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HomeMy WebLinkAboutS2022-0205 - Permitso�agwvoRr City of Newport Beach 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 D 2 Permit Counter Phone: (949) 71 B-1888 newportbeachca.gov/civic Cq[�coR��P Combination Type - SFP Work Class - Other 111111III 111111111111111111111111111111111111111111111Pool Permit : S2022-0205 Plan Check No: PC2022-2484 Issued Date Final Date: Permit Status: Applied 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 lr` t Job Address : 1618 HIGHLAND DR Legal Desc : N TR 3800 BLK LOT 7 f F < a f Description: SFR 620 SF POOL/SPA W/ DRAINAGE s Owner: BRITTANY MOREHEAD Contractor: CALIMINGO Architect Address : 1600 DOVE ST, 450 Address : 23 CORPORATE PLAZA, 150 Address: - - NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone: (499)330-0864 Phone: (714)235-8644 Phone: Con State Lie : 919876 State Lie Lie Expire : 02/29/2024 Applicant : PAUL ELLISON Bus Lie: BT30067678 Engineer : THOMPSON MATTHEW Address : 24642 VIA RAZA Bus Lie Expire : 06/30/2024 Address : 1201 N TUSTIN AVE LAKE FOREST, CA 92630 ANAHEIM, CA 92807 Phone: (949) 683-9861 Phone: (714) 630-6100 Workers' Compensation Insurance Carrier: SIRIUS AMERICA INS CO Owner/Builder : Policy No : WC8693400 Designer: Address : W. C. Expire: 12/21/2023 Address Phone: Phone: ' Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $60,060.00' Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 ; Occupancy Groups : U No of Units : Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft, Garage: 0 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: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION t hereby afflrm under penally of perjury that I am exempt from the Contraclors' State License Lew for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item{sr ;Section 7031:5, Business and Professions Code: Any 6ty or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for - he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Rcensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applioant to a Chil penalty of Tot more than five hundred dollars (S500). 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 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 mproved for the purpose of sale). 1 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 of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from Iloensure under the Contractors' Stale 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 legally sell a structure that I have bunt asan owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web sitsihitp:lAvww.leginfo.ca.govjcalaw,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 0 I at 3 of the B f ss and Pro o 5 Code nd licer .in full force and effect. License Class License No a '3 Contr r Signature NORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREOrrHOUSAND DOLLARS (5100,0001,IN ADDITION TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wilt maintain a certipcate 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 'ormance of th3 work `or which this permit is issued. Policy No. 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' r carrier .ono policy number are: ler_ _ le of Agent _ - _ Number Date c3rtlf) that, in t"lce rrformanc h wor or 1 this permit is issued, I shall not employ any person in any manner so as to become subject to the work Is.camps at n laws of California, and agre t, if I should became bject the ork , co nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. P oabire ofAp 1, ate O w CLARATIO CARD 'G C N LENDING AGENCY ?rcby affirm under pc^31 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). iders Name , Lender's Address I ply slg,Iature below, I rcertify to each of the fall I art, the property owner or authorized to act the p party ow s eh• I have read this application and the Inform Pion I he rovi d is c to J I agree to comply with all applicable city nd count rdln ces d s haws relating to building construction. I authorize representatives of this cd r t nter a a. ve-Id lifted property for inspection purposes. Y DATE f B`l�_ I tLAN4T4 N OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY C i REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE J PERMIT EXPIRED L_I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA All required alarms, latches gates and fences which serve as part of a poollspa barrier, shall ""— EMENOED — be In place prior to apprpval tg fill pool/spa shall remain in place & be maintained for the PERMITOMD 6// S_G -- life of the pool. PERMITFINAL ^' € ASBESTOS NOTIFICATION IS NOT APPLICABLE TO /J l CERTIFICATE OF Z IIj PROPOSED DEMOLITION OCCUPANCY 155UEO j SIGNATURE: