HomeMy WebLinkAboutS2023-0146 - Permits�2tiWPD City of Newport Beach
D 6 Community Development Department - Building Division
-. 100 Civic Center Drive, Newport Beach, CA 92660
Yr+ S Permit Counter Phone: (949) 718-1888
o4 newportbeachca.gov/civic
C9',F00.�,P Combination Type - SFP
Work Class - New
Pool Permit : S2023-0146
Plan Check No : PC2023-1689
Issued Date : 09/22/2023
Final Date:
Permit Status: Issued
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: 900 ALMOND PL Legal Desc : N TR 4705 BLK LOT 10
Description: SFR NEW POOL AND SPA 378 SF (X2021-3311)
Owner: GARY SMITH
Address : 900 ALMOND PL
NEWPORT BEACH, CA 92660
Phone: (714)747-3202
Applicant: SARAH BLATARIC
Address: 31 TESSERA AV
LAKE FOREST, CA 92610
Phone: (949)408-8676
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Contractor:
BRETT STEELE
Address :
4921 E LEEDS
ORANGE, CA 92867
Phone:
(714)496-1427
Con State Lie
: 923975
Lie Expire :
10/3112024
Bus Lie:
BT30042152
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: EXEMPT -NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
2019 Fire Sprinklers :
Fire Hazard Zone
R3/U No of Units :
No of Stories
Architect
Address
Phone:
State Lie:
Engineer:
LACHERTODD
Address :
1201 N TU STINAVE
ANAHEIM, CA 92807
Phone:
(714)630-6100
Designer:
SARAHBLATARIC
Address:
31 TESSERA AV
LAKE FOREST, CA 92610
Phone:
(949)408-8676 ..,
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
Front: 10, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
SPECIAL CONDITIONS:
$139,000.00
0
0
r
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 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 Bcensure 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 withwages as their sole compensation, will do L) 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. 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).
❑ 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
ra�ptply 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).
u I am exempt from licensure under the Contractors' Slate License Law for the following reason
By rry signature below 1 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 legallt,
sell a structure that I have built as an owner -builder it 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 avallable upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca,govlcalaw.html.
Signature of Properly Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) f Di "'ion 3 of the Business and Prof on
cod - i bee is in f I -fierce
and effect. License Class License No Dato z Contractor Signatur
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 I3100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE„ INTEREST, MD ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
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' compensatior
insurance carrier and poiicy number are:
Carrier Policy Number Expiration Dale
Name of Agent Phone 8
`Viertify that, in the performance of the work for which this permit is issued, I shall not am play any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, if I should become Sabi cl t th are co ensatioo provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant _ Date
DECLARATION REGA IN N TRUCTIO LENCY
I hereby affirn, under penal. 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),.
Lende:'s Name Lender's Address
IBY my signature uelov6, I certify to each of the following:
' an, the property owner or authorized tG Solon the properly owner's behalf,
r nave read its application and the information i ha videtl is correct.
I agree to comp:y with all applicable city and coup a laws relating to building construction.
I authorize rcprenrnabves of this city Or COUm. o r the e-id tified npedy, for inspection purposes. �" �/�/�n G
Signature of Primer'' Owner or Authorized Agent Print Pro ertOwner's or Authorized Agent's Narnw - �T . Dale / z Z�
ACTIuN DATE aY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RLGULATIONS PART61 OF TITLE 40 AND AQMD RULE.
1403
PERMITEXPfREO El I SUBMITTED ASBESTOS NOTIFICATION TO
PERntfi' CaNCEILED 01PA All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall
PERMIT EXTENOLe _j _—d10M0 be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
PERMITFfNAL / / ASBEStOSN C ISNOTAPPUCABLE TO life of the pool.
OCCU ICATE OFANCYISSUED _ SGNPROP TUREe ON
OCCUPANCY lSSUEO / _ !!!�%��