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Home My WebLink AboutS2023-0126 - Permits�gvuroi?T, City of Newport Beach Community Development Department- Building Division Pool Permit : S2023-0126 S 2 8? 3 0 1 2 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1489 Permit Counter Phone: (949) 718-1888 Issued Date : 0710312023 tt:z newportbeachca.gov/civic Inspection Area : 4 o,4FOA��P Combination Type - Work Class - New 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 : 5 LANDPORT Description: SFR NEW SPA W/ DRAINAGE 171 SF Owner: RONALD R HILL FAMILY TRUST Address: 5LANDPORT NEWPORT BEACH, CA 92660 Phone: (562)682-7065 Applicant: O C POOLSCAPES INC Address : 3107 CITY LIGHTS DRIVE ALISO VIEJO, CA 92656 Phone: (949)444-3629 Owner/Builder : Address : Phone Legal Desc : N TR 15478 BLK LOT 58 Contractor: 0 C POOLSCAPES INC Address : 3107 CITY LIGHTS DRIVE ALISO VIEJO, CA 92656 Phone: (949)444-3629 Con State Lic: 1061813 Lic Expire : 12/31/2023 Bus Lic: BT30076157 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER Policy No : 7600024510231 W. C. Expire: 6/30/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : u No of Units : Bldg Height: No of Stories Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: LACHERTODD Address : 1201 N TUSTIN AVE _ ANAHEIM, CA 92807 Phone: (714)630-6100 ; Designer: 0 C POOLSCAPES INC Address : 3107 CITY LIGHTS DRIVE" ' ALISO VIEJO, CA 92656 Phone: (949)444-3629 NO Construction Valuation : NO Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: $30,000.00 0 U eoi�>e G ce� M C) 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 items) (Section 7031.5, Business and Professions Code: Any efty 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 (S500). El I, as owner of the property. or my employees with wages as their sole compensation, will do (_) all of or (_) 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 properly, 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). El 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 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). ❑ I am exempt from licensors 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 legalll 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 issubmitted or at the following Web site:http:tlwww.leginfo.ra.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 Sectio 7 00 of Division 3 of the Business and Pr#TOUSAND Code and y J ense Is in full Gripe and effect. License Class License No Date Contractor SignaturLiki VORY.ERS' COMPENSATION DECLARATION KARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR DOLLARS (S100,000), IN ADDITION TO THE COST OI COMPENSATION, DAMAGES"PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herscy affirm under penalty of perjury one of the following declarations: �J ' here 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 Ih o frformance of the work for which this permit is issued. Policy No. hav) and m'iP 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' compensatio himce carrier and policy number are: -ter _ _ Policy Number Expiration Date is of Agent , _ _ Phone if cPnrfy that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as tD become subject to the workers' compensation laws of California, and agre If I should t ecr me s j t to he workers com /e�nsati n provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. I ,alure of Applicant w u� " .,( _ Data •1 A�AT[f�41 t1 Cl�AtihtAl ' ereby affirm under penalty of perjury that there ii-o'construclion lending agency for the performance of the workfor which this permit Is issued (Section 3097, 0141 Code) Iders Name 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 and the information I have provided is correct. I agree to comply with all applicable city and c un y Ordinances and state laws relating to building construction. I authorize representatives of this city or coun t an the ab ve-Ide fified oo�rperty for inspection purposes. jI f/' nature of Property Owner or Authorized Acenk i All �A 11 IN of.1i2_ f0rr tl ProoeM Owner's or Authnri7ad Anr:nr'c Nama1/ Y�1 M`-X-1`L A7_7 BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL i REGULATIONS PART lit nF TITLF 40 AND AQMD RULE PERMIT EXPIRE) PERTiFICANA1. I Irthl� ❑ASBESTOS NOTITION ON IS ND7APPLILABLt: TO CERTIFICATE OF I(jyf K/ PROPOSED DEMOLITION OCCUPANCY ISSUEO SIGNATURE: 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 forthe life of the pool.