HomeMy WebLinkAboutS2024-0159 - Permits��EWPORT City of Newport Beach
p Community Development Denartrnent- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888 j
newportbeachca.gov/civic
C'9q FORH�P Combination Type - SFP
Work Class - Alteration
PERMITS EXPIRE 180 DAYS AFTER IS
NO CONSTRUCTION RELATED NOISE ON
Job Address: 3 JADE COVE
Description: SFR REPLASTER AND REMODEL (E)
Owner:
PURVIS CAROL A TR PURVIS FAMILY TR
Address:
3 JADE CV
CORONA DEL MAR, CA 92625
Phone:
(949) 720-3962
Applicant:
ALAN SMITH POOLS
Address :
227 W CARLETON AVE
ORANGE, CA 92867
Phone:
(714) 628-9494
Owner/Builder:
Address:
Phone
Code Edition: 2022
Type of Construction :
Occupancy Groups: U
Bldg Height:
Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 62-58
Flood Zone: X
Use Zone: PC - Harbor View Hills
I�
PROCESSED BY :
SPECIAL CONDITIONS:
OR LA
AY OR
�Ip s III IIIII IJIII IIIII IIJI I�III II llll llll III II
0 0 0 0 00 0 0
oc o 0 0 0 0 0 0 0
000 0 0 0 00o no
0 0
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Pool Permit : S2024-0 1 59
Plan Check No: PC2024-1446
Issued Date : 09130/2024
Final Date:
Permit Status: Issued
eoo 0 o e Inspection Area:6
e c o 0 0 0
0 0 o e� ooc
INSPEC216N, E&,T,NO r ATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Legal Desc : N TR 7844 BLK LOT 33
Contractor: ALAN SMITH POOLS
Address: 227 W CARLETON AVE
ORANGE, CA 92867
Phone: (714) 628-9494
Con State Lie: 571196
Lie Expire: 06/30/2025
Bus Lie: BT00012422
Bus Lie Expire : 08/30/2025
Workers' Compensation Insurance
Carrier: ARCH INSURANCE COMPANY
Policy No: AGWOC12545401
W. C. Expire: 4/1/2025
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories :
Architect :
Address
Phone:
State Lie
Engineer:
Address :
Phone:
Designer: ALAN SMITH POOLS
Address: 227 W CARLETON AVE
ORANGE, CA 92867
Phone : (714) 628-9494
NO Construction Valuation : $36,000.00
NO Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 0
Added/New sq. ft. Garage: 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale Lice ise Ll:w ror the-raasca;s) ir.d.cated below by the checkmark(s) I have placed next to the applicable ilem(s)
;Section 7031.5. Business and Professions Code: Any city or county that requires a pe ITIA IL cona:WLI, Liter, imprc IS. demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of Ltie Contracts s' State �ic�nse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. r ny violation of Sa.,t:on 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees Mh wages as their sole compensation, will do U all of or ( ) portions of the work, and the structure is not intended or offered for salw(Section 70",
Business and Professions Code: The Contractors' State License Law does not apply to an awde of prcpe y rvho, thro:rgl- employees' or personal effort, builds or improves the propgj.y, provided that the
improvements are not intended Or offered for sale. If, however, the building or improvencrl is Bold within mp year of ronipletio), the Owner -Builder will have the burden of proving that' It was not built or
Improved for the purpose of sale). - - I V
❑ 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
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).
❑ I am exempt from licensure under the Contractors' 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 red year prior to completion of the improvements covebyT!I!i p� it, 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'. i E siness and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner Or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O) of Divi ion 3 of the Business and Profes ' s Code. a s� is in full force
and effect. License Class License No Date 3 Contractor Signature
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'f$h ),I N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 the
performance of the work for which this permit is issued. Policy No.
I ave 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
u Fine carder and policy number are: n ,, t c
crier 'Pr Qf I U (Jt/G� (L • Y Policy Number %�GbU � / — 25 45 / � U � Expiration Date y�7iO2C.
Name of Agent %�fv% jJ� ( FO rya Phone # g-&-C — ��
01 certify that, in the performance work for whi his permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of alifomia, and agre,
that, if I should become sub" to the Coo rs' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
�!
DECLARATION REG IN TRUCTION LENDING AGENCY O /Z
I hereby affirm under Pena ty 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).
.ender's Name Lenders Address
iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provid co
agree to comply with all applicable city and county ordi Fines and sf la rel Ing to building construction.
I authorize representatives of this city or county to enl r the above-i �Ir i�i p inspection purposes. Y� —
2r
of
vner s or Authorized Aaent's Name
LDate Jr 17
ACTION
DATE
BY A DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
j FOR OFFICE USE ONLY
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a poollispa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMIT CANCELLED
EIEPA
PERMIT EXTENDED
OMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
'p 1
"\7
lj
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
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