The URL can be used to link to this page

Home My WebLink AboutS2023-0214 - Permitsuo._ City of Newport Beach D T Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 718-1888 newportbeachoa.gov/civic °q<iFoa"�P Combination Type - Work Class - Other E�\J�)t irk d a Pool Permit : S2023-0214 Plan Check No : PC2023-1768 Issued Date : 1010612023 Final Date: Permit Status: Issued Inspection Area :5 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 : 6 TIDELINE BLUFF Legal Desc : N TR 16424 BILK LOT 15 Description: "CHANGE OF CONTRACTOR TO OWNER BUILDER(S2023-0156)— SFR CONSTRUCT (N) INFINITY SPA 104 SF. ALT SITE DRAINAGE PER CITY STANDARD PLAN. Owner: BERNARD & KRISTEN SMOKOWSKI Address : 6 TIDELINE BLF NEWPORT COAST, CA 92657 Phone: (714)920-7424 Applicant: SARAH BLATARIC Address: 31 TESSERA AV LAKE FOREST, CA 92610 Phone : (949) 408-8676 Owner/Builder : BERNARD & KRISTEN SMOKOWSKI Address : 6 TIDELINE BLF NEWPORT COAST, CA 92657 Phone: (714)920-7424 Contractor Address : Phone: Can State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No 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 Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: 6.5 SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: SARAH BLATARIC Address: 31 TESSERA AV LAKE FOREST, CA 92610 Phone: (949)408-8676 Construction Valuation : 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 am exempt from the ContractorsState License Law for the reason(s) 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of 6n Imore than five hundred dollars ($500). I t, as owner of the property, or my employees with wages as their sole compensation, will do C_) 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 Improvemants 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 properly. 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ZI I am exempt from licensure under the Contractors' State License Law for the following reason: _._oof the___.rove Covered by thi._per _ _...._...rot le _ By my signatures 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, 1 cannot Iegall, sell a structure that I have built as an owner -builder ',fit has t been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this ap tj It[ed or at the following Web sits;httpi;vAYw.ieginfo,ca.govlcalavr.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 Professions Code, and my license Is In full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS s100.0001,. IN AOOfTION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -1 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 th terformance of the work for which [his permit Is issued. Policy No. 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent erhfy filet, in the per€ormanc the wor GPa<ich 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 if I should became subject workes'' compell�rsa%tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J,n CLnature of TION icant �/ ^��.�.-� 6&D Dale C LARATION REGADtN CO STRUCTI ENVY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work. for which this permit Is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, Icertify 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 w th all applicable city and county otcHnarices and stale laws relating to building construction. I authorize ref r e idives of this city or county t e rt� b ve-identified property for inspection purposes. �� J nature of Propert) Owner or Authorized Agent —�-� _ Print Property Owner's or Authorized Auent1s Name ?�-�r-F�1}7-</��,G� /m'at. /�P J, ACTION I - DATE WCLARATrN OF COMPLIANCE W IT14 CODE OF FEDERAL RFGUTATIONS PART 61 OF TITI.F 40 AND AQMD RUIE 1403 SUBMITTED ASBESTOS NOTIFICATION 10 PERMIT �A'NCELEEA ( EEPA PERMh cIAAL EG ..� •Zl OMO _ PERM7r hiNA1 BE5T05 NOT'IFi ON IS NOT APPLICABLE TO ClkriF,CAlE OF � PROPOSEDDEMOLI ION OUCUPAN Y.SSUEJ _ ' SIGNATURE! � 1 __...._ ._..__ 1. ------ l_.__ N . :: �i FOR OFFICE USE ONLY 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 life of the pool.