HomeMy WebLinkAboutS2022-0214 - PermitsCity 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
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Other
Pool Permit : S2022-0214
Plan Check No: PC2022-2619
Issued Date
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLI
Job Address : 1110 KINGS RD Legal Desc : N TR,1219 BLKG LOT 4
Description: NEW POOL AND SPA 405 SF W/DRAINAGE
Owner: WILLIAMS THOMAS J TR THE
FAMILY REVOC LIV
Address : 1110 KINGS RD
NEWPORT BEACH, CA 92663
Phone :
Applicant: PREMIER POOLS & SPAS
Address: 26052 MERIT CIR, #106
LAGUNA HILLS, CA 92653
Phone: (626)422-5426
Owner/Builder
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2019
U
Front: 20, Side: 4, Side: 4, Rear: 1
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compl
Carrier: STATE
,Policy No: S
DATE
MIER POOLS & SPAS
Architect
;2 MERIT CIR, #106
Address :
e,,,%
UNA HILLS, CA 92653
)422-5426
Phone:
)8298
State
Lie:
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e
....
3/31/2Q24
T30071442'
Engineer:
LENEHAN KYLE A
3/31/2023
Address :
1024 IRON POINT ST 100-1486
FOLSOM CA 95630, CA 9,5MP
Phone:
(916) 287-1445 ....
cation
Insurance
UND
••
;8204
Designer:
m m
°•
t2023
Address:
m°• s,
Fire Sprinklers: NO
Fire Hazard Zone: NO
No of Units :
No of Stories
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
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the
my
1, as owner: of the property,am exclusiv
y to an owner of property who builds or
I am exempt from licensure under the-(
ny signature below I acknowledge that,
a structure that I have built: as an owne
License Law for the reasons) indicated below by the chaokmark(s) I have placed next to the applicable Item(s)
to an owner of property who, throughhemployees' or personal effort, builds or improves the property, provided that the
,ement Is sold within one year of completion, the. Owner-Bullder will have the burden of proving that it was not built or
Contractors to constrict the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
contracts for the projectswitha licensed Contractor: pursuant. to the Contractors' State License Law),.
tw for the following reason:
lance in which I must have resided for at least oneyear prior to completion of the improvements Covered by this permit, I cannot leg
,Uri[I KAUI VKZ VCLrLAKA I IVN
under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with "Section 7000). DI late 3: of the Business and Prafes ions �rl�my ii nse is in full force
cerise Class License No Data (O r9iL7 Contractor3lgnet,
COMPENSATION DECLARATION
......
RE TO 8ELURfi WORKERS' COMRENSATIDN-GOVERAGEIS UNLAWFUL; AND SHALL SUBJECT ANEMPLOYER ?O CRIMINAL PENALTIES .AND CIVIL PINES UP TOONE HUNRRER TNRUBANR DOLLARS (#103,003), IN ARRITIRN. TO THE
NSATION DWAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR. CODE, INTEREST, AND ATTORNEYS FEES.
und2j@ oty of perjury one, of the following declarations:
t will maintain a certificate of consent to self -insure for workers', compensation, Issued by; she Director of Industrial-. Relations as provided for by Section 3700 of the Labor Code, for th
I the y;ork fqr which this permit is issued.. Policy. No...
000TN
will maintalIs workers' compensationlnsurance as. required by Section 3700:of the Labor Code, for the performance: of the work for which this permit is issued. My workers' compensatiol
terand.poliay number are.
' Policy Number Expiration Data
Issued. I shall not employ any person in anymanner so as to become Subject to the workers' compensation laws of California, and agre
ns of Saction 3700 of the labor Code; I shall forthwith comply with those provisions. //
Date ,, y/ZL
__. _.
there is aconstruction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code):.
.Lenders>Addrass
i am the property owner or authorized to act on the property owners behalf.
I have read this applicationand the information I have provided is
I agree to comply with all applicable city and ca y ar s ,.It a laws. relating to building construction.
I'suthorizs representatives of this city or Lou t e ab e- ntifiedproperty for Inspection purposes.
;ELteoLIEPA All required alarms, latches gates a �� , Y4tta�Ftsakte pool/spa barrier, shall
NOEp 9Mo t a In place prior approval eo fill �Sr fl��R Mfidn alere& be maintained for
t /j •J�� AS9E5T05 NOTIFICATION : IS NOT APPLICABLE TO life of the pool, s part of a pool / spa
barrier, shall be in place
of PROPOSED DEMOLITION prior to approval to fill
ISSUED _.... _ ____�.•....__.m gSIGNATURE: ---------p0o4/8p2`&"8ilall"rGT1T0 t �
place & be maintained for
x the life of the pool/spa