HomeMy WebLinkAboutS2022-0181 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Requests Phone: 644-3255
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Inspection (949)
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
II II I I II I II I II III I II I II COMB Permit : S2022-0181
Plan Check eC No
PC2022-2163
I
Inspection Area :4
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
: 1 HERMITAGE LN
Description:
SFR NEW POOL/SPA 486 SF
Owner:
PETER POLOS
Address:
2 HERMITAGE LN NEWPORT BEACH, CA
92660
Phone:
Applicant: Jc C Wright
Address : 833 Dover Dr, 7 Newport Beach, CA 92663
Phone: (949)795-0648
Owner/Builder :
Address
Phone :
Legal Desc : N TR 7223 BILK LOT 91
Contractor: INSTANT POOLS LLC
Address: 116 SENCILLO PL LADERA RANCH, CA
92694
Phone : (949) 795-0648
Con State Lic : 1009644
Lic Expire : 07/31/2023
Bus Lic : BT.30053469
Bus Lic Expire : 12/3112033
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups :
R-3/U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Front: 10, Side: 5, Rear: 15
Flood Zone :
X
Use Zone :
PC - Big Canyon
PROCESSED BY: R
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
LACHERTODD
Address :
1201 N TUSTIN AVE ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
Address
Phone:
-
NO Construction Valuation :
No Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
$45,000A0 , "
0 "
0 „
OWNER -BUILDER DECLARATION
I hereby Billion 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 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
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesslons 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
lot more than five hundred dollars ($500).
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 er offered for sale (Section 7044,
3uslness 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).
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 from licensure under the Contractors' Slate License Law for the following reason'
3y 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 legall)
:ell 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, is available upon request when this application is submitted or at the following Web site: httpif)w .ieginfo.ca.gov/caiaw.htmi.
3lgnatum of Properly Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) ,tSIgA ,e lr Business and Pr " �,, — ull force
and effect. License Class License No Date (�'�' C• man{rector Signa �s
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I$ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.,000), N ADOr" TO THE
JUST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have 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
)erformance or the work for which this permit Is issued. Policy No.
—11 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' compensatiol
reurance carrier snd policy number are: .
lamer Policy Number Expiration Date
.F.teo rt Phone tf -
,I c ify that in the performance of 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 laws of Califomfa, and afire
M. f I should berpme, Sublet, a wo ers' compensation r of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3iynalura of I'lp snt_ _ Dale,
)S:I.ARATIOD' RAGA IN TION L� A6ENCY
hereby affirm under pen per'u re is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
_enders Name Lender's Address
3y my signature below, I certify to each of the following.:
I „m the rvop"Iy owner or authorized to acton the property owner's behalf,
I have read this application and the information I have provided is correct. I agree to ,om?ly with all applicable city and county ordinances and le laws relatingf-% to building construction. t� /2 47c
I authorize representatives of this city or county to enter the SOO purposes,
31nature of Property Owner or Authorized Agent Print PropertyOwner's or Authorizetl A enCs Name Ul.� Date
ACTION DATE BY ( ECLA. 1 ECOMPLIANC-WIT14 OF FEDERAL FOR OFFICE USE ONLY
I(( RFGl I.F 40 AND AQMD RULE
AW
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA. All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall
PERMITEXTEIVDED be In place prior to approval to fill pool/spa & shalt remain in place & be maintained for the
PERMIT FINAL. BESTO5 NOTIFIC O ON IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OF PROPOSED DE ON
OCCUPANCY ISSUED