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S2023-0171 - Permits
City of Newport Beach O�"EWPO"r b Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ? Permit Counter Phone: (949) 718-1888 -:.. newportbeachca.gov/civic cq(/FpPN�P Combination Type - Work Class - Other 111111III 111111111111111111111111111111111111111111111Pool Permit : S2023-0171 Plan Check No : PC2023-1986 Issued Date : 0812312023 Final Date: Permit Status: Issued Inspection Area : 1 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 : 1508 OCEAN BLVD Legal Desc : N TR 518 BLK I LOT 3 Description: SFR ABOVE GROUND SPA ON ROOFTOP DECK Owner: CHRISTIANE MANDELL Address : 1508 OCEAN BLVD NEWPORT BEACH, CA 92661 Phone : (646) 207-5767 Applicant: REED THOMPSON Address: 217 VIA KORON NEWPORT BEACH, CA 92663 Phone : (949) 463-1570 Owner/Builder : CHRISTIANE MANDELL Address : 1508 OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: (646)207-5767 Code Edition : 2022 Type of Construction : Occupancy Groups: U Bldg Height : Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : No of Stories Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY : _ SPECIAL CONDITIONS: 1t�� Architect Address Phone: State Lie: Engineer: KHAEFESMAIL Address: 4005 CALLE SONORA #2B LAGUNA WOODS, CA 92637 Phone : (714) 504-8260 Designer Address Phone: Construction Valuation : $15,000.00 Added/NeW/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 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 items) (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 the permit to rile a signed statement that he or sheds 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 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). C3 1., as owner of the property, or my employees with wages as their sole compensation, will de L) 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 Limproved for the purpose of sale)- LJ 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 a 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 frorn licensure under the Contractors' State License Law for the following reason, By my signature below I acknowladge 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 iegaily sell a structure (hat 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:/iw.Am.leginfo.ca.gov/calaw.htmI. u Signature of Property Owner or Authorized Agent "t Al Date A✓O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provf Ions of Chapter 9 (commencing with Section 7000) of Division 3:of the Business and Professions Code, and my license is In full force (,and effect. License Class License No Date Contractor Signature ;WORKERS' COMPENSATION DECLARATION (WARNING: 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 (St00.0001, IN AbDITION 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 penalty of perjury one of the following declarations: ILJ I have and wil€ 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 thi (performance of the work 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' compensatior insurance carrier and policy number are: ICamfer Policy Number Expiration Date Name of Agent Phone # 01 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 taws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _...,...._..,._.�...._....._______... Dale _ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm 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). Lender's Name _ Lenders Address _ �By my signature below, I certify to each of the following; I am the property owner or au(horized to act on 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 to enter the above -identified property for inspection purposes. (Signature of Property Owner or AMhonzed Agent - Print Pro er Owner's or Authorized Agent Ys Name ,'r,,� y.: - Data ACTION E DATE f By —� DE-LARATION OF COMPLIANCE W'17H CODE OF FEDERAL FOR OFFICE USE ONLY 4 Rrii IA ATIONS PART 51, OF TITLF 40 AND ACM D RUIE 1403 PERMIT FXPIHEO I SURMITTFD ASHFSTOS NOTIFICATION TO PERMIT CANCELLED I I. Of PA - All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall ._— ---_D_-_._--- ___ -= - ---- -------- PERMIT EYTENDEQ I s ClAtlhlD --- be in place prior t0 approval to fill pool/spa &shall remain in place 8 laintained for the -- — — - -- -- — — life of the pool. PEAMITFINAL }� ASBFSIOS NOTIFICATION 15 NOT APPLICABLE TO !/y CERTIFICATE OF 7 POSED DEMOLITION OCCUPANCY ISSUED ��I61j� ..SIGNATURE