HomeMy WebLinkAboutS2023-0179 - PermitsNewport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Combination Type -
Work Class - Other
1pilIII ��III1111111111111111111111111111111111111 jjPool Permit : S2023-0179
Plan Check No : PC2023-2087
Issued Date : 08/28f2023
Final Date:
Permit Status: Issued
Inspection Area : 6
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 : 1205 KEEL DR Legal Desc : N TR 6634 BLK LOT 92
Description : SFR REMODEL POOL, REAPLASTER, COPING, RAISE DEPTH FROM 8' - 5-
Owner: KEEL CUSTOM HOME LLC
Address : 530 TECHNOLOGY DR STE 100
IRVINE, CA 92618
Phone: (949)395-5055
Applicant: DESIGNER CUSTOM POOLS INC
Address : 3749 E COLORADO BLVD E
PASADENA, CA 91107
Phone : (626) 529-3030
Owner/Builder :
Address :
Phone :
Code Edition : 2022
Type of Construction :
Occupancy Groups: U
Bldg Height:
contractor: DESIGNER CUSTOM POOLS INC
Address : 3749 E COLORADO BLVD E
PASADENA, CA 91107
Phone:
(626)529-3030
Con State Lic
: 1086707
Lic Expire :
01/3V2024
Bus Lic:
BT30082462
Bus Lic Expire
: 08/31/2024
Workers' Compensation Insurance
Carrier : STATE FUND
Policy No : 9309891
W. C. Expire: 12/11/2023
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Architect:
Address
Phone:
State Lic
Engineer:
BIEDENBACH CHRISTOPHER JAMES
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92907
Phone:
(714)630-6100
Designer
Address:
Phone:
Fire Sprinklers : NO
Construction Valuation : $30,000.00
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg; 0
No of Units:
Alteration sq. ft. Bldg :
No of Stories :
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 7, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: _
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Conlraclars' Slate License Law for the reasons) 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
the pommil to file a signed statement that he or sho is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the BuslP._ss and
Professions 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 for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slnte License Law does not apply to an owner of property who, through Employees' or personal effort, builds or improves the property, provided That the
Improvements are not intended or offered for sale. If, however, the building at improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved 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' Slate License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the ContractorsSlate License Law).
❑ 1 BIT] exempt from licensors under the Contractors' Stale License Law for the followniq reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ono year prior to completion of the Improvements covered by this permit, I cannel legally
sell 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
Professions Code, Is available upon request when this application is submitted or at the following Web site:hitp:liw,4nv.legmfo.ca.govrcatavr.himi.
Signature of Property Owner Or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of gerjy�ry_}hal I am licensed Linder provisions of Chapter 9 (commencing with Sect 70 of Owlsion 3 of the business d Profess". a d my Ncense is in full spree
and effect License Class [ D S License No 0 $ G Z 6 T Dat `g 2 $ Conlraclor nature %,1.�
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE NDREO IHOUSANO DOLLARS 1$100,0001• IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby alflrm under penalty of perjury one of the fallowing declarations:
I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor -Code, for RH
formance of the work CGr which [his Permit Is issued. Policy No.
)eve 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' compensatior
urance carrier acd policy numb-, aR.: spa I
nler V 'u.Ia.n r(. Policy Number 1301 o ` Expiration Dale �Z L I / 7,?
c75
me of Agent _ _ _'L .IN 5 4AMw in Phone M Lj S — � 93.5
I certify that, in the performance of 6le 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 California, and agree
I, if I should been e�tbrscl'r lhr'vorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J
nature of AUPlicJ,1. ._.._.. _. _ _.....__ ..__.__..._._. ...__._._.. _. ale_`/_OY_..--..L__._..__.____..__._._
CLARATION 2( ?GA DING CON RUCTION LENDING AGENCY \j,Y,/
Ireby affirm under penalty of per)ury that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Section 39g�, Civil Code).
,der s Name Lenders Address
my signature below, I certify to each of the following:
I am the property Owner or authorized to act on The properly 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,slale laws rotating to building
I authorize representatives of this city or cc my to elnr{�le�,p�r the ��bbgDLve-identified property for inspection purposes. --�� // L�� I • A'V/� �%/q�
nature of Property Owner or Aulhoi A rent �fV/l/�'� Print Prooenv Owner's or AuIITOri>ed AoenYc�K -"'R ��r I drr^na c Oo Q G
OP COMPLIANCE WIT14 CODE OF FEDERAL j FOR OFFICE USE ONLY
RFGUtATION5 PART 51 OF TITIF 40 AND AOMD RULE
1403
PERMIT CANCELLED L O A All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED LJAOMD 6e in place prior to approval to fill pool/spa &shall remain in place & 6e maintained for the
PERMIT FINAL LJ[,SBESi05 NOiIHCATION 15 NOT APPLICABLE TO Ilfe of the pool.
CERTIFICATE OF e 13"-2Z7 r
PROPOSED DEMOLITION
OCCUPANCY ISSUED ,/