HomeMy WebLinkAboutS2022-0042 - PermitsaEWPORr City of Newport Beach II III I I II IIIII I III II II II IIII II II COMB Permit : S2022-0042
p`r @ Community Development Department -Building Division S 2 0 2 2 - 0 0 4 2
r T 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0317-2022
= Permit Counter Phone: (949) 718-1888 Issued Date : 02Final Date: O'I/16/252022
e+newportbeachca.gov/civic /2116/
c9t/FORH�P Combination Type - Permit Status: Final
Work Class -Other 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: 2247 DONNIE RD
Description : NEW POOL & SPA 457 SF
Owner: TONY CAPOLINO
Address : 2247 DONNIE RD
NEWPORT BEACH, CA 92660
Phone:
Applicant
Address:
Phone:
Owner/Builder :
Address
Phone:
Legal Desc : N TR 2819 BILK LOT 8
Contractor:
STREAMLINE CONSTRUCTION INC
Address :
31878 DEL OBISPO ST #118-510
SAN JUAN CAPISTRANO, CA 92675
Phone :
(800) 965-9728
Con State Lic
: 991086
Lic Expire :
03/31/2026
Bus Lic :
BT30071284
Bus Lic Expire : 03/31/2025
Workers' Compensation Insurance
Carrier: ENDURANCE ASSURANCE CORP
Policy No: EAW0000088500
W. C. Expire : 3/23/2025
Code Edition : 2019
Fire Sprinklers : NO
Type of Construction :
Fire Hazard Zone : NO
Occupancy Groups: U
No of Units : 0
Bldg Height:
No of Stories :
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Architect: LA ROCHE DENIS A
Address : PO BOX 3708 TUSTIN, CA 92781
Phone:
(949)939-3047
State Lic:
C013756
Engineer:
CHRISTOPHERBIEDENBACH
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
Address
Phone :
Construction Valuation : $0.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 0
Add/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) 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 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
Professions Code) or that he or she is exempt from ficensure 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im roved for the purpose of sale).
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
apply 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).
111 am exempt from licensure under the Contractors' Stale License Law for the following reason:
By 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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
and effect. License Class _ License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 (5100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370C OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
performance of the work for which this permit is issued. Policy No.
❑I 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
insurance carrier and policy number are:
Policy Number
Date
ie 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 California, and
, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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).
Ides s Name Lender's Address
my signature below, I certify to each of the following:
I am the properly 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 relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of PrODertv Owner or Authorized Aqent Print Property Owner's or Authorized AgenPs Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERA41T EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXFEAIDED LJAQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF f^Z�' ROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
FOR OFFICE USE ONLY
gates & fences which serve
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain it
place & be maintained for
Date