HomeMy WebLinkAboutS2023-0032 - Permits��gWPO�T City of Newport Beach
e Community Development Department- Building Division
�y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3255
c9</FrjpN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
1C1111111111111111111111111111111111111111111111111111Pool Permit : S2023-0032
Plan Check No : PC2023-0327
Issued Date : 02/2812023
Inspection Area : 5
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 : 552 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 178 TRACT NO 1237 LOT 178 AND TRACT NO 147 95 LOT 4
Description: SFR NEW POOL AND SPA 950 SF W/ DRAINAGE
Owner: BRYAN ROGERS CALIFORNIA RESIDENCE Contractor: POOLHAUS DESIGN & BUILD Architect
TRUST
Address : 552 SEAWARD RD Address : PO BOX 4092 Address
CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92661
Phone:
Phone:
Con State Lie :
1067062
Lie Expire :
07/31/2024
Applicant:
POOLHAUS DESIGN & BUILD
Bus Lie :
BT30080695
Address :
PO BOX 4092
Bus Lie Expire :
02/29/2024
NEWPORT BEACH, CA 92661
Phone:
Workers' Compensation Insurance
Phone :
State Lie:
Engineer: BIEDENBACH CHRISTOPHER JAME S ;
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
Carrier :
Owner/Builder :
Policy No : EXEMPT
Designer
Address :
W. C. Expire:
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $120,000.00
Type of Construction :
Fire Hazard Zone : YES
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units :
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
Added/New sq. ft. Garage: 0
Building Setbacks :
Front: 5, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
FUEL MOD AREA
+"
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) 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 construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
is 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
'tofessions 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 fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 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 not intended or offered for sale (Section 7044,
lusmass 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
mprovements 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
nproved for the purpose of sale).
3 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
.poly 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:
ty my signature below t acknowledge that, except for my personal residence in which I must have resided for least one year prior to completion of the Improvements covered by this. permit, I cannot legall,
all 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
'rofessions Code, 's evnllable upon request when this application is submitted or at the following Web site:http:Iiw w.leginfo.ca.gov/calaw.html.
Vgnature of Properly pawner or Authorized Agent Date
.IGENgFD CONTRACTOR'S DECLARATION
hereby worm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section A of I of the Business and �Q'([ofessi is In full force
no effect. License Class License Na Date i`'L? o� Icense
Contractor 5ignatytI
VORI ERS' COMPENSATION DECLARATION I
rARAING. FAILURE-. D SE]U[E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ACDITION TO THE
PST OF nUMPENSA71ON, DAdAGES AS PROVIDED FOR IN SECTION 370e OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES,
herebv affirm under penalty of perjury one of the following declarations:
2 ::u:e 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 th
e,frmcrce of the work for which this permit is issued. Policy No.
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`
rar,ca carrier and policy number are:
Policy Number
Date
me of Agent Phone ff
11'cBrlffy 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 worke ' compensation laws of California., and agre
tat, if I should become object i e. v co pens �7 n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3gna ure of Applicant OR - lil, - 7-3
IECLARATION REGA DI CON W CTI N L NDING AGENCY
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, Ct it Code).
enders Name Lender's Address.
y 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 coQQQunty ordinances and state laws relating to building. construction. /
I authorize representatives of this city or countjenSaHtf�abov - 1 li perry for inspection purposes. `p� Oa1e
ioaature of ProDertv Owner or Authorized Aaent �� ��J� Print Prooarty Owner's or Authorized Aoent's Name 1.�KSi�s,
ACTION DATE By i I REGULAAMONS N OF PAR OM 0 ANCE WI40 ATH N ODE OF FEDED AQMD FEDERAL
PERMIT ENPIKO I
PERMIT CAA'CELLED
PERMIT EXTENDED i
PERMIT FINAL
CERTIFICATE OF V
OCCUPANCY ISSUED
LJ 15UBMITTFD AS BEST05 NOTI FICATI ON TO
EPA
QMD
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
I 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 priarto approval to fill pool/spa & shall remain in place & be maintained forthe
life of the pool.