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Home My WebLink AboutS2022-0215 - PermitsCity of Newport Beach ��tiWPp�T p @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u n T Permit Counter Phone: (949) 644-3288 Y Inspection Requests Phone: (949) 644-3255 cqt/Fe0.N�P newportbeachca.gov/inspections Combination Type - Work Class - Other Pool Permit : 52022-0215 Plan Issued e Check 1011912022 PC2022-2621 Inspection Area : 3 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: 321 ALISO AVE Description: NEW SPA 126 SF W/DRAINAGE Owner: JOSEPH CLOUGHERTY Address : 321 ALISO AVE NEWPORT BEACH, CA 92663 Phone: Applicant : BLUE PACIFIC POOLS CALIFORNIA Address : 25108 MARGURITE PKWY #A79 TRABUCO CANYON, CA 92679 Phone: (949)310-3196 Owner/Builder : Address : Phone Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 17 LOT 15 Contractor: BLUE PACIFIC POOLS SOUTHERN Architect: CALIFORNIA Address : 25108 MARGURITE PKWY #A79 TRABUCO CANYON, CA 92679 Phone: (949) 310-3196 Con State Lie : 923454 Lie Expire : 1013112022 SOUTHERN Bus Lie: BT30073923 Bus Lie Expire : 01/3112022 Workers' Compensation Insurance Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No : 9126143 W. C. Expire: 2/28/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups: No of Units: Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 -Single-Unit Residential PROCESSED BY: SPECIAL CONDITIONS Address: Phone: State Lie Engineer: THOMPSON MATTHE'N f(, Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone : NO Construction Valuation : NO Added/New/Tl sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage: $30,000.00 0 0 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. alt)r, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the 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 licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more Ihan five hundred dollars ($500). ❑ I, 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 notintended 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 properly, 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 Im 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 rrapply 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). LI I am exempt from licensure under the Contractors' State 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 year prior to completion of the improvements covered by this permit, I cannot legall) 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 available upon request when this application is submitted or at the following Web site:http:tfwww.leginfo.ca.gov/ alaw.html, Signature of Property Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde• penalty, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) ivi ion 3 of the Business and Profe od my lip e is In full force and effect. License Gias:, License No Date 9 Z 2 Contractor Signature W0RKI!:PS' COMPPPISATION DECLARATION WARNING: FAILURE TO RFCVRt WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF C DMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby z ffirm under penalty of perjury one of Iha following declarations: and wii, hRrJHm a certificate of consent to sell -insure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ice or the work for which this permit is issued. Policy No. end will meirtnin workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa carrier and policy number are: -ier_ I Policy Number 1e of Agent Date certifv :hat, in tha pe f,)rm) n4ofhrk h th p rmit Is issued, I shall not employ any person in any manner so as to become subject to the workers'compensatio laws of California, and agn I, if I should beccr!,e srbjec tr co ens provisions of Section 3700 of the Labor Code, I shall forthwith comply Wth those provisions.nature of Applicani,_/._.._ � (�/2- CL.ARATION REGMtbiNG CION LENDING AGENCY /—'— weby 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). iders Name Lenders Address ^ _ my signature below, I certify to each of the following: 1 am the property owner or authorized to Be, on arty owner's behalf. I have read this application and the Informalio I have rovid d is C0 , I agree to comply with all applicable city and c unty o ances a stat aws r Fig t0 building construction. I authorize representatives of this city or count me the ao e- dfle a for inspection purposes. / nature of Prooery Owner or Authorized ADen 4 Print Pronery Owner's or Authorized AOent's Nam CQ ACTION DATE BY DECLARATION OF COMPLIANCE WITI4 CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 51 OF TITLE. 40 AND AQMD RULE 1403 PERMI F EXpfRFp LJ I SUBMITTED ASRFSTOS NOTIFICATION TO ✓'ERMIT CANCEufn - - - EPA - - - All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITEXrENVED LJAQMD be in place priorto approval to fill pool/spa & shall remain in place & be maintained forthe PERMIT FINAL •Z -Z =J ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION — OCCUPANCY ISSUED SIGNATUREi