HomeMy WebLinkAboutS2023-0067 - Permitso,? City of Newport Beach ��111111111111111p11111111111111111111111111111 jj Pool Permit : S2O23-oos7
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0769
Permit Counter Phone: (949) 644-3288 Issued Date : 04/04/2023
V ` S
. .��' Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
OFN`"_ newportbeachca.gov/inspections
<:.,..:..> Combination Type-
Work Class - Alteration
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 : 5 MALIBU CIR
Description : SFR ALT REMODEL (E) POOL
Owner: MATTHEW GRECO
Address : 5 MALIBU CIR
CORONA DEL MAR, CA 92625
Phone:
Applicant: Jaime Sandoval
Address : 2701 E Adams Ave
Orange, CA 92867
Phone; (714)791-5120
Owner/Builder :
Address :
Phone
Legal Desc : N TR 7432 BLK LOT 22
Contractor: BACKBAY CUSTOM POOLS
Address`. 2153-B SANIMICHEL
COSTA MESA, CA 92627
Phone:
(949)412-0447
Con State Lie
: 813938
Lie Expire :
10/31/2024
Bus Lie:
BT30071919
Bus Lie Expire : 05/31/2021
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
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: 10, Front: 10, Side: 5, Side: 5
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS: LANDSLIDE ZONE
Architect
Address
Phone:
State Lie
Engineer: THOMPSON MATTHEW
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (714)630-6100
Designer: Jaime Sandoval
Address : 2701 E Adams Ave
Orange, CA 92867
Phone: (714)791-5120
Construction Valuation : $20,000.00
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 ant exempt from the Contractors' State License Law for the reason(s) indicated below by the chackrnark(s) I have placed next to the applicable item;"?
Section 7031.5, Business and Professions Code: Airy 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
Te permit to file a signed statement that he or an() 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 Hoensure and the basis for the alleged exemption, Any violation of Soedon 7031-5 by any applicant fora permit subjects the applicant to a civil penalty of
at more than five hundred dollars ($540)-
I, as owner of the property, or my employees withwages 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,
lusiness and Professions Cade: 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
❑provements are not intended oroffered 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). -
3 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
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),
I I am exempt from Ucensore under the Contractors' State License Law for the following reason:._...,._
ly 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 Iegall
ell a structure that I have OUR as an owner -builder if it has not been constructed in its entirely by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and
irofessions Code, is available upon request when this application is submitted or at the following Web site:http:liN ww,ieginfo.ca.govtcalaw html.
Ilgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7004) of Divisio f the Business and Prof s ns it my license is In full force
no effect. License Class License No Date O ��f �- r Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL Fees UP TO ONE HUNDRED TH DO (SIK0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR is SECTION 374 OP THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
d 1 have and will maintain a certificate of consent to sell -insure for workers` compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
01 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` compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name Agent. Phone If
Merrily that, in the In ormanc of the 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 agre
that, if I should become the _ricers' compensation. provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
Signature of Applicant Date_,-��� 0 �1-2
DECLARATION REGARD'.'.G _ UCTIGN LENDING AGENCY
I hereby affirm under pen f p 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 Londer's Address
By my signature below, I rtify 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 applicable city slid county ordinances and state laws relating to building construction.
I authorize representatives of this city or con
n nter the attove-idanf i prcpdrty %r inspection purposes.
Signature of Propertyy Owner or Authorized A ent ( >'y'ti{ Print Prp a Owrrar's or Authorized A Bnt's Name ' Date G
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART 61 OF TITLE 4( AND ACiMD RUtE
PERMIT
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
APPtfCABLE TO fife of the pool.
CERTIFICATE Of F /v 2;'
OCCUPANCY ISSUED