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City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
jjiilIII11111111111111111111111111111111111111111I �� Pool Permit : S2023-0036
Plan Check No : PC2023-0411
Issued Date : 0212312023
Inspection Area : 6
rf:
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: 2207 PORT HARWICK PL
Description: SFR (N) SPA 63 SF WITH DRAINAGE
Owner: STEVENOBRIEN
Address : 2207 PORT HARWICK PL
NEWPORT BEACH, CA 92660
Phone
Applicant: HEAVENLY POOL CONSTRUCTION
Address: 175 S PERALTA HILLS DR
ANAHEIM, CA 92807
Phone: (714)222-2877
Owner/Builder :
Address :
Phone:
Legal Desc : N TR 7845 BLK LOT 3
Contractor:
HEAVENLY POOL CONSTRUCTION
Address :
175 S PERALTA HILLS DR
ANAHEIM, CA 92807
Phone:
(714)222-2877
Con State Lic
: 915039
Lic Expire :
04/30/2024
Bus Lic:
BT30080805
Bus Lic Expire : 02/29/2024
Workers' Compensation Insurance
Carrier: EXEMPT- 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: 20
Flood Zone:
X
Use Zone :
PC - Harbor View Hills
�0
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
THOMPSONMATTHEW
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer: HEAVENLY POOL CONSTRUCTION
Address: 175 S PERALTA HILLS DR
ANAHEIM, CA 92807
Phone: (714)222-2877
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
$40,000.00
0
0
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)
3action 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
is permit to file a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' Stato 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 licensure and. The basis for the alleged exemption.. Any violation of Section 703t.5 by any applicant for a. permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Dsiness and Professions Code: The Contractors' State License Law does not apply to an owner of propertywho, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale, 11, 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
nproved 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
ply 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).
I am exempt from licensure under the Contractors' Stale License Law for the following reason:
q 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
ell 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:htip://www.legfnfo.ca.govicalaw.html.
.ignature of Property Owner or Authorized Agent _ Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profs Code, dud my license is ini force
nd effect. License Class License No Date e� —2� �'� 2 Contractor Signature
JORKERS' COMPENSATION DECLARATION
'ARNING: 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 (St D0.0001. iN ADDITION TO TH'.
DST OF COMPENSATION. DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone 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 Section 3700 of the Labor Code, for ti
erformance of the workfor which this permit Is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the labor Code, for the performance of the work for whichthis permit is issued. My Workers' compensatiol
trance carrier and policy number are:
,ter Policy Number Expiration Date
fle of Agent Phone ff
certify that. in the performance of the work fgrr- hich this permit 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
if I should become subject io the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IatureofApplicant _ _ Date
:reby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
idera Name Lenders 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,
have read this application and the information I have provided is correct. I
agree to co,aply with all applicable city and coup ordinances and state laws relating to building construction. In .�� \ fr
I authorize representatives of this city or cc to ter thee bove-identified r efirrspedion-purposes, VVV VWW"ttt--- N . l
,nature of Property Owner or Authorized AO t 7 Print Property Owner's or Authorized Aaent's Name � Rate 2
ACTION DATE BY j ��p�RT FZ OF TITLE 4DAND AOMD RULF.Q4! COMPLIANCE WITH RAL FOR OFFICE USE ONLY G/
f
F°'kMiT FXPrRED {CsuomirrFDASSESTOSNOTIFICATIONTO
?-70TCAAICELLED E ❑EPA. All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PE"'MIT EMENDED —J:' -wUi AQM_D be in place prior to approval to fill pool/spa & shall remain in place &. be maintained for the
ri 'MIT i"L ;, MASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool
CERTIFICAT'OF i PROPOSED DF, IITION
OCCUPAPIC/,55.7fD SIGNAn1RE( /
23
MANUFACTURER'S NAME & PRODUCT DATA SHEET
(LISTING tlB LEVEL)
�e6M1Y.
INTELLIFLO VSF
VARIABLE SPEED AND FLOW PUMP
EQUIPMENT INFO
MAKE
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MODEL
INTELLIFL03 VSF
BOUND LEVEL
46CB
REFERENCE
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BUILDING DIVISION
POOL EQUIPMENT NOISE ANALYSIS PLAN
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