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HomeMy WebLinkAboutS2022-0141 - Permits2EWPO�T City of Newport Beach II II I I II I II I II III I III I II D4 Community Development Department- Building Division „COMB Permit : $2022-01 41 > j 100 Civic Center Drive, Newport Beach, CA 92660$?lan Check No : 1551-2022 n Permit Counter Phone: (949) 644-3288 Cnation Type Inspection Requests Phone: (949) 644-3255 W " Class :Other </FO0.N newportbeachca.gov/inspections sub date A I ection Area ,g 0 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST V D INSIPE ON, O LATER AN NO CONSTRUCTION RELATED NOISE ON SATURDAY OR DAY I 'F{ DE,PGSVI AREAS NO W( Job Address : 3927 SANDUNE LN Description: SFR NEW POOL & SPA 731 SF W/ Owner: Address Phone: Applicant Address Phone: N QUESADA STEPHANIE D TR 3927 SANDUNE LN CORO 92625 Code Edition° Type of Cons1 Occupancy G. Bldg Height : Building Setbacks Flood Zone Use Zone: Processed By: Zoning Approval: Grading Approval: Legal Deso : LEC TO AND FQI PIT r0� Contraetoorr': PACT* PARADISE POOLS Architect Address : 30/ S HARBOR BLVD SANTA ANA, CA A^ess : 92704 ` Phone : (714) 437-7665 .(�x�one Con State Lic : 522119 V State Lie Lic Expire : 08/31/2024 �( Bus Lic : [3T30046344d1 Engineer Bus Lic ExpireP 02/28/2023 p G S�a��e Pddne� Workers' Com ensation In T Carrier: --'Polipy No �..,, W. C. Expire I i t; �toXorles � 1" "rs Zon e Units Ne% CC ^ ,dl SPECIAL CONDITIONS: EL NO N Public Works Approval: ORIGINAL ISSUANCE DATE (AND HOLIDAYS IN ALL AREAS Construction Valuation : Added/New sq. ft. Bldg: Added/New sq. ft. Garage TTHEW AVE ANAHEIM, CA 92807 �-a Plan Check By: 1"4.b Approval To Issue: OWNER -BUILDER DECLARATION. ' I hereby affirm under penally of perjury that I am exempt (torn the Contractors' State License Law for the reason nd+ca belgyJ 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 apermR to construct, alter, i ve,damolis ar repair any slrudWre, prior to its issuance, also reyulres the applicant for he pormit to file a. signed statement that he or she is licensed pursuant to the provisions of the Contractors' to Liconse Law ( apfet9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. iolation of Section 703 byany applicant for a permit subjects the applicant to a civil penalty of iot more than five hundred dollars ($500). ,r,,��� I as owner of the property, or my employees with wages as their sole compensation, will d all of or (_) portions.0,01a wo(k, an the structure is not intended or offered for sale (Section 7044, 3useasis and Professions Code: The Contractors' State License Law does not apply to an er of pro try, who, employees o ersdiral effort, builds or improves the property, provided that the morovements are not intended or offered for sale. If, however, the building or Improve is sold one y p completion, Own -Builder will have the burden of proving that it was not built or Piproved for the purpose of sale). e _- I asowner of the property, am exclusively contracting with licensed Contra to eonsM0118 pro ection 704 usiness and Prot sioms Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who cons for t Q� cts if o0 ensed Contr or pursuant to the Con clots' State License Law), I am exempt from licensors under the Contractors' Slate License fpr the foRowi g Pat ` 3y my signature below I acknowledge that, except for my personal idence in which I ml{sfp9d© rasidac gr, least one year prior to completion o e improvements covered by this permit, I cannot legally :GII a Structure that I have built as an owner -builder 9f it has not en construct. In its emir by lice(�ph`roniractors. Understand that copy of the pYicable law, Section 7044 of the Business and 'rofesslons Code, Is available upon request when this appf on Is submC. d or at the following w,� te:hitp:llwwvr.leginfo.ca.govlcalaw.himl. signature of Property Owner or Authorized Agana Date -ICENSED CONTRACTOR'S DEC LARATIO hereby affirm under penalty of perjury that I a censed revisions er mending with Section 7 Div! f t i ss and P sat C P a, m nse is in full force J¢ + rnd effect. License Class f icense II6"VVt Date /i clot S gnatu IVORKERS' COMPENSATION D RATION YARNING: FAILURE TO SECURE WORKER DMPENSA710 OVERAGE I5 UNLRWFU L. P SHALL SUadkQ EMP aR i0 CRIMINAL P£NALT�CIYi ONES UP TO ONE HUNOR TH 'RAND DOLLARS (E140.0001, 1N ADAniON TO THE :DST OF COMPENSATION, DAMAGES PROVIDED FOR SECTION) 060FTHEL DE, INTERa6T nNc`A, p 'SFEES. ���jjj•" harsh affi m under penal f perjury on the encoring declarations: ..FF Z(�\1 hav and will Lain a cart F to of consent tO sc'1 insures for .vorkem' ompensabrdln Issued by the of IneI Relations p or ecfion 3700 of the Labor Code, for IN orm nee of t ork for hlc is peritifZ,ns ced. Policy Na k:- e a ill maj;ptalhPrfiorkers' comensatian. insurznce a; req+urerf by Section 3700 of the t at`orC��.4a. for erformanea e w+�Fbr w this permit is issued. My workers' compensation n n ,ca r an cy num era: ' (gyp ` ter PrlcyrNumber .1Tatlo ate game of A II. o all , ti �I certify th'i,�rg, th eno n e work i Is rt is issued, I shall t employ any persorj.rrrany m net so a. b a subject to the workers' compensation laws of California, and agra+ hat. if I should' 'ti WIn so e e or cc Isa rovislons of Sect of the Labor C,ra�, I sh orthwilh m 7h those provisions. D �� %i Z/ 3ynature o(App6 F�, _ _ _ _ )ECLARATION RE ,_ ..I DING AGENCY CP hereby affirm under "I pent matt a construction ! a in or the p�Lirma of the f ich this permit is issued (Section 3097, Civil Code). -ender's Name@t e�lider's ress 3y my signature below, I #y each a following: a. , r,1y I am the property owns ut fixed to act o ow : shelf.� I have read this appl vatic d inform RV vi c .Fact. I agree to comply with all ap , to city a. cou or i as a So relatin b. Ing construction. I authorize representatives of •cat rc o r so a -id led prop y f spection purposes. / L > nature of Proporty Owner or Auth � d Print Proper Owner's or Authorized Agent's Nam ACTION DATE -r;, i OF CO IA. ITN COOS OF FEDERAL I FOR OFFICE USE ONLY I_RE.ATIONS PA 51 tTtE 40 AND AQMD RULE PERMIT EXPIREO I IJ I SU YT SBESTOS NOTIFICATION TO PERMITCANCELLE1l �,y y.�3 D/�.IY..iLe; : pP All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED `i` l.. QMD be In place prior to approval to fill pool/spa & shall remain In place & bemaintained for the PERMIT FINAL tUASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool.. CERTIFICATE OF 'PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE__