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HomeMy WebLinkAboutS2022-0246 - PermitsaEWno� City of Newport Beach O I Z@ Community evelopment Department -Building Division 100 Civic CyDrive, Newport Beach, CA 92660 - _ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111�1111 1111111111111111111111111111111111111111111 111jj Pool Permit : S2022-0246 Plan Check No: PC2022-2957 Issued Date : 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 H0 91N Al AREAS Job Address: 2731 BAY SHORE DR Description : SFR SPA 54 SF Owner: JOHN WEST Address : 2731 BAYSHORE DR NEWPORT BEACH, CA 92663 F7T7T, Applicant: PROMONTORY POOLS INC Address : 17401 IRVINE BLVD STE B TUSTIN, CA 92780 Phone: (714)993-0554 Owner/Builder : Address : Phone Code Edition: Type of Construction Occupancy Groups: Bldg Height : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone: 1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : N TR 1014 BLK LOT 19 Contractor: PROMONTORY POOLS INC Address : 17401 IRVINE BLVD STE B TUSTIN, CA 92780 Phone : (714) 993-0554 Con State Lie : 404194 Lie Expire : 03/31/2023 Bus Lie : BT30043247 Bus Lie Expire : 05/3112023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lie Engineer: BIEDENBACH CHRISTOPHER JAMES Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: Designer: Address : Phone: NO Construction Valuation : $25,000.00 NO Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) ;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that lie or sheds licensed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and professions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($BOW. I, 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 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 licensed Contractor pursuant to the Contractors' State License Law).. ❑ 1 am exempt front lioensare 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 al 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 tho Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:l;wvm.ieginfo,ca.gov/calaw.htrnl. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION /� 9 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S (commencing with Section7000}�of hri 'on 3 of the Business and to p6s d,' ce isn full force and effect. License Class License No Date v Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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, performance or the work for which this permit is issued. Policy No. ❑l 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' compensatior insurance carrier and policy number are: C triegName Policy Number Expiraticn Date eIa IB lynatpOECtI herender penalty o per he ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). LendeLender's 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 beha I have read this application and the informs' provided is co ct. I agree to comply with all applicable city a county na cos a sta aws r Bring to building construction. ) 1 authorize representatives of this city or co my t er the ab a-i ntlfieci p any for inspection purposes. Signature of Property Owner or Authorized A Print Property Owner's or Authorized Ar ent's Name •L! ( Date/ y / — ACTION DATE BV 7 1 +T6 M PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFG'ULATION5 PART Fl OF TITLE 40 AND AQMD RULE PERM77 J(A/qf(7 jJI.SUBMITTF.DASRF5T05140TIFICATION TO -..- PeF,wti,:ANCEctED_ LJEPA All required alarms, latches gates and fences which serve as part of spool/spa barrier, shall PFFMITFx7'74UEO �� CND be In place prior to approval to fill pool/spa & shall remain in place & be maintained forthe PEAMiT FINAL. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life Of the pool. CER7IFICATf OF fN4 1)M"�S , I PROPOSEDDEMOLITION �7 —(`j �Z3 OCCUPANCYiSSUED _,__ - SIGNATURE: