HomeMy WebLinkAboutS2023-0076 - PermitsaEvuPORT City of Newport Beach IIIIIII IIII IIIIII II IIIIIIIIII IIIIII II Pool Permit : S2023-UU76
o� a Community Development Department -Building Division S 2 0 2 3 0 0 7 6
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0856
S Permit Counter Phone: (949) 644-3288 Issued Date : 04/14/2023
n.Inspection Requests Phone: (949) 644-3255
newportheachca.gov/inspections ! � 1^"S r, rN_r" ,-... Inspection Area : 1
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 : 3906 RIVER AVE Legal Desc : A TR CANAL SECTION BLK 239 LOT 4
Description : SFR (N) 49 SF SPA AT ROOF DECK CX20 Z I -- U1 7'
Owner: RICHARD ROSEN
Address : 3906 RIVER AVE
NEWPORT BEACH, CA 92663
Phone: (949) 246-5215
Applicant: GONTERMAN CONSTRUCTION
Address: 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone: (949)697-0746
Owner/Builder :
Address:
Phone
Contractor: GONTERMAN CONSTRUCTION
Address : 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone : (949) 697-0746
Con State Lic :
858073
Lic Expire :
04/30/2023
Bus Lic:
BT30048414
Bus Lic Expire :
09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9259518
W. C. Expire: 8/22/2023
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : U No of Units :
Bldg Height: No of Stories
Building Setbacks : Front: 4, Front: 20, Side: 3, Side: 3
Flood Zone: AE, 8 FT; X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: %I
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer
Address
:Ji67,7�1
Designer: GONTERMAN CONSTRUCTION
Address: 502 30TH ST, UNIT A
NEWPORT BEACH, CA 92663
Phone: (949) 697-0746
Construction Valuation : $6,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 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 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
the permit to file a. signed statement that he or sheds licensed pursuant to the provisions of the Contractors' Stale 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).
1:11, 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,
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. 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
improved 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
a ply 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).
I am exempt front lioensure 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 if it has not been constructed in its entirety by licensed contractors. -I understand that a copy of the applicable law, Section 70" of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:Uwww,teginfo.ca.govic law.html.
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 9 (commencing with Section 7000 of vision 3 of the Business and Profession_ s Cgds, and icense is in full force
and effect. License Class License No Date 0 '.1aZ Contractor Signature �fia kr-epti.
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 THOUSAND DOLLARS IS100A00), IN ADDITION TO THe
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I haveand 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 th
performsee of the work for which this permit is issued. Policy No.
L`.,Jrhave and will maintain workers' compensation insurance, as required by Section 37OG of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone q
❑I certify that, in the performance of the work for which this permit is issued. I shall not employ any pennon in arty manner so as to become subject to the workers' compensation laws of California, and agre
that, if I should become subject to the w—orkers' compensation provisions of Section 3700 of the Labor Code, I -shall forthwith comply With those provisions. /
Signature of Applicant °�'�^`�"' Date
DECLARATION REGARDING CONS TRUC ON LENDING AGENCY
I hereby 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).
Lender's Name Lenders Address
By 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 applicablecity and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter ih identified property for inspection purposes.
Signature of �Y Owner or Authorized Agent
�- Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PEhMiT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERA41TCANCE.LED OEFA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
rErrM1rEXTENOED D be in place priarto approval to fill pool/spa &shall remain in place & be maintained for the
-77PERMIT FINAL /� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool.
"COPANCYiSF � SIGNATURE:
LITA lOji�
bCCJPANCYISSU=D ?fJton(sr