HomeMy WebLinkAboutS2023-0199 - PermitsDk�,EviPORT City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u a S newportbeachca.gov/civic
CqG/FpRN�P Combination Type -
Work Class - Other
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Pool Permit : S2023-0199
Plan Check No : 1082-2021
Issued Date
Final Date:
Permit Status: Applied
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 : 221 B FRANCISCO DR Legal Desc : N TR 3282 BLK LOT 44
Description: **RENEW EXPIRED PERMIT S2021-0118** POOL & SPA 760 SF W/DRAINAGE
Owner: GUYSER, JASON & MACAULAY
Address : 221B FRANCISCO DR
NEWPORT BEACH, CA 92660
Phone: (949)514-5226
Applicant: PAULELLISON
Address: 24642 VIA RAZA
LAKE FOREST, CA 92630
Phone: (949)683-9B61
owner/Builder: GUYSER, JASON & MACAULAY
Address : 2218 FRANCISCO DR
NEWPORT BEACH, CA 92660
Phone : (949) 514-5226
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Code Edition : 2019
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 :
BIEDENBACH CHRISTOPHER JAMES
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: 0
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY: 85
SPECIAL CONDITIONS:
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)
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
Te 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
'rafessions Code) or that he or she is exempt from Ilcensure 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, as owner of the property, or my employees with wages as their sole compensation, will do ! ) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Usiness and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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 bullt or
n 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 Professions Code: The Contractors' State License Law does not
pply 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).
3 1 am exempt from licensors 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 resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legall!
all 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 the Business and
'rofessions Code Is available upon request when this ap tion Is submitted a following Web site:htip 1;www.leginfo.ea.gov/calaw.htmf. I
,ignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed bisider provisions of Chapte commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is In full force
no effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
'ARNIND: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU IJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I1400,000f, IN ADDITION 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 self -Insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work forwhich this 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 agre
if I should become subject to the ers' compensation provis�q/woof Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant L/ 1 i _ Gete_� 2
:LARATION REGARDING CONSPR'U TION LENDING AGENCY
areby affirm under penalty of pedukJjivat there is a construction lending dg6ncy for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
ider's Name _ Lenders Address
my signature below, I certify to each of the following:
1 am the property owner or authorized to act. on the property owner's behalf.
I have read ti its application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authnrize representatives of this city or county ter the above-5Uetfied property for inspection purposes.
nature of Property Owner or Authorized Agent_ Print Property Owner's or Authorized Aoent's Name
AC -ION I DATE I BY
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EXTENDED J OM
P'RM rFwAL (ZZ,'1 - ASBEST
CERTIFICATE OF PROPOSED
J_LUP INCY iS; UE7 SIGNATURI
OF COMPOANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AOMO RULE
NOTIFICATION IS NOTAPPUCAaLE TO
FOR OFFICE USE ONLY
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
life of the pool, I