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: