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HomeMy WebLinkAboutS2024-0069 - Permits�EWPD?T C IimG2f New a e�hi' � II III II II �I IIIIIIIII�III�III�II III II PoGI Permit: SZO24-0069 a4 @ Community �evelo� oernt D2pfimefj -`,wilding Division S 2 0 2 4 0 0 6 9 too ciJp cwtgr Riive, tdewpmt Beaa�r -CA 92660 Plan Check No : PC2024-0963 1� Z PermiMguntt? Phofie: (949) 7`18=18�321 ex newportbeachea.gov/civic Issued Date: 05/23/2024 c �P Final Date: 4rconN Combination Type-o° ° Permit Status: Issued WXI'rl$ 4 Ass -0 No; o ° ° ° ° o 0 o Inspection Area : 2 0 00 °oo 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 : 1915 CHUBASCO DR Legal Dose : N TR 2813 BLK LOT.3 TR 2813 LOT 3 PO OF LOT Description: SFR NEW POOL AND SPA 195/48 SF, DRAINAGE Owner: DARINSIMONIAN Contractor:SWAN POOLS OFSOUTHERN CA. Architect: Address: 1915 CHUBASCO DR Address : 24512 BRIDGER ROAD Address: NEWPORT BEACH, CA 92625 LAKE FOREST, CA 92630 Phone: Phone: .'(949) 859-8466 - Phone: ConStateLie : 440333 - State Lie Lie Expire: 03/31/2026 Applicant: SWAN POOLS OF SOUTHERN CA Bus Lie: - BT96008994 `- Engineer: Address: 24512 BRIDGER ROAD Bus Lie Expire : 07/31/2025 :. Address LAKE FOREST, CA 92630 - Phone: (949) 859-8466 - Phone: Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND - Owner/Builder : Policy No: 9228545 ' Designer Address : W. C. Expire: 4/112025 Address Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: 2022 U Front: 10, Side: 4, Side., 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : NoofStories: Phone : THOMPSON MATTHEW 1201 N TUSTIN AVE ANAHEIM, CA 92807 (714)630-6100 -' Construction Valuation : $50,000.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage: 0 5 11 z9 R...i E♦ � �'� '� � i e OWNER -BUILDER DECLARATION I hereby Shinn under penally of perjury that I am exempt from the Contractors' Slate License Law for are reason(s) indicated below by the eMcknev-.(s) I have paced neat H, the applicable lterri(s) 3eclion 7031,5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structweprior to is sst ance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencl,ry w:fl, 3ect'on 7090) of Dwisrnn.3 Of the Business and 'rofessrons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 (_) portions of the work, and the structure is not intended or q,lered fcr sale (Cection 7044, •usiness and Professions Code: The Contractors' State License Law does riot apply to an owner of properly Who, through employees' or personal Blinn, builds or 6aprc4es a,3 prrrerlp, rrovided 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 has the burden or proving Thar It ,vas not built or nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contactors' State License Law), I am exempt from licensors under the Contractors' State License Law for the following reason: Iy 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 legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, Is available upon request when this application Is ag fled o eA owln eb sits:http:ifwww.leginfo.ca.govlcalaw.html. �/1 �, signature of Property Owner or Authorized Agent •L Date 1 e/1 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect License Class License No Date Contractor Signature VORKERS' 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 HUNDRED THOUSAND DOLLARS (S100.000), IN ADOMON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 edormance of the work for which this permit Is issued. Policy No, 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' compensatioi rsurance eager and policy number are: �z 6 �1 2 < ;areal ��(.(� �iL l/`'l P Policy Number I �'Z' � Expiration Date of Agent certify that, in the performance of the 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 Califomla, and agre , if I should become subject 7tQ,( t�hey �w�orkers' co Ipensation pprovis- s or Section 3700 of the Labor Code, I shall forthwith comply With those provisions. _ lature of Applicant _ //�^��. ✓9/ v Data hereby affirm under penalty 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) .enders Name Lenders Address ly my signature below, I 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 is correct. I agree to comply with all applicable city and county ordinances and state laws Iaang to building Construction. I authorize representatives of this cfty or county toe th v� idontlffe roperty for inspection purposes, p pp r ;12 ii nature of Pro ed Owner orAulhorized A ant ( Print Pro artOwner's or Authorized Agent's Name I L�- �� G Date y' 3i ACTION DATE By DECLARATIONOF COMPLIANCEWITH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. . PERMIT CANCELLED UEPA PERMIT EXTENDED QUID PERMRFINAL OCCUPANCVJSSUED OCCUPANCYISF / ((( _ IDA— L— t ASRES105 NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION , SIGNATURE: