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Home My WebLink AboutS2022-0159 - PermitsC��EWPORT City of Newport Beach Community Development Department- Building Division y �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 cqC/pO pP�P newportbeachca.gov/inspections Combination Type - Work Class - Other III I II I II III III I I II COMB Permit : S2022,-0159 Plan Q08 Check ckNo/: P222022-1817 IssueInspection Area : 3 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 : 1459 GALAXY DR Description : SFR IN) 575 SF POOL & 38 SF SPA. Owner: VON DER AHE GEOFFREY W TR Address: 1459 GALAXY DR NEWPORT BEACH, CA 92660 Phone: Applicant: JARROD SCHUSTER Address: 3003 FELICIA DR YORBA LINDA, CA 92886 Phone: (714)318-0611 Owner/Builder : Address Phone: Legal Desc : N TR 4224 BILK LOT 257 Contractor: JARROD SCHUSTER Address : 3003 FELICIA DR YORBA LINDA, CA 92886 Phone: (714)318-0611 Con State Lic : 996915 Lic Expire : 09/30/2022 Bus Lic : BT30068072 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire : Architect Address: Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address : 1201 N TUSTIN ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $165,000.00 Type of Construction : Fire Hazard Zone : No Added/NeW/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 15, 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: OWNER -BUILDER DECLARATION 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, prior 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 and Professions Code) or that he or she is exempt from licensors 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). 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 safe (Section 7044, Business and Professions Code; The Contractors' State License Law does not apply to an owner at property who,. through employees' or personal effort, builds or improves the property, provided that file improvements arenot 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 improved for the purpose of sale). ❑ I, as owner of the property. am exclusivelycontracting with licensed Contractors to construct (he project (Section 7044. Business and. Professions Code; The Contractors' Slate License Law does not rapyply 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). IJ I am exempt frorn licensors under the Contrectors' Stale 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 legally 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.hrallvvww, leginfoxe.goWca law. html. Signeture 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 0 ) f Div ion 3 of the Business and Prof ion ode, and my licen in futl force and effect. License Class License No Date :2- Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKER$ COMPENSATION COVERAGE I£ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN. DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH D LLARS tEIDO„00 AOO N TO THE 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 Section 3700 of the Labor Code, for in fom3ance of the work for which this permit is issued. Policy No. l 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' compensation Nance carrier and policy number are: Policy Number Expiration Date NName Phone # It, in the performance of the work for which this permit issued, I shall not em loy any person in any manner so as to become subject to the workers' compensation laws of Callfomia, and agre becom sub`ect to th workers' compensation or Isic of of the Labor Code, I shall forthwith comply with those provisions. plicant _ — DaEz �..,. ��_ N REG DI > NST'.. CTIOON LENDING AGE CY under smarty of perjury ih t there is a aonslructian agency r the performance of the work for which this permit is issued (Section 3097, Givil Gode). _ _ Lender's Address 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 an o unty ordinances and state laws I n to building construction. I authorize representatives of this city or con to en}er{he above-identifierart or inspection purposes. PART Et OF TITCE4p.8NpAQMD RULE 1403 PER.' 4IT EXPIR&'D 0I SURMITTED ASBESTOS NOT] FICATI ON TO PE.71XTCANCEL0 En LJEPA 24f t. CATS �/ /-'lY L�ASBES7'05 NDi1FICA710N I5 Nf77 APPLICABLE 70 2fi±FICATf Or i�//_%�iJ PROPOSED DEMOLITEON nrC67PANCY ISSUED SIGNATURE: FOR OFFICE USE ONLY All required alarms, latchesgates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool. 00 zLO W N Ns W O U O WM a mM r h+ti HAzar° W 7 t H�(D't 4zz O w �V. A O Mo O m u Apo s O H � � 33c m 3 U U Uo V O r r�- N N m 0 6 z 00 0 m z O z c 0 U d Q N C r LO