HomeMy WebLinkAboutS2022-0172 - Permitso��t RT
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 -
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Alteration
III II I I I II III I III I I COMB Permit : S2022-0'172
Plan Check No : PC2022-2006
Issued Date : 08/11/2022
Inspection Area : 6
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 : 33 GOLETA POINT DR Legal Desc : N TR:7386 BLK LOT 36
Description: SFR POOL REMODEL TO SQUARED SHAPE. REMOVE (E) SPA AND BUILD (N) 36 SF SPA. ALT DRAINAGE
Owner: YAMIN MIKE MAHMOUD TR
Contractor.: VICTORY.POOLS
Architect
Address : 33 GOLETA POINT DR CORONA DEL MAR, CA-
Address: 1164.N SACRAMENTO ST ORANGE, CA'-.
Address
92625
92867
Phone:
Phone; _ (714) 4692702
Phone:
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Con State Lie : 976169
State Lie:
Applicant: VICTORY POOLS
Lie Expire ; 05/31/2023 -
Address : 1164 N SACRAMENTO ST ORANGE, CA 92867:
Bus Lie ; BT30061313
Engineer : LACHER TODD
Phone: (714) 469-2702
Bus Lie Expire : 11/30/2022 -
Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807
Workers' Compensation Insurance -
Phone: (714) 630-6100
Owner/Builder: '`
Carrier WESCO INSURANCE COMPANY
Address :
Policy No : WWC3584728
.: Designer: VICTORY POOLS
Phone:
W. C. Expire ; 5/2/2023
Address: 1164 N SACRAMENTO
ST ORANGE, CA
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92867
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Phone: (714) 469-2702
Code Edition : 2019
Fire Sprinklers : _; NO
Construction Valuation : $55,000.00
Type of Construction :
Fire Hazard Zone ; No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 0 -
Alteration sq. ft. Bldg :
Bldg Height: -.,
No of Stories : 0
Added/New sq. ft. Garage: 0
......
Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 55-56
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Flood Zone : X
Use Zone : PC - Harbor View Hills
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PROCESSED BY:
SPECIAL CONDITIONS:
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i hereby affirm under penalty of perjury that t 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 teas —
3bclion 7031.5. Business and Professions Code: Any City or county that requires a Permit to Construct, alter, improver 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 the provisions o(the Contractors' State LiCadsa Law (Chapter 9 (Commencing with $action 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 sxemptlon. Any violation. of Section 7bai.5 by any applicant for A permit. subjects the applicant to a elvil penalty of
of more than fivehundred dollars ($500),
1, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or (-,) portions of the work; and the structure Is not intended or offered for sale (Section 7044,
o4fiess and Professions Code: The Contractors' State License Low does not apply (D anowner of property who, through employees' or personal effort, builds or Improves the property: provided that the
nprovempnls are not Intended or Offered for sale, If, however, the building or Improvement is sold within one year of completion, the Owner-Bulider will have the burden of proving that It was not bulft. of
n roved for the purpose of sale).
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
ply to an owner of property who builds or Improves.thers on, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law),
I am exempt from licensors under the Contractors' state License Law for the fonowing reason:
.y my signature bolmr 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 tills permit, t.cannot legally
ell a structure that I Have built as in owner -builder if it has not bean Constructed In its entirety by licensed contractors. I understand that a copy of be.opplicoble law, Section 7044 of the Business and
'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:flwww,leglnfo.ca.gov/ealaw.html.
Ignature of Property Owner or Authorized Agent._,_,_, Date
iCENSED CONTRACTOR'S DBCi.,ARATION
hereby affirm under penalty of perjury that I am ilconsed under provisions of Chapter 9 (Commencing with Section 7000) of Dlvision 3 of the Business and Profession Is is in full force
od effect. License Class License No Date vim- a, 2 L Contractor SignatureSG
I/ORKERS' COMPENSATION DECLARATION
'ARMING: PAILURE TO SECURE WORKERS' COMPENSATION COV£RADE.IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE -HUNDRED THOUSAND DOLLARS ($100,0004111 ADDITION TO THE:
DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706,OF'THE LABOR CODE, INTEREST, AND ATT'p RNEY'S FEES, -
hereby affirm under penalty of perjuryone of the following declarations: - --- - -- -
I 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 bf the Labor Code, for thf
arformence of the work for Which this permit is issued. Polley No.
�-hsvo and will maintain workers' compensation insurance, as required by Section 3700 of the Lobar Code, for the performance .ofthe work for which. this permit Is Issued. My workers' compensation
Isurance carrier and policy number are:
artier. Policy Number Expiration Date
!ama of Agent Phone fF
3 certify that, In the performance of the work for Which this permit Is Issued; I shall not employ any person in any manner so asto become subject to the workers' compensation taws of California, and agree
inL. If I should become subject to the war at, com • lion provisions of Section 3700 of the Labor Code, I shelf forthwith comply Will those provisions. (�
Itu alure of Applicant ( ' �,- Date
I hereby affirm under penalty of perjury thatthere Is a construction lending agency for the performance of the work for which this permit Is issued. (Section 3097, Civil Code).
Lender's Name _ - - - Lender's Address
By my siynaturtibolow, I certify to each of the following:
I.sm the prbilairiy owner or authorized to act an the property owners behalf.
'I :rava reael this, application and the information I have provided is correct
agree to c6r„ -IQ with all applicable city and county ordinances and state laws releling to building construction.
:I•authorize rppresenlalives of this city or County to e�� r4 as p property for Inspection purposes. m /
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OCCUPAPICYISSUM
DATE I By
OF COMPLIANCE WITH CODE OF FEDERAL
PART bt OF TITI,F AD'ANO AO,MD. RULE
FOR OFFICE USE ONLY
Date'
tJ I SUHM 'TrO ASBESTOS NOTIFICATION TO
EPA All required alarms, latchesgates and fenceswhich serve as part of a pool/spa barrier, shall
Ac1MD- be In place poor to approval to fill pool/spa &'.shall remain in place & be maintained for the
ASBESTOS NOTIFICATION IS NOT APPUCARLE TO life of the pool. 2' bjl`k�
PROPOSED DEMOLITION .2_/ �^