HomeMy WebLinkAboutS2023-0017 - Permits?EWPO/7T
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
z
Permit Counter Phone: (949) 644-3288
s
Inspection Requests Phone: (949) 644-3255
C94FOpN�P
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
jjIiiiIII I11111111111111111111111111111111111111 jj Pool Permit : S2023-0017
Plan Check No: PC2023-0161
Issued Date : 01/31/2023
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 : 333 HOLMWOOD DR
Description: SFR NEW SPA 54 SF
Owner: ATKINS JEFFERY S TR
Address : 333 HOLMWOOD DR
NEWPORT BEACH, CA 92663
Phone:
Applicant: CLAYTON BUILDERS INC
Address : 393 LA PERLE PLACE
COSTA MESA, CA 92627
Phone: (949)279-5910
Owner/Builder :
Address :
Phone
Code Edition :
2022
Type of Construction :
Occupancy Groups:
U
Bldg Height:
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 0
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
Legal Desc : N TR 1136 BILK LOT 15
Contractor: CLAYTON BUILDERS INC
Address : 393 LA PERLE PLACE
COSTA MESA, CA 92627
Phone :
(949) 279-5910
Con State Lie
: 846631
Lie Expire :
09/30/2024
Bus Lie:
BT30043010
Bus Lie Expire : 04/30/2023
Workers' Compensation Insurance
Carrier: ACE AMERICAN INS CO
Policy No: C69972147
W. C. Expire : 8/1/2023
Architect
Address
Phone:
State Lie
Engineer:
LACHERTODD
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
Address :
Phone :
Fire Sprinklers : NO
Construction Valuation :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
No of Units :
Alteration sq. ft. Bldg :
No of Stories :
Added/New sq. ft. Garage
SPECIAL CONDITIONS:
$40,000:Ob
0
!7
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 permit to construct, after, 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 the Business and
Professions Code) or that he or she is exempt from ticensare 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).
I, 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 (Section 7044,
Business 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
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).
171 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
Da ply 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),
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, exceptfor 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 legal)
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 Web site:http:flwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.I am licensed under provisions Of Chapter 9 (commencing with Section 7000)Df Division 3of the Business and Profession C§ ode, and my license is in full force
land effect. License Class License No Date 1^ O-Z. Contractor Signature ! -`—
(WORKERS' COMPENSATION DECLARATION
WARNING: FAtLURE TO SECURE WOFMFRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS (S100,000L IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following. declarations:
C I have and win 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 thf
)�e-frformacce of tha worn .or which this permit Is issued. Policy No,
PI 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' compensation
surance carrier and policy number are:
Policy Number
Date
to of Agent Phone N
certify, that, in the performance of the work for which 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 agree
if I should becor.te subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Z
i uwre of Appli-ant— Date
treby a'Mrm under oe,ialty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
tGer's Name I I I Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application andthe 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 to /gn r aoov fled property for inspection purposes.
... 1e „f O...se., n,.,,.e. A„kk�A� ri A..a,,t / Print Prnnariv nwnar'c nr A,Rhnri>pd Anam'S Noma
DATE BY DECLARATION OF COMPLIANCE W'IM CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I I i U I SUBMITTED
PERrMITCANCELLED I— __ i EPA All required alarms, latches gates. and fences which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED ! AQMD be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the
PERMIT FINAL N Z6IZ SBESTOS NOTIFICATION IS NO7 APPLICABLE TO hie of The pool.
CERTIFICATE OF 11 PROPOSED DEMO IT
OCCUPANCY ISSUED ' SIGNATURE_