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Home My WebLink AboutS2023-0085 - PermitsCity of Newport Beach C,"EwPoRT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92°30 U S Permit Counter Phone: (949) 718-1888 } newportbeachca.gov/civic C4C/FOKN`P Combination Type - SFP Work Class - Other IIIIIIII111111111111111111111111111111111111111111II 11Pool Permit : S2O23-oos5 Plan Check No : PC2023-0963 Issued Date : 0510812023 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 : 2615 BUCKEYE ST Description : SFR NEW POOL & SPA 337 SF Owner: 2615 PCDEV LLC Address : 2615 BUCKEYE NEWPORT BEACH, CA 92660 Phone Applicant: WESTMOD Address : 1276 E COLORADO BLVD PASADENA, CA 91106 Phone: (626)261-0825 Owner/Builder: Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Legal Desc : N TR 4892 BLK LOT 76 Contractor: WESTMOD Address : 1276 E COLORADO BLVD PASADENA, CA 91106 Phone: (626)261-0825 Con State Lie : 1053685 Lie Expire : 05/31/2025 Bus Lie: BT30079735 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: EMPLOYERS PREFERRED INS CO Policy No: EIG282852704 W. C. Expire: 4/1/2024 2022 Fire Sprinklers : Fire Hazard Zone U No of Units : No of Stories Architect Address Phone: State Lie Engineer : BIEDENBACH CHRISTOPH-R JAMES Address : 1201 N TUSTIN AVE , ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone : NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage: Front: 20, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: $25,000.00 0 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(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, poor 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a DWI penalty of not more than five hundred dollars ($500), ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure Is notintended 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). 71 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a Ilcensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from lioeesure under the Contractors' State Lioense 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 [hat I have built as an owner -builder if R has rot 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 sitefittp:/A n .leginfo.ca.gov/calaw.btml.. 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 7 ) f f the Business and Profes ' s o e, ei'tense is In full force and effect. License Class License No Date LG. 9 Contractor Signature NORKERS' COMPFNSATION DECLARATION NAHNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOU D DQLLARS [fl 00.000). IN ACOnION TO THE CO-T OF COMPENSATIOY: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEr'S FEES. hereby nfPirm under penalty of perjury one of the following declarations: I havaand 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 )erfcrma-Ice of the work fir which this permit is issued. Policy No. �I 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' compensatiol nsd, sa,:� carrier and pollby number are: ;door Policy Number Expiration Date Jane of Agent _ _ - Phone R -11 certify that, in tl-c p4NNST f the work for which this permit is issued, I shall not employ any person in any manner so. as tC become subject to the workers' compensation laws of California, and agre het, iI I should become workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. 31gnalure of Applibent Date 5 i I 0 Z� )ECLARATION REGAf CTI N L NNG AGENCY�hereby affirmunder pry that. there is a Construction lending agency for theperformance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name Lenders Address 3y 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 coon or it antes and state laws relating to building. construction. I authorize representatives of this city a county a te. a ao -id lifted property for inspection purposes, 3i nature of Property Owner or Authorized A eat[ Print Property Owner's or Authorized Agent's Name ' t Date S BIZ ACTION DATE ( By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART ES OF TITLE 40 AND AQMD RULE PERIvfIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED [P All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED amiz; be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINAL WASBIESTOS NOTIF.ICAhON IS NOT APPLICABLE TO life of the poot. CAre OF 2 PROPOSED DE OCCUPANCY ISSUED SIGNATURE- ff" _ \ ^ �� I