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Home My WebLink AboutS2023-0063 - Permits4"`Wpo City of Newport Beach Q Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u y.� Permit Counter Phone: (949) 718-1888 .r. newportbeachca.gov/civic CqC/Fp0.T��P Combination Type - SFP Work Class - Other 111111111111111111111111111111111�� 1� T : 12 Pool fie.-G231-0063 Plan Check No :P(;2')23-07,7 Issuecrb'te :1)5/0972023 Inspection Area : 6 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 : 935 GOLDENROD AVE Legal Desc : N TR 3542 BLK LOT 10 Description: SFR -POOL 2D0 SF/SPA 64 SF (264 SF) AND SITE DRAINAGE Owner: RANDALLALLEN Address : 3063 RIVOLI NEWPORT BEACH, CA 92660 Phone Applicant: ZIETHING ANDY - GEN CONTR Address : 16082 CRAIG LANE HUNTINGTON BEACH, CA 92647 Phone: (714)448-7924 c Owner/Builder : Address : Phone Contractor: ZIETHING ANDY- GEN CONTR Address : 16082 CRAIG LANE HUNTINGTON BEACH, CA 92647 Phone: (714)448-7924 Con State Lic : 603579 Lic Expire : 09/30/2024 Bus Lic: BT30078800 Bus Lic Expire : 05131/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9234973 W. C. Expire: 7/17/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: SALT AND SEA POOLS Address : 22 KENDALL ST LAGUNA NIGUEL. CA 92677 Phone : (949) 910-6125 Construction Valuation : $80,000.00 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 pErju.y that I gar �xernrt from the'ContractorsState 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 Profecsicns Ccde Ary city or Bounty tnal requires.a permit to cons{rust. alter, improve. demolish, or repair any structure, prior to Its Issuance, also requires the appilcant for the permit to file a signed statement tnnt he or she is licensed pu.suaot 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 iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or n,y Empi:yees wit:i wags as thci- role oompensation, will do (_) all of or U portions of the work, and the structure is not intended cr offered for sale (Section 7044, Business and Professions Code: The Cortracto•s' StPie I,kcPnse Law dons ,iol 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., h, however, th„ 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 Improved for the purpose of sale). ❑ 1, 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 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 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 (hat I have built as an owner -builder if it has notbeen 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:/Av .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 9 (commencing with Section 70 ) v�ion 3 of the Business and Profess! ode, d my li. se is In full force and effect. License Class License No Date rS. Contractor Signature WORKERS' 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 THOUSAND OOL S ID0,0001, IN A TION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. a SOY affirm under penalty of perjury one of the following declarations: I -have and will maintain a certificate of consent to self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Sec. of t e L r Code, for it --/ ormance of the work for which this permit is issued. Policy No. �pl hawe 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' compensatio su ance carrier and policy number are: ,amler Policy Number Expiration Date Name of Agent Phone # -I certify that, in the parlor f the wor 1 which this p it is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre .hat, if I should become s ect f - , worker ompensali provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� n 3lgnaiure of Applicant Date 7� DECLARATION REGARDING NS CTION .:; ING AGENCY hereby affirm under Pena of per" y tl at th is a c nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lenders Address 3y my signature below, I certify ea of the o owing: I am the property owner or rized 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 applicablecity and county or ' aces at aws relating to building construction. i authorize representatives of this city or cou above "ad property inspection purposes. ^r 3i nature of Property Ownriher or Authorized Age t Print PropertyOwner's or Authorized Agent's Name Date D 1 G ACTION DATE BY LAR 'D FCOMPLI E WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATI 5 PART F f Tr .E 40 AND AOMD RULE 1403 PENfN•tT EXPIRED I UYSUITT50 Aftf5fbS NOTIFICATION TO PERMIT CANCELLED I EP All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMrTExTENDEO QMD be In place priorto approval to fill poollspa & shall remain to place & be maintained for the P@Rrvi7i"FINA1. -yP' StlESTD5 NOTIFICATION IS MDT PLI ABLE TO life of the pool. CER17FICAM OF I � /�'� i PRM OSEO DE ITI OCCUPANCY fSSUED ✓✓✓��1 I SIGNATUR