HomeMy WebLinkAboutS2022-0140 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
II I II III I II II II COMB Permit : S2022-0140
Plan Check eC 0712812022No:48-2022
(
Inspection Area : 2
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
: 74 LINDA ISLE
Description:
NEW POOL AND SPA 502 SF
Owner:
MUMMA JULIE A TR
Address:
513 DRAGON GATE CT HENDERSON, NV
89012
Phone:
Applicant :
Sarah Jane Blataric
Address :
31 Tessera Avenue
Forest, CA 92610
Phone:
(949)408-8676
Owner/Builder :
Address
Phone:
Tessera Avenue
Legal Desc : N TR 4003 BLK LOT 74
Contractor: STEELE BRET/STEELE POOLS
Address : 4921 E LEEDS ORANGE, CA 92867
Phone :
(714) 496-1427
Con State Lie
: 923975
Lie Expire :
10/31/2022
Lake Bus Lie :
BT30042152
Bus Lie Expire : 02/2812023
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address:
Phone
State Lie
Engineer : KOLODZIEJ KENNETH J
Address : 400 E ESTHER PLACE PLACENTIA, CA
92870
Phone : (714) 996-1219
Designer
Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation : $71,250.00
Type of Construction :
Fire Hazard Zone : Y
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
u
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage : 0
Building Setbacks :
Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty or 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 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 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemptlon.. Any violation. of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not mare than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cods: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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).
❑ 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
a ply 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 am exempt front licensors under the Contractors' Slate License Law for the following reason.
By my signature below f 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 trial I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that 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://www.leginfo.ca.govicalaw.html.
Signature of Property Owner or Authorized Agent_-- Date
LICENSED CONTRACTOR'S DECLARATION
i hereby affirm under penalty of pery'ury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 of 015si n 3-gff the Business and PrD. a, and my license is in full force
and effect. License Class License No Dat, 7 ' 1 Coniracto€ Slgnatur
WORKERS' COMPENSATION DECLARATION
WARNING: 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 1$100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LASOR CODE, INTEREST. AND ATTORNEY FEES.
hereby affirm under penalty of perjury oneof the following declarations:
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 it
rormance 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' compensatio
Y4rice carrier and policy number are:
Tier Policy Number Expiration Date
TIC of Agent Phone #
certify that,in the parlor D 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
[ If i should become' uo c workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date/
CLARATION REGAR. _ RUCTION L ING AGENCY
Ireby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, m Code).
riders Name _ Lenders Address
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 I have provided is correct..
I agree to comply with all applicable city and c mitt' or uds[ate laws relating to building construction. n
I authorize representatives of this city or count --'s b� opedprepeny for Inspection purposes.
nature of Prooertv Owner or Authorized Agent T r+�+ rinl Prooertv Owner's or Authorized AoenCs tTRftS
ACTION DATE BY I�'QECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG IONS PART 61 OF TITLE. 40 AND AQMD RULE ✓
1403
PERMIT EXPIRED 1,,JAM,Tr DATrl.STCS .tiJTIFIGATIONTO
PERMIT CANCELLED i UEP„ All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
— ---
CERMIT EXTENDED ',—��Aq,ra, be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the
PERIATPINAt 8E ATION IS I APPLICABLE TO life of the pooL
CERTiFICAT£OF �2r1�12?, CFO
OCCUPANCY ISSUED
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