HomeMy WebLinkAboutS2019-0179 - Permits (3)�EwaoRr City of Newport Beach Community Development Department- Building Division s z m 1 s 9 1 7 s
100 Civic Center Drive, Newport Beach, CA 92660 .
Permit Counter Phone: (949) 718-1888�'
ue.S newportbeachca.gov/civic f
r
CgCIppRH�P Combination Type -
Work Class - Other � t1L�
mod.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 0 'LAST, ID IN L°rION, BUT O TE
NO CONSTRUCTION RELATED NOISE ON SATUyR13AY ORS A V91H DENS[ AREAS
Job Address
Description
Owner:
Address
Phone:
Applicant:
Address : "•
Phoiie
Code Edit'
Type of Co
Occupancy
Bldg Height:
COMB Permit : S2019-0179
Plan Check No : 2505-2019
Issued Date: 1111312019
Final Date:
Permit Status: Expired
Inspection Area : 4
\N 3 YEARS FROM ORIGINAL ISSUANCE DATE
WORK ON SUNDAYAND HOLIDAYS IN ALL AREAS
..f''.✓- F{ � `> fir`
1831 E NEWPORT HILLS DR . L Idesc : N,. ZBLKT 59
SFR POOL & SPA 512 SF v,�G
z, t
..Con aclo
�or: ELITE CUSTOM POOLS & SPAS
..
d ess : 25871 VICAR WAY
LAKE FOREST, CA 9263
Phonat��: (714)606-4007
F C e 52987,
a3c�en O5/31/2026 1
ti', BT3003�'- �Q�U
X�A Expire : 03La3
�INorkers' C . p ss on IIr7rance
y Carner T E PUNO �q
Xv Policy N 1375Z4
C. Expi 6/1/2024
36P"
Fire Sprinklers N
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Fire Haz
4f
No t4
Fron ,.SidA, $id'> , Rear: 10
X '�; /
I?C - or View Hills /' �,�•
SPECIAL CONDITIONS:
gr : TODD LEE LACHER
s : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
(714)630-6100
Designer:
Address
Phone:
Construction Valuation :
$0.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
0
Add/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reaso%s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to con ct, alter, improk
the permit to file a signed statement that he or she is licensed pursuant to the provisions of tho tractors' State Li
Professions Code) or that he or she is exempt from licensure and the basis for the allege,91 empdon. Any violatiorppf
not more than five hundred dollars ($500).* r,, t'•"�
❑ I, as owner of the property, or my employees with wages as their sole comp 'anon, wil(do U all o or,(e, portionE
Business and Professions Code: The Contractors' State License Law does apply toR N1,- ner of who, throt
improvements are not intended or offered for sale. If, however, the bull ' or imps, dnt is so(p in one year o
improved for the purpose of sale).
indicated below by the checkmark(s) I have placed next to the applicable item(s)
demolish, or repair any structure, prior to its issuance, also requires the applicant for
c ,se Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
❑ I, as owner of the property, am exclusively contracting with Jjsensed Cg9t(rgdbts to coilD of the projec action 7044,
apply to an owner of property who builds or improves theregp and who corVacts fo�F1k1"rojects with a ' Greed Contractor
❑ I am exempt from licensure under the Contractors' State License Law for � owing reason,
work, and the structure is not intended or offered for sale (Section 7044,
Qloyees' or personal effort, builds or improves the property, provided that the
Xthe,Owner-Builder will have the burden of proving that it was not built or
nd Professions Code: The Contractors' State License Law does not
o the Contractors' State License Law).
By my signature below I acknowledge that, except for my persona esidence ich I mu a resided for at least one year prior to mpt,
sell a structure that I have built as an owner-bgiltler if it has no een constructed in its by licensed contractors- I understand that NCO
Professions Code, is available upon request+When this ap tion i fitted or �trl�e ollowing Web site:httpa/www.leginfo.ca.goy,/calaw.
Signature of Property Owner or AuthorizCd Agent l
LICENSED CONTRACTOR'S DECLA ATI k 'e. r
I hereby affirm under penalty ofperjury� jh licensea.:. Ver' 'Vislp�s bf Chapter 9 (commencing with Section 7000) q( 4 I i of the
and effect. License Class I Llce �>4.. Date �e Cor
WARNING: FAILURE TO SECU E OR
COST OF COMPENSATION, Ga„
1 hereby affirm under p Ity of
OA have aRcL,*V"amtalrl#
�performared 6f the work forQhi
01 have and wilL40ptain
if I
of
hereby affirm u(Ipjer
enders Name ��
y my signature beIN
I am the property
I have read this a
I agree to comply
I authorize repres
ACTION
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
the applicable law, Section 7044 of the Business and
Date
Professions Code, and my license is in full force
ION
ION COV ERAC+8+13 UNLAWF D SO SU' CT AN EMPLDYER TO C AL ENA[TIES AND CML FINES UP ON �D THOUSAND DOLLARS (S10a,0001, IN ADDITION TO THE
N SECTION 3706 OF THE O), AND ATTORNEY'S F
, ollow ng decl pp , t �
hsent to s Ir`Idbr ' s' comperi "iE�N� N? the, ctor of Indus ' R o as vided for by Section 3700 of the Labor Code, for thl
Issues
n ks`Lu ice squired by Sec' 0 �fqe b�i'�Code, for th erfoCr e�of Work for which this permit is issued. My workers' compensatior
v v -
4icv Number Expiration Date
o for which this pe7**fttsked, I shall not employ
the ., ' rs' compensation Npq�" of Section 3700 of the I
so as to become subject to the workers' compensation laws of California, and
I comply With those provisions.
Date
perjury that there fg.a,cvOn lru.4jD0X+c ing agency f6r the perfprfna1p@ of the work for which this permit is issued (Section 3097, Civil Code).
property
ran nforma't[dn I have provi Is cone . -�'
oat' le cityity and county Ordnces an at relating to building construction.
of this city or county to er the ab -i led property for inspection purposes.
.Authorized Acent ,. Print Property, Owners or Authorized ADent's Name
OF COMPLIANCE WITH CODE OF FEDEI
PART 61 OF TITLE 40 AND AOMD RULE
ASBESTOS NOTIFICATION TO
LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
r✓ SIGNATURE:
FOR OFFICE USE ONLY
Date