HomeMy WebLinkAboutXR2022-2129 - Permitso�aEWPoR e City olf NDevelopment
Beent- Building Division it III I I I II I II I III II II III II COMB Permit : XR2O22-2129
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
> S Permit Counter Phone: (949) 644-3288 Issued Date : 08/08/2022
m. Inspection Requests Phone: (949) 644-3255
°9<�conN`p newportbeachca.gov/inspections Inspection Area : 5
Combination Type -
Work Class - Other
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: 4801 DORCHESTER RD
Legal Desc : N TR 3519 BILK LOT 34
Description: SFR DEMO POOL "ALTERNATE METHOD"
Owner: HOWARDKELLY
Contractor: EARTHWORKS ENGINEERING
Architect:
Address : 4801 DORCHESTER RD CORONA DEL MAR,
CA 92625
Address: ' 854 N WHITE AVE POMONA, CA 91768:
Address:
I�"Te
�P
Phone:
Phone(909)519-6754
Phone
Con State Lie : 1031142
State Lie
Applicant: EARTHWORKS ENGINEERING
Lie Expire : 09/30/2023 ,.
Address : 854 N WHITE AVE POMONA, CA 91768
Bus Lie: ` BT30079428
Engineer : ..
Phone: (909) 519-6754
Bus Lie Expire :: 08/31/2023
Address
Workers: Compensation Insurance
Phone
Owner/Builder :
'' Carrier :
Address :
Policy No : 9302170
Designer:
Phone:
W. C.Expire ::. 7/1912023
Address
Phone:
Code Edition : 2019
:: Fire Sprinklers :' ' NO
Construction Valuation : $4,500.00
Type of Construction :
Fire Hazard Zone ; No
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : :. 0 1 1 1 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
Added/New sq. ft. Garage : 0
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
......
Flood Zone: X
°°°° o
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
°. . °
PROCESSED BY: ®
• ° m
•®••
SPECIAL CONDITIONS:
°m°• °
°om
• s moemo
0 000moa
oa a o m o
o
m o • •
° as ce•eoa
° •aoe
Contractors`State ,License
of
the ar
and
v of
I, asowner 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
ly town owner of property who builds or improves,thereon, and who contracts far the projects with a licensed Contractor pursuant to the Contractors State License Law).
I am exempt from licensors under the Contractors' State License Law for the following reason:
my sinnatme haloes I acknowledoe that exceot for my Dersonal residence in which 1 must have resided: for at feast one-year prior to eomplet[on of the improvements covered by this :permit, .I cannot le,
of
COMPENSATION DECLARATION
in full force
CRIMINAL PENALTIES AND CIYJL:PINES UP TO ONEHUNDREDTHOUSAND DOLLARS (SHIOADO): IN ADDITION TO
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 ._bythe Directorof Industrial: Relationsas provided for by Section 3700 of the. Labor. Coda, for
erformance of the work for which this permit is issued. Pormy No,
e and will maintain. workers' compensation insurance as required by Section 3700 of the Labor Code, for they performance of ft work for which this permit is issued. My workers' compensa
certify that,.
. if I should
hereby affirm t
tinder's Name
y my signature
tam the on
I have read
agree to c
• I authorize i
IQN
LAIhNxtu
FINAL.:.
WE Di• ••:
W(V IS.St�t•A •
Policy. Number Ex iration Date
which this permit is issued, i shall not employ any person: in any manner so as to become subject to the workers'compensation law&of California, and agrel
gensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. DateX r lei /�/ %
1•..EEiDMtG`AGENCY
Is a construction lending agency#or the performance of the work for which this permit Isissue
laws relating to building construction,:
ad property for inspection purposes.
_- -_ - 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 inplace & be maintained for the
NOTIFICATION IS NOT APPLICABLE Tb. life of the..pool,