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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: