HomeMy WebLinkAboutS2023-0051 - Permits"EWp"', City of Newport Beach
0 a @ Community Development Department- Building Division
G100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 644-3288
w Inspection Requests Phone: (949) 644-3255
c9(iroµH�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11IIIIII111111111111111111111111111111111111111111II 11Pool Permit : S2023-0051
Plan Check No : PC2023-0555
Issued Date: 03/16/2023
Inspection Area : 8
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 : 604 ALDEAN PL
Description : SFR - NEW POOL/SPA (420/60 SF)
Owner:
RICHARD NELSON
Address :
604 ALDEAN PL
NEWPORT BEACH, CA 92663
Phone:
Applicant :
SCHWARZ POOL INC.
Address :
3344 Taurus Ln
Santa Ana, CA 92704
Phone:
(714)241-7665
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 1583 BILK LOT 2
Contractor: SCHWARZ POOL INC
Address : 3344 Taurus Ln
Santa Ana, CA 92704
Phone:
(714)241-7665
Con State Lie:
967325
Lie Expire :
09/30/2024
Bus Lie:
BT30038738
Bus Lie Expire : 03/31/2023
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Architect
Address
Phone :
State Lie
Engineer:
THOMPSON MATTHEW
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
Address
Phone:
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups : U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: q2==—
SPECIAL CONDITIONS: T
Y yR
$50,000.00
0
0
Vereby affl VIt Va�rpen-V
I hereby aFflnn under penalty of perjury that I am exempt from the ContractorsState 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 permlt to construct, after, 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
?rofessions 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
ZI 1, 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 notintended or offered for sale (Section 7044,
Business and Professions Cods: 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).
El 1, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from lisensure 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 leastone year prior to completion of the Improvements covered by this. permit, I cannot legally
sell a structure that I have builtas an owner-buildar it it has not. boon 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:hitp:lAmw.leginfo.ca.govlcalaw.html,.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and Professions Code, aid lice is in full force
and effect License Class License No Date 3'tG Io Contractor Signature / _ i��f !!
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION To THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR M SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
12 i nave ari v, 11 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 In
performance oc the work for which this permit is issued. Policy No..
Li, have 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` compensatiol
,insurance cam^r Erd policy number are:
iGa'.der Policy Number Expiration Date
M 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 Cafiforre, and agree
-hould become subject to the workers' compan all provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
nature of Applluant _� Y��� Dat �✓' I(� Z 3
CLA,�ATION REGARD G C STRU TION LENDING AGENCY
-r:b} affirm under ;•I-nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309. ,Civil Coda).
tiers Name Lenders Address
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 applicablecity and county ordinances and slate laws relating to building Construction.
I authorize representatives of this city or county t an the above -identified property for inspection purposes.
mairrra of Prnnenv Owner or Authorized-�' �.— Print Property Owner's or Authorized Agent's No
ACTION DATE � BY � DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 Of TITLE 40 AND AQMD RULE
1403
PERMITEXPIHEP t ISUSMITTFD ASBFSTOS NOTIFICATION TO
PERMITCANCELLED , EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMiT EXTENDED Qp4p be In place priortoapproval to fill pool/spa &shall remain in place & be maintained for the
PERMIT fINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUEO SIGNATURE: