HomeMy WebLinkAboutS2022-0246 - PermitsaEWno�
City of Newport Beach
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Community evelopment Department -Building Division
100 Civic CyDrive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
1111�1111 1111111111111111111111111111111111111111111 111jj Pool Permit : S2022-0246
Plan Check No: PC2022-2957
Issued Date :
Inspection Area :2
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 H0 91N Al AREAS
Job Address: 2731 BAY SHORE DR
Description : SFR SPA 54 SF
Owner: JOHN WEST
Address : 2731 BAYSHORE DR
NEWPORT BEACH, CA 92663
F7T7T,
Applicant: PROMONTORY POOLS INC
Address : 17401 IRVINE BLVD STE B
TUSTIN, CA 92780
Phone: (714)993-0554
Owner/Builder :
Address :
Phone
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone: 1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Legal Desc : N TR 1014 BLK LOT 19
Contractor: PROMONTORY POOLS INC
Address : 17401 IRVINE BLVD STE B
TUSTIN, CA 92780
Phone :
(714) 993-0554
Con State Lie
: 404194
Lie Expire :
03/31/2023
Bus Lie :
BT30043247
Bus Lie Expire : 05/3112023
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone:
State Lie
Engineer: BIEDENBACH CHRISTOPHER JAMES
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
Designer:
Address :
Phone:
NO Construction Valuation : $25,000.00
NO Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
OWNER -BUILDER DECLARATION
€ hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that lie or sheds licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
professions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($BOW.
I, 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 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),
71 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)..
❑ 1 am exempt front lioensare 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 al 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 -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 tho Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l;wvm.ieginfo,ca.gov/calaw.htrnl.
Signature of Property Owner or Authorized Agent Date _
LICENSED CONTRACTOR'S DECLARATION /� 9
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S (commencing with Section7000}�of hri 'on 3 of the Business and to p6s d,' ce isn full force
and effect. License Class License No Date v Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th,
performance or the work for which this permit is issued. Policy No.
❑l 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' compensatior
insurance carrier and policy number are:
C triegName
Policy Number Expiraticn Date
eIa IB lynatpOECtI herender penalty o per he ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
LendeLender'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 beha
I have read this application and the informs' provided is co ct.
I agree to comply with all applicable city a county na cos a sta aws r Bring to building construction. )
1 authorize representatives of this city or co my t er the ab a-i ntlfieci p any for inspection purposes.
Signature of Property Owner or Authorized A Print Property Owner's or Authorized Ar ent's Name •L! ( Date/ y / —
ACTION DATE BV 7 1 +T6 M PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFG'ULATION5 PART Fl OF TITLE 40 AND AQMD RULE
PERM77 J(A/qf(7 jJI.SUBMITTF.DASRF5T05140TIFICATION TO
-..-
PeF,wti,:ANCEctED_ LJEPA All required alarms, latches gates and fences which serve as part of spool/spa barrier, shall
PFFMITFx7'74UEO �� CND be In place prior to approval to fill pool/spa & shall remain in place & be maintained forthe
PEAMiT FINAL. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life Of the pool.
CER7IFICATf OF fN4 1)M"�S , I PROPOSEDDEMOLITION �7 —(`j �Z3
OCCUPANCYiSSUED _,__ - SIGNATURE: