HomeMy WebLinkAboutS2022-0177 - Permits�6`x'PORT City of Newport Beach II I I I II I II I II III I II II II COMB Permit : S2O22-01 77
p� + A Community Development Department- Building Division
S
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
ermCounter one: ( Pit Cter Phone: 644-3288
yrs Issued Date
Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
y[�FepN� newportbeachca.gov/inspections p
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 : 26 ROYAL SAINT GEORGE RD
Legal Desc : N TR 7323 BLK LOT 23
Description: SFR POOL 448 SF
Owner: REKLAW LLC
Contractor : INSTANT POOLS LLC
Architect
Address : 418 ORCHID AVE CORONA DEL MAR, CA
Address : 116 SENCILLO PL LADERA RANCH, CA
Address
92625
92694
Phone:
Phone: (949)795-0648
Phone:
Con State Lic : 1009644
State Lic
Applicant : INSTANT POOLS LLC
Lic Expire : 07/31/2023
Address : 116 SENCILLO PL LADERA RANCH, CA 92694
Bus Lic: BT30053469
Engineer:
Phone: (949) 795-D648
Bus Lic Expire : 12/31/2033
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier: NO EMPLOYEES
Address :
Policy No: EXEMPT
Designer
Phone:
W. C. Expire:
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction :
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg:
Bldg Height :
No of Stories :
Added/New sq. ft. Garage:
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone: PC - Big Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
$45,000.00
0
1
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 [terms)
;Section 70W.6, 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
the permit to rile 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
Professions 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
not 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 U portions of the work, and the structure is not intended 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 property, provided that the
Improvements are not intended or offered for sale. II, 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
m roved for the purpose of sale)
I, as owner of the property, am exclusively contracting with licensed Contractors to construct Ilse project (Section 7044. Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who bullds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).
❑ I Bar exempt from icensure under the Contractors' Slate 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 legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:httpJ/www.leginfo.ca.govIeBlaw.btml.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g. (Gommencing with Section 7 of DY b he Business and ref ' s Code, an y license is In full farce
and effect. License Class License No Da rdmctor Signal
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 THOUSANb DOLLARS IE160,6001. IN ADDITION TO TH.
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
IIhrh�ttereby affirm under penalty of perjury one of the following declarations:
F1 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 It
performance of the work for which this permit is issued. Policy No.
have 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'
rance carder and policy number are:
that, in the performance of the
ould become subject to the wg
of Applicant % A 7
Policy Number
Date
permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t provisions of Section 3700 of the Labor Code, I shall forthwith comply, With those provisions.
T-- - -1, ?
hereby affirm under penal e.' ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Radars Name _ _ lenders Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ' rrriCHs^Rt lating to building construction.
I authorize representatives of this city or count an a eve-iOlfied property for inspection purposes. \ (,• , n I L
DATE
PERMIT EXPIRED
I SUBMITTED ASBESTOS
&11R CODE OF FEDERAL
40 AND AQMD RULE
TO
FOR OFFICE USE ONLY
�-9 -1
Date
PERMITCANCELLED OEPA �� A'I required aiafms, fa...I_s Gct^s and fences which serve as part of a pool/spa barrier, shall
PERMIT WENDED ( QMD 'JF In place pain fo app,,,v 31 , i tit( poolJSpa & hall rg main in p lacSk be maintained for the
142 or tnH po.:'. 1,
PERMIT FINAL i A5RE5TD5 ilUIIFICATION IS NOT APPLICABLE TC ¢ �7' �%3 S
CERTN'ICATE of PROPOSED DEMOLITION1.
OCCUPANCY155UEO SIGNATURE: