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Home My WebLink AboutS2022-0250 - Permits1EWP"" City of Newport Beach Community Development Department- Building Division > �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9c�❑one`" newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11111111111111111111111111111111111111111111111I11II jj Pool Permit : S2O22-0250 Plan Check No: PC2022-3062 Issued Date : 0212312023 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 : 500 FULLERTON AVE Description : SFR - NEW POOL/SPA 474 SF Owner: JONATHON SHAPIRO Address : 500 FULLERTON AVE NEWPORT BEACH, CA Phone Applicant: W AM CONSTRUCTION Address : 11240 MOUNTAIN AVE RIVERSIDE, CA 92505 Phone: (949)290-1842 Owner/Builder : Address : Phone : Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 24 Contractor: W A M CONSTRUCTION Address : 11240 MOUNTAIN AVE RIVERSIDE, CA 92505 Phone : (949) 290-1842 Con State Lic: 781538 Lic Expire : 07/31/2024 Bus Lic: BT30024689 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: NORGUARD+INSURANCE+COMPANY Policy No: WIWC326396 W. C. Expire : 6/1112023 Code Edition: 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 -Sin -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: THOMPSON MATTHEW„ Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 , Phone: (714)630-6100 Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: $80,oun,00 ' 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(e) Section 7031.5. Business and Professions Code: Any city or county, that requires a permit to construct. after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for in permit to fife 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 Clvision 3 of the Business and 'rofessiens Code) or that he or she is exempt from ficensure 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). 1 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 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). D 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason' iy my signature below 1 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 legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors, I understand that a egpy of the applicable law, Section 7044 of the Business and 'rofesslons Coda is availableupon request when this application is submitted or at the following Web site:http:llwww,loginfo.ca.gov/calaw.htmi, signature of Property Owner or Authorized Agent O .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Business and Profess n Co d "Y erase is In full force no effect. License Class License No Cat ontractor Signatu- VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. figreby affirm unda, penalty of perjury one of the following declarations: 91 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 Ih NNO0,1814eB of the WPlK ,or which this permit is issued.. Policy No. ...It 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 nsuranr , carder and policy number are: -amer Policy Number Expiration Date Nnme o' Agent Phone # �l ca Lry that, In the omiormance of the 40-' for hick this permit is issued. I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and agre .hut, f ; jhould become subject to the works ' com this provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (� ol;fnrlure of Applicant Da}as-::v �Z DECLARATION kFAAR:O G CONSTRUCTION LENDING AGENCY Le,tby 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). _era t Name _I Lenders Address 3y 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 provl is corrac I agree to comply with all applicable city and county ordina'. ce5 and state ws relating to building construction. I authorize representatives of this city or county toe er f o -i 'a roperty for inspection purposes. Signature of Property Owner or Authorized A en[ Print Property Owner's or Authorized Agent's Name Dat ACTION DATE BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART El OF TITLE 40 AND AQMD RULE PERMIT CANCELLED I ! ILJEPA 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 lifeVGf PERMIT EXTENVEO AQMO PERMITFINAL CERTIFICATE OF j2 ! �3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY i55UE0 i SIGNATURE: LO rn Lo xz ,27 N a CL U o W �� W mIN - F Az00) Foams Q � > —o Wcoo W O o A a O A m > Vo 0 O M `4, N N VI G Q F U W w a ^` a � 0 N C CD N 0 a T n -O T IO C L — mr EL N o= U = [Q C 0 0 " -0 0 C U Q O N 0 m � m U coEN 0 0 �UQ o U U .o co o L = 0 0 N73 U U U_ N o m 0 N ny °0 0 0 > N N o = a o T ca n O c E N O L U T �o m � a _ � U OU 0 d N -C CaM) C U) C L N O U L f0 •L+ C = O O �U U N 0 0 U) N m °? 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