HomeMy WebLinkAboutS2022-0143 - Permits,EPoR�
City of Newport 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) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Other
II II I I III II I II III I IIII II COMB Permit : S2022-0143
Plan Check No : 1561-2022
Issued Date : 08/2412022
Inspection Area : 4
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:
2615 BAMBOO ST
Legal Desc
: N TR 4892 BLK LOT 60
Description:
SFR: DEMO SPA, BUILD NEW 646 SF POOL & 49 SF SPA
Owner:
GRAMIAN KEVIN TR
Contractor:
POOL ICONS INC
Address:
2615 BAMBOO ST NEWPORT BEACH, CA
Address :
15935 DEL PRADO DR HACIENDA
92660
HEIGHTS, CA 91745
Phone
Applicant <VOVL liWAS
Address
Phone:
Owner/Builder :
Address
Phone:
Phone : (562) 455-8883
Con State Lic: 479446
Lic Expire :
10/31/2023
Bus Lic :
BT30077496
Bus Lic Expire
: 12/31/2022
Workers' Compensation Insurance
Carrier: STATE
FUND
Policy No:
9268030
W. C. Expire :
1/16/2023
Architect
Address : .r^
rl
Phone : Tt
State Lic
Engineer: LACHER TODD
Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807
Phone : (714) 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: 10, 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:
$150,000.00
0
III
All required alarms,latches
gates & fences which serve
as part of a pool / spa
barrier, shall be in place
nnor to approval to fill
pool/spa & shall remain in
piace & be maintained for
the life of the pool/spa
x_^
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)-
Section 7031.6. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant far
1e 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
Irofessions Code) or that he or she is exempt from licensure 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).
3 I, as Owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Lew 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 improvement is sold within one year of completion, the Owner-Builderwlll have the burden of proving that it was not built or
nproved for the purpose of sale)-
3 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
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).
1 am exempt from licensure under the Contractors' Stale License Law for the following reason
ly 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 legall)
all 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
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:tlwww,leginfo.ca.govicalaw.html.
lignature 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 70 Oj of Division 3 br the Business and �ialf SS' s Code., RI fic s mll force
end effect. License Class License No Dat $ Contractor Si na r
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 (E100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1-1 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 IT
eff i mance 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'
carrier and policy number are:
Policy Number .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 Calffomia, and
If I should become subject to the work"' compensation provisibps X Seclion_3700 of the Labor Code, I shall forthwith comply with those provisions. ,
of
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 Lender's Address
y 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 relating to building construction.
I authorize representatives of this city or county to entehtjlg4bov�dgntifieryp_ra6erty lgvihspection purposes. /
ACTION DATE I By DPQ1T?t UION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (/
REGULATIONS PART Fi OF TITLE 40 AND AQMD RULE.
1403
PERMIT EXPIREO
PERMIT CANCELLED
PERINIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
-/o-L3
iJ I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
PROPOSED DEMOLITION
ISNOTAIPLICABLE TO
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rVatBate %?ZZ-Z
All required alarms, latches gates and f ^-'•'-` -�- -�part ef-Bl/spa barrier, shall
De In place prior to approval to fill of/spaLPa,-061dI � Offi%�pe, maintained for the
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