HomeMy WebLinkAboutS2022-0188 - Permits","WpoR, City of Newport Beach II I I I II I II I II III II II I II
0 Community Development Department- Building Division Pool Permit: 52�22-��$$
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F r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2256
Permit Counter Phone: 949 644-3288
U S ( ) Issued Date
Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
gcrFoae` newportbeachca.gov/inspections
Combination Type -
Work Class - Other
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 : 1814 PORT CHARLES PL
Description:
SFR POOL & SPA 406 SF
Owner:
Jeremy Grissinger
Address:
11912 ARROYO AV
NEWPORT BEACH, CA 92660
Phone :
(949) 922-5755
Applicant:
SCHWARZ POOLS
Address :
PO BOX 28437
SANTA ANA, CA 92799
Phone :
(714) 241-7665
Owner/Builder
Address
Phone:
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
2019
U
Front: 20, Side: 5, Side: 5, Rear: 10
X
PC - Harbor View Hills
Legal Desc : N TR 6622 BILK LOT 8
Contractor:
SCHWARZ POOLS
Address :
PO BOX 28437
SANTA ANA, CA 92799
Phone :
(714) 241-7665
Con State Lic
: 967325
Lic Expire:
09/30/2022
Bus Lic :
BT30038738
Bus Lic Expire
: 03/31/2023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Architect
Address
Phone:
State Lic
Engineer:
LACHER TODD
Address :
1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone :
(714) 630-6100
Designer
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg
No of Units :
Alteration sq. ft. Bldg :
No of Stories :
Added/New sq. ft. Garage
PROCESSED BY: SP
SPECIAL CONDITIONS:
$75,000.00
0
U
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 items)
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
he permit to file a signed statement 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
'rofessions Code) or that he or she is exempt from licensure 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
lot more than 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 not intended or offered for sale (Section 7044,
lusiness 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
Tprovements 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
mproved 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
poll, 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).
1 am exempt free licensure under the Contractors' State License Law for the following reason:
3y 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 imp€ovements covered by this permit, I cannot legall7
Gil a structure that I have built as an owner -builder if it has not been constmctad in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ce.govic law.html..
>ignature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of 'vi 3 of the Business and Proles is C ense is In full force
Ind effect. License Class License No Date LZ Contractor Signature
PORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS OLLARS ISIOO.0001, IN AODDION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one 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 of the Labor Code, for Ill
b(ormance of the work for which this permit is issued. Policy No.
-nave 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' cornpensatior
nsur nee carder and policy number are:
r Policy Number Expiration Date
flame of Agent Phone N
-1I certify that, in the performance of the rk for which this permit is issued. I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
hat, if I should become subject/tt9AIq'e rk r campensauon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applicant //'_ _ N L _�7�-� Dale
)ECLARATION REGARDS N>; CON V T CTICNQING AGENCY
.enders Name Lenders Address
3y my signature below, I Certify to each or the following:
I am the property owner or authorized to act on the property er's behalf.
I have read this application and the informat4havo ' e Is correct.
I agree to comply with ail applicable city and d slate taws relating tG building construction.I authorize representatives of [his city or couthe Bove -ides perty for inspection purposes. ✓ �C
nature of Propert' Owner or Authorized AysnPrint Property
_J.ii
Owner's or Authorized Agent s Name ' // / Date /
ACTION
DATE
8Y
EC 7tON OF COMPLIANCE WITH CODE OF FEDERAL
fCR OFFICE USE ONLY
REGULATIONS PART RI OF TITLF. 40 AND AQMD RULE
)403
PERMIT FXPIRLO
I
( LJ I SUBMITTED ASBESTOS NOTI FICATION TO
All required alarms, latches gates and fences which serve as part nr a pool/spa barrier, shall
be in place priorto approval tofill pool/spa & shall remair in plr,cP & be maintained for the
life off/ �the po/rj1. �J///(r�/
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PERiMITCANCELLEn
EPA
PP€RMITEXTENDED
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AQMD
PERMITFINAL.
CERTIFICATE OF
/yp//y3
ASBESTOS NOTIFtCATION IS NOI'APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCY ISSUED
i SIGNATURE:
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