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Home My WebLink AboutS2023-0055 - PermitsnoTq City of Newport Beach d��W D Development Department- Building Division tCommunity 100 Civic Center Drive, Newport Beach, CA 92660 u 2 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic wR CombinationType- Work Class - Other 111111III ��III�IIII��III111111111111111111111111111111Pool Permit : S2023-0055 Plan Check No : PC2023-0606 Issued Date Final Date: Permit Status: Applied Inspection Area : 8 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: 2904 BROAD ST Description: NEW POOL AND SPA W/ DRAINAGE 286 SF Owner: CLYMER FAMILY REVOCABLE LIVING TRUST Address : 2904 BROAD NEWPORT BEACH, CA 92663 Phone : (949) 783-8541 Applicant: MASON POOL CO Address : 27651 SOLTERO MISSION VIEJO, CA 92691 Phone : (949) 677-8169 OwnerlBuilder : Address : Phone : Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 22 LOT 4 FIRST ADDITIO N TO NEWPORT HEIGHTS BLK 22 LOT 4 AND Contractor: MASON POOL CO Address : 27651 SOLTERO MISSION VIEJO, CA 92691 Phone : (949) 677-8169 Con State Lic : 1085B59 Lic Expire : 01/31/2024 Bus Lic : BT30080052 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS Architect Address Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER JAMES Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone : (714) 630-6100 Designer Address Phone: NO Construction Valuation : $65,000.00 NO Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 requlres the applicant for :he 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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1 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 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 [hat the mprovements are not intended or offered for sale. If, however, the building of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not bui€t or 'approved for the purpose of sale). ❑ I, 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 nDt 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). El I am exempt from licensure under the Contractors' State 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 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 site.http:fiwww.teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent,____ LICENSED CONTRACTOR'S DECLARATION qq I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) aLq tsioV of the Business and Pr ssionmy license is in full force and effect. License Class License No Date / 0 Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: PAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES, 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, Derformance of the work for which this 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 rance carrier and policy number are: ier policy Number Expiration Date to of Agent Phone # pertlfy that, In the pe rmar o work for hich the 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 bacon ubject e worker co 1pensahbn provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisio, s. lature of Applicant Data ]LARATION REG DIN O ON�LE NG AGENCY hereby affirm under penalty of a at there I construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil C de). ender Is Name Lander Address ly my signature below, I certify to each of the following: I am the property owner or authorized to out 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 unty oDoi ces an slate laws relating to building construction. Ayahl Ii nature of Pro arty Owner cr Authorized Pont ProartOwner's or Authorized A ent's Name L) A�tf� G 1 authorize representatives of this city or cou t to a er the abov Identified property for inspection purposes. to ACTION DATE By I VD ARA N OF COMPLIANCE WITH CODE OF FEDERAL I R ATION5 PART bl OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I LJ 15UBMITTED A513FSTOS NOTIFICATION TO PERMIT CANCELLED 01PA PERMIT UTEWED I flMD _— — c, __ PERMIT FINAL 2 aQ Z y lyi ASBFyT 5 f1Fl A m IS N i�ABLE TO CERTIFICATE OF Ca' PROPOSED E OIITGON OCCUPANCY ISSUED i SIGNATURE: L ....... .... ........_... ._._ ...— ..__ ._ .. a"___ —' 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 & he maintained for the life of the pool.