HomeMy WebLinkAboutS2023-0039 - Permitsa-"Vpo City of Newport Beach IIIIIII II IIIII IIII III III IIIIIIIIIIIII II Pool Permit : S2023-0039
c� !I I Community Development Department- Building Division
F {4 n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0423
Permit Counter Phone: (949) 644-3288 Issued Date : 0312812023
o.. Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
cqG/rOpN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
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 : 10 ROCKY POINT RD
Description : SFR POOL & SPA 551 SF
Owner: AMIRAKHAVI
Address : 10 ROCKY POINT RD
CORONA DEL MAR, CA 92625
Phone
Applicant:
PAUL ELLISON
Address:
24642 VIA RAZA
LAKE FOREST, CA 92630
Phone:
(949)683-9861
Owner/Builder
Address :
Phone
Legal Desc : N TR 7386 BLK LOT 90
Contractor:
AQUA SCAPES
Address :
321 CALLE FELICIDAD
SAN CLEMENTE, CA 92672
Phone :
(949) 295-4611
Con State Lic:
754729
Lic Expire :
11/30/2024
Bus Lic :
BT30063628
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
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 : $50,000.00
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage : 0
Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 46-44
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY: ,
ti
SPECIAL CONDITIONS:
_._....... .
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
to permit to file a signed statement that he or site 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
Yofessions 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
at more than five hundred dollars t$500).
7 L, 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 (Sectic t 7044,
lusmess 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
n-tproved 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 do" not
pply to an owner of properly 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 from lioensure under the Contractors' Slate 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 asan 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
'rofesslors Code, is available upon request when this application Is submitted or at the following Web site: http:liw .leginfo.ca.govicalaw.html.
llgmuum 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 0) crL Isi 3,of the Business and Pro Si ns ale, - d. rc lice sin full force
nd effect. License Class License No Date W S O J Contractor Signatur
VORKERS' COMPENSATION DECLARATION
PANNING: 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 tSI00,000j, IN At ONION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued. Policy No.
-have and II 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' compensation
nsurance ,read policy number are:
r
Policy Number Expiration Date
Phone #
n the perform nee D rk for is s permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreecon a bje t to wo ersmp attar provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of
of licantREGARDING NSTR ON LENDING AGENCY
hereby affirm under penalty of pertury that there Is a construction lending agency for the performance of the work for which this permit is issued' (Section 3097, Civil Ccde).
-ender's Name Lender's Address
3y my signature below, 1 certify to each of the following:
I am the property owner or authorized to aot on the property owner's behalf.
i have read this application and She informaitch ! e pfo.'detl is GOYteCt. I
I agree to comply with all applicable city and ao dinptl an t la ling to building construction.
I authorize representatives of this city or, abov -i tifie COD for inspection purposes./�
Signature of Pro erty Ownerar Authorized A ant Print PropertyOwner's or Authorized Agent's Name i 4` i to
ACTION DATE BY DECLARATION OF COMPLIANCE W'17H CODE OF FEDERAL FOR OFFICE USE ONLY
€ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPNEO I I SUBMITTED ASRFSTOS NOTIFICATION TO
PERMIT CANCELLED 0EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERA47EXTENoen LJAQmD be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the
PERMITFINAL life of the pool.
/: !/ � ASHES"IO5 NCT1F:CATION IS N07 APPLICABLE 70
CERTIFICATE OP I PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE;