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HomeMy WebLinkAboutS2023-0079 - Permits (3)��EWIPoRT City of Newport Beach Community Development Department- Building Division > rY 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Other 1111111111111111111111111111111111111111111111111111 jjPool Permit : S2023-0079 Plan Check No: PC2023-0916 Issued Date : 05/09/2023 Inspection Area : 8 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 : 1406 LINCOLN LN Description: SFR POOL REMODEL W/ DRAINAGE Owner: MATTHEWLARSON Address : 1406 LINCOLN LN NEWPORT BEACH, CA 92660 Phone : Applicant: CARROLL J W CONSTRUCTION Address: 702 N MILFORD ST #100 ORANGE, CA 92867 Phone: (714)290-0382 Owner/Builder : Address : Phone: Legal Desc : N TR 3851 BLK LOT 7 Contractor: CARROLLJ W CONSTRUCTION Address : 702 N MILFORD ST #100 ORANGE, CA 92867 Phone : (714) 290-0382 Con State Lic : 780323 Lic Expire : 06/30/2024 Bus Lic: BT30075587 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 1977800 W. C. Expire : 10/8/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: a SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone Designer: Address : Phone: Construction Valuation : $25,GOQ,UQ ; Added/New/Ti sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 UVYNtK•t3UR.UC.K IJCUL,MmY I rVnv 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 coosi pact, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the 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 file Business and Professions 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 not more than five hundred dollars {$500)El , 1, 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 notintended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to on 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) . Ell, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Coda: 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 from licensure 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 at 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 the Business and Professions Code, Is available upon request when this application is submitted or at the following Aieb sits;http:lMw„wr:ieginfo.ca.govlcalaw.html. Date Signature of Property Owner or Authorized Agent „_ !LICENSED CONTRACTOR'S DECLARATION 'I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)5o��.fqD�' ision 3 of the Business and Profassi s Node, aid my license is in full force Date Contractor Signature and effect. License Class License No ORDERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS I3100,0001, IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under ^^salty of perjury one of the following declarations: rl I have and will n bii,tain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for ih pert:,rrsi.e of the .+ark for which this permit is issued. Policy No.. I 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' compensatioi ins r,oce . arrier and policy member are: :carrier Policy Number Expiration Date to of Agent _.... r so as to become subject to the workers' compensation laws of California, and agree xr'if7 that, in the performance of the work for which this permit is Issued, I shall not employ any person in any marine if I should become subject tp the workegs' comp"safion provisions of Secflon 3700 of the Labor Code, I shall forthwith comply with those provisions. I g 119 Date_ Ri z0 IECLARATICIN REGARG ING OUNb IKLfV of LCTtu1nU ♦vvcrv, 1 h.o-Fo Yfirm 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). endPrs Name Lender's Address ly my signature ba,ow, certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this 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 authorize representatives of this city or county tor a t�above-i ntified property for inspection purposes. an„an,rP of PrnOerty Owner or Authorized Aqent �-- Print Property Owner's or Authorized Agent's Name J.D V+L'Wrr RY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 11 PERMIT FNPIREp ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO cANCEttEO EPA All required alarms, latches gates and fences which serve aspart of a pool/spa barrier, shall PERMIT PERMIT CANC LLD PA be in place prior to approval tofill pool/spa & shall remain in place & be maintained for the PERMITFINAL 1011o( 1, ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of theCEP OCCUPANCYISATE F 1 PR NAOSEDTUR DEMOLIi OCCUPANCYf55UE0 SIGNATURE— ,_