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— ,_