HomeMy WebLinkAboutS2023-0142 - Permits��WPoR�
City of Newport Beach
e
Community Development Department- Building Division
r1y'
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
*a.
newportbeachca.gov/civic
Combination Type -
Work Class - Other
111111III��III1111111111111111111111111111111111111 jj Pool Permit : S2023-0142
Plan Check No : PC2023-1624
Issued Date : 07/10/2023
Final Date:
Permit Status: Issued
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: 1715 NEWPORT HILLS DR W Legal Desc : N TR 7032 BILK LOT 3
Description: SFR NEW POOL AND SPA (558 SF) YARD DRAINAGE
Owner: LITVAK URI TR LITVAK FAMILY TR
Address : 4 CHANDON
NEWPORT COAST, CA 92657
Phone:
Applicant: INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
Owner/Builder :
Address :
Phone
Contractor : INSTANT POOLS LLC
Address : 116 SENCILLO PL
RANCHO MISSION VIEJO, CA 92694
Phone: (949)795-0648
Con State Lic : 1009644
Lic Expire : 07/31/2025
Bus Lic : BT30053469
Bus Lic Expire : 1213112023
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Code Edition : 2022 Fire Sprinklers :
Type of Construction : Fire Hazard Zone
Occupancy Groups : U No of Units :
Bldg Height: No of Stories
Building Setbacks : Front: 19, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY: 4/
SPECIAL CONDITIONS:
Architect
Address:
,,,,
Phone:
State Lic:
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE ....--
ANAHEIM, CA 92807
Phone:
(714)630-6100 - ..
Designer:
JCWRIGHT
Address :
833 DOVER DR, 7
NEWPORT BEACH, CA 92663'
Phone:
(949)795-0648
NO Construction Valuation : $45,000.00
NO Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors'State, License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031,5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve. demolish, or repair any structure, poor to its Issuance, also requires the applicant for
the permit to file a. signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business end
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation Of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($SOW.
0 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,
Business antl 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 Proffered 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
iln rovod for thepurpose of sale).
LJ 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 town 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 Ucensure under the Gantra0[Drs' State License Law for the fofloWng reason.
By my signature Below I acknowledge that, except for my personal residence in which I must have resided for aleast one year poor to completion of the Improvements covered by this permit, I cannot legall,
sell a structure that l have built as an owner -builder if it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable raw, Section 7044 of the, Business and
Professions Code, Is available upon request when this application is submitted or at the following Web site:http;/lwww.teginto.ca.gov/calaw.htmi.
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 'onlrtg the Business and $ ,ysir W lu'Lw O; .iIT full force
and effect. Liceorc Class License No Date' oniractor Sid}taeaPtl
WORKERS' COEVENSATION DECLARATION
^hPMN 3 FAILURE TO:;E-JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
LOST OFJOMPENaAT1ON, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I tarety affirm under penalty of perjury one of the following declarations:
0 I nave and *11 malatain 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
UP, Tom lance of Ine work for which this permit is issued. Policy No.
01 have and will r1..i,itain 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` compensatioi
insurance carrier -re foiicy number are:
Garner_ Policy Number Expiration Date
fy3me�k ant Phone q
DI c�It,fv that, Hit* performance of thew �c.a'prelrt4lis-yentta�a,Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Agra
t�if I should bacome suClje a df vmTLr" rkers' compensation avi8(ons of Section 3100 Of the Labor Code, I shall forthwith comply with those provisions. 7
Signature of Applicant _ _ - DateoZ3
DECLARATION REG -RD G TIO _ ENDING AGENCY
I hereby affirm under pe of perjury that there is A construction landing agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By my signature below, i certify to each of the following:
1 am a:•••.he 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.
" 1 agree to comply with all appiicabte city and County ordinances and state laws relating to building construction.
I authorize representatives of this city or county to onnjPs-Nt ove-ideniifie ropart y�for inspection purposes. \ `_
.�tlnlYAll llri of PrnrA rM, r)wn.r, r AI Ahn.,.d AnM,I 1bl —ATr f PrnnAry Ownw s or Aldan ri7mri A,..n �s NAM. (//� l V 4— V\ W n.t. r /l
REGULATIONS PART 5d OF TrTtF 40 AND AQMD RULE
1403
PERMLT EXPIRED
El I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERM7TCANCELLED
OEPA
PERMIT EXTENb60 —J
PERMITFINAL. Z 3
1(/
C ff---T�- QMD.
5 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
be in place prior to appro to fill pool/spa & shall remain in place & be maintained for the
life of the pool. ,T5
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: