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Home My WebLink AboutS2023-0006 - PermitsEWPoR, City of Newport Beach p Community Development Department- Building Dlvislbn 0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3298 Inspection Requests Phone: (949) 644-3255 C'�</F00.H`P newportbeachca.gov/inspections Combination Type - Work Class - Other ,"Q"r-� Pool Permit : S2023-0006 Plan Check No : 2488-2019 Issued Date : 01/10/2023 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 : 1940 TERESITA LN Legal Desc : N TR 1806 BLK LOT 49 Description: DELTA 5 REVISION 8 ADD'L SCOPE: ADD ABOVE GROUND SPA **CITY STANDARD** Owner: CONN ROBERT L TR Address : 1940 TERESITA LN NEWPORT BEACH, CA 92660 Phone Applicant: Sean Reynolds Address : 869 18th St Costa Mesa, CA 92656 Phone: (717)143-6509 Owner/Builder : Address : Phone: Code Edition : *LOZ2 Type of Construction : Occupancy Groups: U Bldg Height: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Contractor: SHEAR CONSTRUCTION Architect Address : 31 BLAKEMORE DR Address LADERA RANCH, CA 92694 Phone: (714)615-6108 Phone: Con State Lic : 760853 State Lic Lic Expire : 07/31/2024 TIOD Mg686 3 Engineer Bus Lic: &F3B9566Fi0 Bus Lic Expire : B099/2B't0" 1-314023 Address Phone: Workers' Compensation Insurance Carrier: OHIO SECURITY INSURANCE COMPANY Policy No : XWS61231341 Designer: Sean Reynolds W. C. Expire : 4/11/2023 Address : 869 18th St Costa Mesa, CA 92656 Phone: (717)143-6509 Fire Sprinklers : NO Construction Valuation : $5,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : Alteration sq. ft. Bldg : - - - , No of Stories : Added/New sq. ft. Garage : 0 . • - - Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) a-5 PROCESSED BY: SPECIAL CONDITIONS: REV2023-0053 ABOVE GROUND OWNER -BUILDER DECLARATION i hereby affirm under penalty of per ury 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 01at requires a permit to construct, after, improve, 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 of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 of 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, 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 nprovements 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 nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct ilia project (Section 7044. Business and Professions Code: The Contractors' State License Law does not poly 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). am exempt from licensure under the Contractors' Slate License Law for the following reason: _ ly my signaturo below 1. acknowledge that, except for my personal residence in which I must have resided for al least one year prior to completion of the improvements covered by this permit, I cannot legally oil a structure that I have built as an owner -builder If it Iles not been constructed 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 Website:http:/Iwwv✓.leginfa.ca.govlcalaw.htmi, lignature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q0 ) of D' isio 3 of the Business and Profess' de, � rid m 'cerise is in full force nd effect. License Class License No Dete 4 /[� Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FArLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND civil FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100g00), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 th prr)bnnance 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' ranee carrier and policy number are: Policy Number Date re, of Agent Phone 9 certify that, in the performance of the work for which this 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 , if I should become subject tg.#T"orkers' compensation provisions of Section 3700 of the Labor Code, I shall roril lh comply with those provisions. of Applicant DateI o !._...._... �naby affirm under penalty of perjury that there is a co-ction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097 Ider`s Name Lender's Address 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 reed this anplication and the information I have provided is correct. I agree to comply with all applicable city and co rdina and state laws relating to building construction. I Authorize',epresanlatives of this city or courta ter ine1abov Identified property for inspection purposes. nature Of Prooertv Owner or Authorized Apart Print Pronnnv Owner c nr AlOhnrbad Anant'G Nama rtola I PERMIT EXPIRE? F PERI:p7CANCE:d E0 PERMIT EXTENDCO PERMIT FINAL' CERTIFICATE 0 ° OCCFJPANCY ISSUED _7,y15, BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL s REGULATIONS PART 61 OF TITLE, AD AND ADMIT RULE ASB€5T05 TO FOR OFF]CE USE ONLY Civil Code). All required alarms,, latches gates ces which serve as part of a pool/spa barrier, shall be in place prior to approval fill pool/ a & shall remain In place & be maintained for the life of the pool. Z