HomeMy WebLinkAboutS2024-0005 - PermitsCity of Newport Beach
p I Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u newportbeachca.gov/civic
cq(/fORN�P Combination Type -SFP
Work Class - Other
111111111111111111111111111111111111111111111111111111Pool Permit : S2024-0005
Plan Check No : PC:1023-1034
Issued Date : 0111812024
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
: 1516 SANDCASTLE DR
Legal Dose : N TR 6152 BLK LOT 50
Description:
SFR NEW POOL AND SPA 400/49 SF
(XR2023-0179) (CHANGE OF CONTRACTOR)
Owner:
VISTA PARK PROPERTIES LLC
Contractor: POOL PROZ DESIGN & CONST INC
Address :
1007 NOTTINGHAM RD
Address: 17 HEMINGWAY CT
NEWPORT BEACH, CA 92660
TRABUCO CANYON, CA 92679
Phone :
(949) 375-6725
Phone : (949) 910-2712
Con State Lie : 1081048
Applicant:
POOL PROZ DESIGN & CONST INC
Address:
17 HEMINGWAY CT
TRABUCO CANYON, CA 92679
Phone:
(949) 910-2712
Owner/Builder:
Address :
Phone
Bus Lie : BT30082429
Bus Lie Expire : 08/31/2024
Workers' Compensation Insurance
Carrier: TECHNOLOGY INSURANCE CO INC
Policy No: TWC4357033
W. C. Expire: 1/1/2025
Architect
Address
Phone :
State Lie
Engineer
Address
Phone :
Designer: POOL PROZ DESIGN & CONST INC
Address: 17 HEMINGWAY CT
TRABUCO CANYON, CA 92679
Phone: (949) 910-2712
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
_Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups:
No of Units:
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage : 0
Building Setbacks :
Front: 20, 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: rLw 2C)Z�_j_ Q���
OWNER -BUILDER DECLARATION ,
I hereby affirm vnrer pelial'y c` perjcry tha: I Sol exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s)
Section 7031.5, Basiuess and Prmfe^sions Code, nny city or county that requires a permit Io construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ne permit to file a aigdad slate,ncat runt he or shn. €licensed pursuant to the provisions or the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure end 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).
7 1, as owner of the prc?erty, or ny en.ployees .with wanes as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Harness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, provided that the
nprovements arc; x.t intruded Oe" oJored for sale If, iovevra, 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
nproved for the purpose cr 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' State License Law does not
ply 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).
I am exempt from Iibensure under the Contractors' State License Law for the following reason' __ _ ..�..,.... �..__._. �._....
,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot tegallt
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://wvhw. leginfo. ca.gov/calaw.html.
signature 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 7000) of Division 3 of the Business and Profs ns Icense is In full force
nd effect. License Class License Na Date y,/ )�/ k�3 Contractor Signature
VORKERS' COMPENSATION DECLARATION T
'ARNINO: 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 l5100,0001,1N ADOtTION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have a 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 Ih
ce of the work for which this permit is issued. Policy No,
a 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
rand, carrier and policy number are:
:antler Policy Number Expiration Date
lame of Agent Phone #
11 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 agre
tat, if I should become subject to the w compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date„ L_ / — 2
IECLARATION REGAAAG ION LENDING AGENCY
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).
encier'a Name Lenders Address
ly my signature below, I certify to each of the fallowing:
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 a d state Paws relating to building construction.
I authorize representatives of this city or county to nter th ao filled property for inspection purposes. C 1
li nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name 'r`"r k- Dote
1CTION DATE I BY DECLA TC OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
3 REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE
PEAMITEXPIREO I I _ _ I LJAURMITTEDA5BF,STOS
PERMITEXTENDED I X X
rJ I LIAQMD _
PERMITFINAt y\ ASBESTOS NOT IT CATION IS NOT APPLICABLE TO
CERTIFICATE OF [ l PROP05ED DEMOLITION
OCCUPANCY'ISSUED V SIGNATURE:
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 forthe
life of the pool.