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Home My WebLink AboutS2022-0257 - Permits"""P0*, City of Newport Beach p o Community Development Department- Building Division 100 Civic Center Drive, Newport Beacri, CA 92660 u Permit Counter Phone: (949) B44-3288 Inspection Requests Phone: (949) 644-3255 °gcraon"`P newportbeachca.gov/inspections Combination Type - Work Class - Other �11111111111111111111111111NIIIIII111111111111I 11 Pool Permit : S2022-0257 Plan Check No : PC2022-3214 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 : 2090 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 247 NEWPORT HEIGHTS LOT 247 NEL Y 70 FT SWLY 210 FT Description: SFR REMODEL POOL TO REPLACE IN SAME LOCATION AND NEW SPA 642 SF & DRAINAGE Owner: JAMES LEARNED Address : 2090 TUSTIN AVE NEWPORT BEACH, CA Phone: (714)745-6984 Applicant: PAUL ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Owner/Builder Address : Phone Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height : Contractor: TIMELESS POOLS INC Address : 660 DUNDEE CT BREA, CA 92821 Phone: (714)618-3326 Con State Lic : 1019202 Lie Expire: 08/31/2023 Bus Lic: BT30080412 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Architect Address Phone: State Lie: Engineer: BIEDENBACH CHRISTOPHER JAMES Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: Policy No: 9206353 Designer: W. C. Expire: 3/10/2023 Address: Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone: NO Added/New/TI sq. ft. Bldg No of Units : Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage: Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: 695 SPECIAL CONDITIONS: $58,000.06 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(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, prior to Its issuance, also requires the applicant for the 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 Professions Code) or that he or she is Exempt from lcansure andthe basis forthe 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 U 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. 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Busfness and Professions Code: The Contractors' State License Law does not apply 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). 1 am exempt from licensure, 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 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.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 nd Dss' ns C e, vision 3 of the Busines aan 1Dense is In full force and effect. License Class License No Date Q 2 Contractor WORKERS' COMPENSATION DECLARATION NARNING: FAILURE SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FREE UP TOONE HUNDRED THOUSAND DOLLARS (9100,000). IN ADDITION TO THE COST OF COMP i10H, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOK, INTEREST, AND ATTORNEY'S FEES, hereby a ' m under penalty of perjury one of the following declarations: Vand will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by $eCi100 870D of the Labor Code, for ih ce 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 workerscompensatiol nsurance carrier and policy number are: Cartier Policy Number Expiration Date Name of Agent y4� Phone # LJI certify that, in the?"CrVAC79rlhe ark for w ro his 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 agre that, if I should becogenf�p�edurythat $ItoIke, co rtsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� Signature of Applica Date_ r �d13 ❑ECLARATION REION LENDING AGENCY I hereby affirm undethere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Lenders Name Lenders Address (Ey n.y SignaturL belov;, 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 his application and the information ! h provided i rect. I agree to comply with all applicable city and cc ty o an. d star vs rela0ng to building construction. authorizb ,ep,asentatives of this city or coun to er Ih Dve-id Mad property for inspection purposes. SI nature of Pm erty Owner or Authorized A en Print Property Owner's or Authorized Agent's Name ` r'L �( 0ate �( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 PERPG:T EXP0 t SUBMITTED ASBESTOS NOTIFICATION TO :IT CANcfLLED _ EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall r LliMIT EX UXEJ M be in place prior to approval to fl ool/spa all remain in place & be maintained for the PERMIT FINAL N SBE' OS NOTIF N IS NOT APPLICABLE TO life of the pool. CERTlFICATEOF i� l� PROPO MOII OCCUPANCY ISSUED !SIG URE: