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HomeMy WebLinkAboutS2022-0217 - Permits��EWPORT City of Newport Beach p A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660, n Permit Counter Phone: (949) 644-3288 tea. Inspection Requests Phone: (949) 644-32G5 c'4 coaN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other Pool Permit : S2022-O2� 7 S 2 0������������������������������������� II Plan Check No: PC2022-2629 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 : 2399 TUSTIN AVE Legal Desc : R BK 65 PG 16 PAR E IRS 65-16 PAR E & THE NWLY 60 FT. OF THE SELY 90 ' Description: SFR NEW POOL & SPA 279 SF W/ CITY STANDARD DRAINAGE. INCL POOL FENCING Owner: ROBERT FITZGERALD Contractor: LANDCRAFT POOLS Architect Address : 2399 TUSTIN AVE Address : 17481 PARKER DR Address NEWPORT BEACH, CA 92660 TUSTIN, CA.92780 Phone : Phone : (714) 746-6154 Phone: Con State Lie : 1073016 State Lie Lie Expire : 03131/2024 ,"' Applicant: DREW KUNDE Bus Lie : BT30074960 Engineer: LACHER TODD Address : 17481 PARKER DR Bus Lie Expire : 04/30/2023 Address : 1201 N TUSTIN AVE TUSTIN, CA 92780 ANAHEIM, CA 92807 Phone: (714) 746-6154 Phone: (714) 630-6100 Workers' Compensation Insurance Carrier: Owner/Builder : Policy No: 9321939 Designer: Address : W. C. Expire: 7/24/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $65,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: , SPECIAL CONDITIONS i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the ohockmark(s) I have placed next to the applicable Item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its Issuance, also requires the applicant for in 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). 1 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, tusiness and professions Code: The Contmolets' State License Law does not apply toan owner of property who, through amployees' or personal effort, builds or Improves the property, provided that the nprovements are not intended or offered -for sale. It, however, the building or improvement is sold within one year of completion, the Owner-Buifder will have the burden of proving that It was not built or nproved for the purpose of sale).. I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply town 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 from licensure under the Contractors' State License Law for the following reason: _ iy my signature below € 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, 1 cannot legall, ell a structure that I have built as an owner -builder if it has not boon constructed in Its entirely by licensed contractors, I understand that a copy of th_s applicable law, Section 7044 of the Business and "rofessions Code, is available upon request when this application is submitted or at the following Web siteihttp:IAw ,leginfaoa_goviulaw.html. ngnature of Property Owner or Authorized Agent a .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Sectio 00) Devi fan 3 Df the Business and PrplonC and my licensei fWt force nd oNect. License Class License No Date '? Contractor SignaturVORNERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORLLARS ($10040s, IN ADOPTION TO THE DST OF COMPENSATION;. DAMAGES AS PROVIDED FOR IN SECTION 370e OF THE LABOR COOS. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury am 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 in erfonnance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number to of Agent certify that, in the porter once ofJfhe cPrk for whi , r this , if 1 should become act to th WO rs' comp ..nsatioi rreby affirm under pedalty of perjury that there Is a corn ider's Name my signature below, I certify to each of the following: i am the property owner or authorized to act on the ph I have read this application and the Information I:have I agree to comply With all applicable cityandIt ty or I authorize representatives of this city or coo o anti PERMIT EXPIRED PERMIT EXTENDED PERMITFINAL CERTIf rCAM or Date I iossuK I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre sores £ 5 Pon 3700 of the Labor Code, I shall forthwith comply with those provisions. Da f�® lending agency for the performance of the work for which this permit Is issued (Section 309, , Ci II Cade), Lender's Address Is Carta and s e laws elating to building construction. we-ide. tlfie*roperty for inspection purposes. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE AD AND ACMD RULE NOTIFICATION IS NOT APPLICABLE TO mer's or Authorized Au FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place priorto approval to fill pool/spa & shalt remain in plape & bemaintained for the life of the pool .vti L` 141