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HomeMy WebLinkAboutS2022-0192 - PermitsEWNo? City of Newport Beach O _ Community Development Department- Building Division > I 100 Civic Center Drive, Newport Beach, CA 92660 yu ,u i Permit Counter Phone: (949) 644-3288 �/�icoBN`�� Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other Pool Permit : 52022-0192 Plan Check No: PC2022-2275 Issued Date : Inspection Area :4 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 : 900 CHESTNUT PL Description: SFR POOL & SPA 496 SF Owner: JOHNNY SUN Address : REDMOND, WA 98073 Phone Applicant: AUSTIN ORTIZ Address: 5069 ARROYO LINDO AV SAN DIEGO, CA 92117 Phone: (949)750-9345 Owner/Builder : Address: Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED oN : Legal Desc : N TR 4892 BLK LOT 22 Contractor: IHIP ENTERPRISES INC Address : 25282 ARCADIAN AVE MISSION VIEJO, CA 92691 Phone : (949) 981-2722 Con State Lic : 1032378 Lic Expire : 11/30/2023 Bus Lic : BT30071421 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: NAT'L LIABILITY & FIRE INS CO Policy No: A9WC322528 W. C. Expire : 7/22/2023 Architect: Address: WO Phone: State Lic Engineer: LACHERTODD Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone : 2019 Fire Sprinklers : NO Construction Valuation : $61,318.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 U No of Units : Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage : 0 Front: 15, Side: 6, Side: 6, Rear: 6 R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reascn(s) indicated below by the chackmark(s) I have placed next to the applicable items) (Section 7031)5, Business and Professions Code: Any city or County that requires a permit to construct. alter. Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 701 of Division 2 of the Business and Professions Code) or that he or she is exempt frcm licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penaty of not more than five hundred dollars ($!l 0 L, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (,,:} 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). © t, 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 11 1 am exempt from Iicensure under the Conlreetors' Stake 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 legally sell a structure that I have built as an owner -builder if it has not been Constructed in its entirely by licensed contractors. I understand that a copy of theapplicable 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:llwww.teginfo.ca.govlcaiaw.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 Division 3 of the Business and Professio s',CPZe, and my I rise is in full force and effect License Class License No DatE Contractor Signature's/7 I Rs—_ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL False UP TO ONE HUNDRED TH USAND DOLLARS [S7 DD,UDDI, 1N ADGnItlN TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 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 WQrmance 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 poiicy number are: Agent Policy Number Expiration Date Phone tf ©I 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 agre that, if I should become subject to the coo cers' �CENOINGAG of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Signature of Applicant,__ _ ,�____ Date — DECLARATION REGARD(' ON TRUCTIG ✓ \�{ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued SSecfion 3097, Civil C a). tondos Name Lenders Address By 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 read this application and the information 1 have provided is cancer. I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or coup t cut he above -Id led to erty for inspection purposes. Q Unature of Pro art Owner or Authorised A ant Print PropertyOwner's or Authorized A ent's N I a i-, ,%� Dale ! "' ACTION DATE i BY RLCLARATtONOFC M. NCE WITH CODE Of FEDERAL FOR OFFICE USE ONLY ! REGU ATION5 PART61 OF TITLE 40 AND At1.MD RULE 1403 PERMIT EXPIRED I U I SuBMITTEO ASBFSTOS NOTIFICATION TO PERMIT CANCELLED All required alarms, latches gates and fences which serve as I of a poolj5pa'baniNr; Shall be in place prior to approval to fill pool/spa & shad remain in place & b ^ maintained inn the life of the pool. C@RTIFkCATEOF [( PROPOSEDDEMOLITION OCCUPANCY ISSUED ( I.. CPA PERMfFExiENDEo AaMo PERMITFINAL �� Z 23 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO