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S2020-0197 - Permits
E.wPov City of Newport Beach 4 Community Development Department - Building Division sJ 100 Civic Center Drive, Newport Beach, CA 92660 In► S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Other 11IIIIIII 11111111111111111111111111111111111111111111111111111 jj COMB Permit : S2020-0197 Plan Check No : 2228-2020 Issued Date : 0312312021 Final Date: 06/01/2022 Permit Status: Final 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: 1833 LEEWARD LN Description: SFR POOL/SPA 390 SF W/YARD DRAINAGE Owner: Address Phone Applicant Address Phone: Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: Legal Desc : N TR 4463 BLK LOT 18 Contractor: PREMIER POOL PLASTERING Address : 14520 FOOTHILL BLVD SYLMAR, CA 91342 Phone : (818) 999-4455 Con State Lie : 625132 Lie Expire : 11/30/2022 Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: BENCHMARK+INS URANCE+COMPANY Policy No: CST5022580 W. C. Expire: 10/28/2022 2019 Fire Sprinklers : Fire Hazard Zone u No of Units : No of Stories Architect Address Phone: State Lie 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 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq, ft. : Front: 20, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: :3VnLVN915 -11_' a3nSSI ADNVdnJJO NOWIOW3003SOdOHd .1""_�o _ _ JO 31V01411N33 Ol 3l6VJIIddV ION SI NOI1VJI1110N SOIS38SV WNUVIN83d OWD 13"N31x311WH3d Vd3 03773JNVD IfWH3d Ol NOIIVJid [ION SOIS36SV 031LIWBnS I r'l 03H1dX311WH3d 3lntl DWDV 0NV Ob 3111130 191HVd SNOI1V1n93N AINO 3Sfl n uu0 NOu i IVN303i AO 30OJ H11M 3ONVIldWOJ AO NOIIVHV1J3- I An 31VO NOIDV aweN s,luaDV p9zuo41nV JO s ,Jaum0 Ayaowd luud lueoy pazuo4;nV ao jaumo Ayaowd 10 WnleuDll 'sasodlnd uogoodsui Io; Ayadwd paypuap!-anoge ayl ialua of Alunoo jo Alp slyl;o sangeluaswdw azuo4lne 1 'uoponAsuoa 6uippnq of 6ullelai smel alels pue seoueuipio Alunoo pus Alto algeopdde lie ylim Aidwoo of sw6e I lawloa sI papinold aney l uopewoyul ayo pue uopeDildde siyl pew aney l ;Ieyaq s jaumo Ayedwd Boll uO loe 01 pazuoylne 10 jaumo Ayadad ayl we I :6uimopo; sill jo yaea of Apyao I 'moleq wnleu6!s Aw A! ssaippV s,19pual aweN s,Japua (apo0 I!A10 'L60£ uopoaS) pans! s! )!wad s!ol1 yo!ym jo; luom solo jo aouewoyad aql jo; Aoue6e 6ulpual uoyalulsuoo a so ala4l le41,Onpad;o Alleuad japun wipe Agway AON30V ONION31 NOLLOIIM1sNO3 ONI@IV03a NOIIVW1331 also womilddV;o alnleu6l 'suois!Aoid asoyl 41!m Aldwoo ylungya; psys 1 'apo0 JogBl 841;o OOLE u0113aS10 SUOISm01d uogesuadwoo oumpom ayl of laafgns swonaq pinoys I;I pue 'eiwopleo;o smel uopesuadwoo ,sie>liom ayl of loafgns awoaaq 01 se os 1auuew Aue ul uosled Aue Aoldwe lou pegs I 'panssi si 1!uued si4143!4M lo; Alom egl;o eoueu toyed solo ui 'leyl 4peo — # euo4d lue6V10 ale(] uogendx3 jagwnN Aayod :aje jagwnu Amlod pue jeum aouw slaVom AVy panssi si ;!wad sigl yoi4m jo; Vom eyl;o aouewoyed e4o jo; 'apo0 jogel eyl;o 00L£ uo!ooaS Aq pw!nbw se 'aouwnsui uo!lesuadwoo sleAiom welu!ew p!M pue eney 'ON A0110d panssi si l!uued s!qI 4oi4m Io; Atom aol1;o aauewlo. jo; 'apoo jogel 84110 OOL£ uopoaS Aq jai pap!Amd se suoilelaa leulsnpul ;o joloaji(] aql Aq pans! 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(s)uoseaj aql Io; Mel asuaoll 81elS sloloeAuo3 Boll wm; ldwaxa we I legl /unpad;o Alleuad japun wy;e Agway I N0I1tl8V1030 H301inS-H3NMO � > City of Newport Beach -Building Division 11pi1111111111111111111111111111111111111111111ip 11 100 Civic Center Drive, Newport Beach, CA 92660 µ Permit Counter Phone (949)644-3288 o fir �'�4aviti�y .lob Address: 1833 LEEWARD LN Floor: Suite: Bldg: 1 Description of Work:SFR POOLISPA 390 SF WNARD DRAINAGE Inspector Area: 3 Legal Description: N TR 4463 LOT 18 Owner: DANNAKATHERINEIIGNATIUS Address: 1833 LEEWARD LN NEWPORT BEACH, CA 92660 Phone: Applicant: SIMONS RICHARD Address: 123 N LOOP DR CAMARILLO CA 93010 Phone: 805-910-9826 Building Rear: Setbacks: Front: Left: Construction Construction Valuation: Building Permit Fee : Permit Issuing Fee: $itmoa rSQ.00 Investigation Fee: $ 00 Building Green Fee: $2.40 Plan Dept Plan Check: $0.0 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,254.00 PROCESSED BY: ZONING Contractor: PEER POOL) Address: 1TT520 FOOTHILL _SYLMAR. CA 913 Con State Lic 25132 g� Lic Expir . 