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HomeMy WebLinkAboutS2022-0191 - Permits4 ��WPOaT City of Newport Beach p @m Community Development Department- Building Division up 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 oq(iFORN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIII1111111111111111111111111111111111111111111111Pool Permit : S2022-0191 Plan Check No : PC2022-2505 Issued Date Inspection Area : 5 - 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: 4639 ORRINGTON RD Legal Desc : N TR 3357 BILK LOT 64 Description: SFR POOL & SPA 502 SF (25 CAISSONS UNDER SEPARATE PERMIT) Owner: KEITH BUCKLEY Address : 4639 ORRINGTON RD NEWPORT BEACH, CA Phone : (714) 231-0443 Applicant: STEELE BRET/STEELE POOLS Address : 4921 E LEEDS ORANGE, CA 92867 Phone : (714) 496-1427 Owner/Builder: Address : Phone Contractor: STEELE BRET/STEELE POOLS Address : 4921 E LEEDS ORANGE, CA 92867 Phone : (714) 496-1427 Con State Lie : 923975 Lie Expire : 10/31/2024 Bus Lie : BT30042152 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire : Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: IN Architect Address Phone: State Lie Engineer: KOLODZIEJ KENNETH J Address : 400 E ESTHER PLACE PLACENTIA, CA 92870 Phone : (714) 996-1219 Designer: Address : Phone: Construction Valuation : $120,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 SPECIAL CONDITIONS: ' I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ciion 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 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 fessions Code) or that he or she is exempt from ilcensure 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of nor (_) portions of the work; and the structure Is not intended or offered for sale (Section 7044, ;mess 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 rovemenls are not intended or offered 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 roved for the purpose of salei. 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 ly 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). LJ I am exempt from licensure 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 asan owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that acopy 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:httpaiwvnv.leginfo.ca.gov/calaw.html. 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 (commencing with SaGtiyn 7000)of Division 3 of the Business and P`rofes 1 ode, and licanse is in full force and effect. License Class License No e / oZ 2— Contractor Signat f a WORKERS' COMPENSATION DECLARATION WARNING: 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 tSID0,600), IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY' FEES. I herebyatfirm underponalty of perjury one of the following declarations: ©I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of industrial Relationsas provided for by Section 3700 of the Labor Code, for IN performance of the work for which this permit is issued. Policy No. ©i 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' cwmpensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date 'a of Agent Phone If ❑I ertify 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 lays of California, and agre th If I should become subj cc to rr"kerrs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions - Sic of Applicant ;S �'� / D a��//� DECLARATION REGA. ING, U5TRUCIrliaN LENDING AGENCY I hereby affirm under penalty of penury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Clvil Coda). 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 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 count ances d state laws relating to building construction, I authorize representatives of this city cr count to t ov Iified property for inspection purposes. Signature of Property Owner or Authorized Agaai — Print PropertyOvmer's or Authorized Agent's Name %� / 7i Date ACTION DATE BY CLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPNED El I SUBMITTF,D ASBESTOS NOTIFICATION TO PERMIT CANCELLED q g p pool/spa I EPn All required alarms, latches ales and fences which serve as art of a harrier, shall PFAMIrexrEn'oeo _ _i + LJA qmD be In place prior to approval to fill pool/spa &shall remain in place & be maintained for the PERMITFINAL. 3i �ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool. CERTffKAM OF ililil PROPOSED DEMOUTION OCCUPANCY ISSUED SIGNATURF,