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HomeMy WebLinkAboutS2024-0091 - Permits��gWPOR�
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
/ S
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C9G/F00.H�P
Combination Type - SFP
Work Class - Other
11IIIIIII IIIIIIIIIIIIIIIIIII111111111111111111111111 jj Pool Permit : S2024-0091
Plan Check No:
Issued Date : 06/2012024
Final Date:
Permit Status: Issued
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
Job Address: 1701 PALOMA DR Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 238 NEWPORT HEIGHTS L
Description: SFR -POOL REPLASTER, GAS LINE FROM METER TO POOL EQUIPMENT & (N) ELECTRICAL. PER CITY STANDARD
Owner: LISA SMITH
Contractor: SOUTH COUNTY POOL BLDRS INC
Architect
Address : 1701 PALOMA DR
Address : 32946 AVENIDA DESCANSO
Address
NEWPORT BEACH, CA 92660
SAN JUAN CAPISTRANO, CA 92675
Phone: (649)894-0244
Phone: (949)324-3369
Phone:
Con State Lic : 1023064
State Lic
Lic Expire : 01/31/2025
Applicant: SOUTH COUNTY POOL BLDRS INC
Bus Lic : BT30074892
Engineer
Address : 32946 AVENIDA DESCANSO
Bus Lic Expire : 04/30/2025
Address
SAN JUAN CAPISTRANO, CA 92675
Phone: (949) 324-3369
Phone:
Workers' Compensation Insurance
Carrier: ENDURANCE ASSURANCE CORP
Owner/Builder :
Policy No: EAW0000035500
Designer:
Address :
W. C. Expire : 1/23/2025
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$12,000.00
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
No of Units :
Alteration sq. ft. Bldg :
0
Bldg Height:
No of Stories :
Added/New sq. ft. Garage:
0
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone : X
Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
3ecllon 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
le 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
'rofessions 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
of more than five hundred dollars ($500).
11, 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,
,usiness 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
nprovements 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).
7 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
pply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
7 I am exempt from licensure under the Contractors' Slate License Law for the following reason:
',y 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)
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, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi,
signature of Property 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 7000 of Divi "on 3 of the Business and Profess '0 e^ rH my license is in full farce
nd effect. License Class License No Date Contractor S'
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUN ED USAND DOLLARS 15100,0001, 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:
7 I 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
erfformance of the work for which this permit is issued. Policy No.
91 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
Isurance carrier and policy number are:
:anier Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the performance of the or 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 California, and agre
let, if I should become subject to the ' compen In provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applicant Dale_
IECLARATION RE ARDING UC ON NG AGENCY
hereby affirm un r penal ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
enders Name Lenders Address
ly my signature daWti 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 i rrect.
I agree to comply with all applicable city and coun an an ate laws relating to building construction.
I authorize representatives of this city or count o ent tifi operty for inspection purposes.
li nature of Property Owner or Authorized A roperty Owner's or Authorized Agent's Name S /1 i U Date
1CTION DATE BY XDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCF'_LED _ _ EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT EX.TENDEC' QMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATE OF Io-Z�Z{ PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
PERMIT FEE DETAILS FOR PERMIT S2024-0091
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Building Permit Fixed Fee - Pool/Spa
$463.00
$0.00
Building Plan Check Fixed Fee - Pool/Spa
$416.00
$0.00
Green Building Fee
$1.00
$0.00
Planning Plan Check Fixed Fee - Pool/Spa
$53.75
$0.00
Records Management Fee
$2.00
$0.00
GRAND TOTAL: $935.75