1113 Bus 3 t'lyq�z 'z cExpDat311 b1 eco ' an dent: t$,00 inage ermit Fee : n , �00 age Plan Check: 195.00 ading Consultant F 1 $0.00 Addition �,'4 1 $0.00 AJ��t�`CJ Check 222,- 2$e���� ERrNC� O�OArchitect: Addr OK`'' Phone: ko Engineer: THOMPS( POOLPermit : S2020-0197 Project No : 2228-2020 Inspection Requests Phone (949)644-3255 Wisp C: U z ` Address: 121121NTUSTINAVI ANAHEIM CA 92807 Phone: 714-630-6101 Special Conditi s: °R \ Ise qNhe(S)0312312021 Lic: S4,086051 FEE, v`u �'���tiG�r Water Quality- B ' mg Dept ape Fee: $0.00 aterQu y D nsp Fee: $0.00 Build.' Q Plan Check: $0,00 there $0.00 $0.00 $582.00 Fee Due at Permit Issuance : PLAN CHECKED BY:: APPROVAL TO ISSUE: EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) ction 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 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 fessions 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 more than five hundred dollars ($500). 12021 N TUSTIN AVE I, 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, ;iness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Profess[ Oki; Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant tot acto $t'#e License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have res =11 a structure that I have built as an owner -builder if it has not been constructed in its entirety by lice) rofessions Code, is available upon request when this application is submitted or at the followin ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under pro>6Rs`6'Chapter 9 (commencing nd effect. License Class _W a No JORKERS' COYPFNSATION DECLA Rear prior to completion of th Imp„ vements covered by this permit, I cannot I understand that a copy of the a liea',elaw, Section 7044 of the Business and Business and N1Pr'VC' . cAILURE TO SEC UREWOKERS' SATION COVERAGE IS UNLA ND SHALL SUBJECT:AOMIROYER TO CRIMIN,AA1,46W r1-ES-A1 CIVIL PINES UP TO ONE HUNDR ,TH CJST OF DJMPENS:-.TILN, Di.MA VIDED FOR IN SECTION 3706 LA60R CODE INTEREST, AND ATTORIYEY'S FEE D V`r"lJ hereby affirm under penafty, of perjury one of the f g declarations. , I have and will m2'tain at oe�ent to self re for workers` compensation, issued by the Director of Industrial Relations as provided fo b �11 'rmance of the wjrl' for w ch�this permit is i(5URO-2lic oli aave and wi'I mairtaUgt work nsatinc�°�equired liy Secbon 3700 of the Labor Code, for the performance of the work for which this anee carrier end poIl4�r nu "er are: "-„ .,carrier y Number Expiratio DaLe Vnm� of 'agent $ a� ".;, on JI rertifv that, in he pe�forof h or or w Is pe . �,)s Ia 1 employ any person in any manner�g o e act to the workers' at, If I s'lould beLome t - mp r ectlon 3700 of the Labor Code, I tdr(�nrilCr c`o �g provisions. r Signature of Applican 'n ®�•7 P. l Data 1 DECLARATION REGA ING N& U TI ..LEN NG AGENCY �n�o� hereby affirm under p na of erju " . - Is a construction lending a enc IQ,��jje performan a work, E1+r1�Lh this permit is issued (Se fierf3b97, Cif -ender's Namee�ider's Address 3y my signature below, I certify t- each of the following: qq0.1 ; ,5 I am the property owner or ad orized t o p6i379ey(nr3rr's ha . I have read this application an the form 'on h ored 's�Qrtre Q' agree to comply with all applidable 't o fie sate laws relating to build' nstruct[on. I authorize representatives of thfs city' r ty bove-identifie opert spection purpose Signature of Property Owner or Authe ized A ant Print P y Ow uthonzed Agent's Name ACTION DATE BY E RAT COMPLIANCE WI E OF FOR OFFICE USE ONLY _ o —Ar LATIONS PART 610 40 A RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED INSTALLED NOTIFICATION TO APPLICABLE TO Date my license is in full force DOLLARS I$100,000!, IN ADDITION TO THE 3700 of the Labor Code, for issued. My workers' 11 of California, and Date \ \ } : \ \� a ) / \! i Q. 2■ 0 CL . 2 �§£ �k // cm �\ �\ § Cc � { k) < C-J n� kz c=u <: \ Cc § k ,N �k t N co `co ƒ oo �a / § ƒ%/� �2 �co =w,== w / coEck:E2f2 Nooco = $, � �a)fCWDj cc =-e : - 0 00 U) § m E� . k ° g \ -ƒ0000 )§ ƒto /Ek�j�k�§/ / �tta© cd G E� /of ) / J/ ■ a$$= 0 .0 ° m \ %§ p R,,e°° @ E@ 2 //k/7/k!0 0 Ln �� = k q)§§\\]§k § $ %a«ao-a20)E % / _ $afg§}�=§8 % _ \ EaaoER\/\\ ■ ) 0) ae;8»&2] g E Q o a 2 E{ Z f-1\ f\ 2« f 2 $ $BeamE/(D7± \ƒ`0S28==e= / § $#2//iZ0 ==m$=._=%\+ a t . 2 0 E £ % E ] _ ) ) o § 4 2§§°0k $f7 kƒ \ \ ! §@a27a</F% ) ® ■ ) 282�8�;af / a2 �£ $ � c B=� 3 a S - A? 0) u /\ �§ . <�oo_e E®` @z R �_ 2 e£ac $ 2 (D $f �! ^- m m�, �m E� & K =c 0 �-M>��EoJ e e 0S ea o= w= a! c u§■£oLom0 =