HomeMy WebLinkAboutS2023-0099 - PermitsCity of Newport Beach
D p Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 718-1888
a.. newportbeachca.gov/civic
C,C/FOR�\P Combination Type -
Work Class - Other
1111111111111111111111111111111111�m11111111111IIJillPool Permit : S2023-0099
Plan Check No: PC2023-1119
Issued Date
Final Date:
Permit Status: Applied
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 : 7 RUE VILLARS Legal Desc : N TR 7800 BILK LOT 15
Description: ATT SFR NEW POOL & SPA 351 SF W/ DRAINAGE
Owner: NEDA TABATABAEI
Address : 7 RUE VILLARS
NEWPORT BEACH, CA 92660
Phone: (949)572-7730
Applicant:
HUNTER ELLISON
Address :
24642 VIA RAZA
LAKE FOREST, CA 92630
Phone:
(949)315-1511
Owner/Builder
:
Address :
Phone
Code Edition : 2022
Type of Construction :
Occupancy Groups: U
Bldg Height :
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor:
INFLUENCE OUTDOORS LANDSCAPE
Address :
700 N RESH ST
SANTA ANA, CA 92705
Phone:
(949)285-2471
Con State Lie
: 1085331
Lie Expire :
12/31/2023
Bus Lie:
BT30078271
Bus Lie Expire : 03/31/2023
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire:
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units :
No of Stories
Architect
Address
Phone:
State Lie
Engineer: THOMPSON MATTHEW
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (714)630-6100
Designer:
Address :
Phone:
Construction Valuation : $42,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasw(s) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
the permit to file a signedstatement 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
Professions Code) or that he or she is exempt from leensure 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 ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and 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 or offered for sale. It, 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
m roved for the purpose of sale).
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 to an owner of properly Aft 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 lieensure under the Contractors' State License Law for the following reason: .__.,____
By 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 legal
sell 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
Professions Code., Is available upon request when this application Is submitted or at the following Web site:http:tfwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjuryy that I am licensed under provisions of Chapter 9 (commencing with Sectio O) Dtv' on i3 of the Business and P f sic de nd my ' nse is in full force
and effect. License Class License No Dat Contractor Signatur
nORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED RHOUSAND DOLLARS (S100,000), IN ADOmON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DE OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a cenifiii.cale 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
Derfo€mance of the work for which this permit is issued. Policy No.
❑1 have 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' compensatior
insurance carrier and policy number are:
Carter Policy Number Expiration Date
in, of Agent Phone 9
I rtify that, in the =-u
Glenfoffwh�l s permi ssued, I shall not employ any person in any manner so as to become subject to the workers'compensate n laws of California, and agree
f I should becomers con prionsof Section 3700 of the Labor Gode. I shall forthwith comply with those provisions.7
Signature of ApplicanDalX DECLARATION REGGAGENCY
I hereby affirm under t there is a construction lending agency for the performance of the work for which this Permit Is issued (Section 3097,ode).
Lender's Name _ Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope ner's behalf
! have read this application and the info lion 1 have Quid f he
I agree to comply with all applicable clty and county rdina2pcl and s to rel g to building constructionAgent's
/3/�
I authorize representatives of this city or county terl above-i led art for inspection purposes. (/
Signature of Property Owner or Authorized A call Print Property Owner's or Authorized A ent's Name ate
ACTION DATE BY 'i DELL ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
k_1,K.GULATlON5 PART Bl OF TITI,F, 40 AND AQMD RULE
1403
PERMIT EXPIRED UISUBMITTEDASRFSTOSNOTIFIC.ArIONIO
PERMIT CANCELLED f E'h All required alarms, latches gates and fences which Serve as part of a pool/spa barrier, shallyy place to a r t toillpool/spa —` -�I be In lprior vashall remain to lace & be maintained for the
PERMIT EMENDED I L_I,r QMD p p p/p/ LL (� P
PERMIT FINAL � ID73 JAS,i..STOS NIITIPICA`ION :S NOT APPLICABLE TO life of the pool
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: