,
luslness 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 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
��plIoly 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 I am exempt front Hoensure 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
oil 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 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 site:http:llwww.leginfo.ca..govlcalaw.hfml.
iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700p Ivi 'on 3 of the Business and Prof r de 'rid my license is In full force
nd effect License Class License No Date "l Contractor Signature
VORKERS' COMPENSATION DECLARATION
TARN ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($I00,0001, IN AVOB ION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of industrial Relationsas provided for by Section 3700 of the Labor Code, for the
4tijormance of the work for which this permit is issued. Policy No,
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'
carder and policy number are:
Policy Number Expiration Date
of Agent Phone # _
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre
I, if I should becoWDtN6_C,06N_STRUCTIDN
b' t t orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q
nature of ApplieaDate v ��
CLARATtON RE LENDING AGENCY
:reby affirm undelty of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Lenders Name Lenders Address
By my signature hnh+v, I certify to each of the following:
I am the prole'', 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 como�y with all applicable city and count ordi noes and state laws relating to building construction. t
I sathorize representatives of this city 1 coon o.` a h be -i riffled property for inspection purposes. —It- / L Z
3i nr.idre of Pro art Owner or Authorized A en Print Pro p e Owner's or Authorized A ent's Name `4 I�'t I CJO!' Date O
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART Fl OF TITLE 40 AND ACMD RULE
1403
?i;h4T FXP7HEp L_I i SUBMITTFD ASBESTOS NOTIFICATION TO
EP� q
pthMi r-INAL 1 Y SBE5TO5 NOT�IFI tl I5 NOTAPPLICABLE TO
CthlrfiCATE OF /,y'r�u i ROPOSEO OEN Tf V�
OCCUPANCY ISSUED SIGNATURE: // /
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.