HomeMy WebLinkAboutS2022-0189 - Permits��gWPpRT City of Newport Beach
p 6+ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
0 T Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9GrFO0.NIP newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11IIIIII1111111111111111111111111111111111111111111111Pool Permit : S2022-0189
Plan Check No: PC2022-2262
Issued Date: iZ-20 Z-Z-
Inspection Area : 2 p-�
6 '_
PERMITS EXPIRE 1BO DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM t AL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY A Ep%I jLPAYS IN ALL AREAS
Job Address: 941 VIA LIDO SOLD
Description: SFR SPA 49 SF
Owner: ANDREW GABRIEL
Address : 419 EVENING STAR LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: PAUL ELLISON
Address: 24642 VIA RAZA
LAKE FOREST, CA 92630
Phone: (949)683-9861
Owner/Builder :
Address :
Phone:
Legal Dose: N TR 907 BLK LOT 323
Contractor: PACIFIC PARADISE POOLS
Address : 3007 S HARBOR BLVD
SANTA ANA, CA 92704
Phone:
(714)437-7665
Con State Lic
: 522119
Lic Expire :
08/31/2024
Bus Lic:
BT30046344
Bus Lic Expire : 02/28/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9123412
W. C. Expire: 2/1/2023
/f
'V r�Y4�_,p '1/1/0/a
�^' F
Architect:
Address
Phone:
State Lic
Engineer: THOMPSON MATTHEW
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (7 14) 630-6100
Designer:
Address:
Phone:
Code Edition: 2019
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
Occupancy Groups : U
No of Units :
0
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories :
0
Added/New sq. ft. Garage
Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4
Flood Zone : AE, B FT; X
Use Zone : R--111 - Single -Unit Residential
PROCESSED BY: `I
SPECIAL CONDITIONS:
$22,000.00
0
E
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)
See lon 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any Structure, prior to Its Issuance, also requires the applicant for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconso Law (Chapter 9 (commencing with Section 7000) of Division 3 of file Business and
'rofessions Code) or that he or she is exempt from ]!censure 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),
1 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,
•usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Dr personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvementis 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).
1 1, 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' State License Law).
J I am exempt from licensure under the Contractors' State License Law for the follotving reason:
V my signature below I acknowledge that, except for my personal residonce In which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) 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:httpafwww.leginfo.ca:gov/calaw.html.
Ignature 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 7 00 of D' 's" n 3 of the Business and Pro s o , an I' rise i • n full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
eve 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 fh
ormanca of the work for 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'
carder and policy number are:
is of Agent _
certify that, in the
, if I should becon
leture of Aoolican
Policy Number Expiration Date
Phone ff
ermit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
/j
Date f Z(�12_L
IECLARATION REGARDt($24ONSIS.UeTION LENDING AGENCY
hereby affirm under pensky of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 1vil Code).
ender's Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property own e-' - Bit.
I have read this application and the tnibrmBUD . hav provide' a Corr Ct.
1 agree to comply with all applicablecity and c only o artand fate vs relating to building construction.
I authorize representatives of this city or c er th ab-ide I ad property for inspection purposes.
wn
iionature of Prooertv Omer or Authorized Aa lit Print Property Owner's or Authorized Agent's Name
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1 SUBMITTED ASBESTOS NOTIFICATION TO
FOR OFFICE USE ONLY
�2_
PERMrITCANCELt ED EIEPA All recoiled alarms. latcnPs yati,s Pnd fences which serve as part of a pool/spa barrier, shall
P€RMITEXTEND€D qMD be In plate prior to approval to rill poollspa R, shall remain in place & be maintained for the
PERMITFINAL Fr11 ASBL5705 NOTIFICATION 15 NOT APPLICABLE TO Iife of thepool. n
CERTIFICATE OF ,4 bX.7_Zy PROPOSED DEMOLITION i -.zy.z
OCCUPANCY 155UED SIGNATURE: