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HomeMy WebLinkAboutS2023-0160 - PermitsPo�T City of Newport Beach o��E Community Development Department - Building Division .100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Other 11IIIIIII 111111111111111111111111111111111111111111I jjPool Permit : S2023-0160 Plan Check No : PC2023-1853 Issued Date : 08/03/2023 Final Date: Permit Status: Issued Inspection Area : 3 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 : 370 VISTA BAYA Legal Desc : N TR 2609 BLK LOT 6 Description: SFR NEW POOL AND SPA 480/64 SF W/ YARD DRAIANGE Owner: RICHARD MEEKER Address : 370 VISTA BAYA NEWPORT BEACH, CA 92660 Phone: (949)677-1070 Applicant: 0 C POOLSCAPES INC Address : 3107 CITY LIGHTS DRIVE ALISO VIEJO, CA 92656 Phone: (949)444-3629 Owner/Builder : Address : Phone Contractor: O C POOLSCAPES INC Address : 3107 CITY LIGHTS DRIVE ALISO VIEJO, CA 92656 Phone: (949)444-3629 Con State Lie : 1061813 Lie Expire : 12/31/2023 Bus Lie : BT30076157 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER Policy No: 7600024510231 W. C. Expire : 6/30/2024 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 : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: 6y2--1 SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: LACHERTODD Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone : (714) 630-6100 fm Designer : O C POOLSCAPES INCH el Address : 3107 CITY LIGHTS DRIVE ALISO VIEJO, CA 92656 Phone: (949)444-3629 Construction Valuation : $61,000.00 Added/New/TI sq. ft. Bldg : 0 .. . Alteration sq. ft. Bldg : - • - Added/New sq. ft. Garage: 0 - • - OWNER -BUILDER DECLARATION I hereby affirm under penaltyot 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 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 for a permit subjects the applioant to a civil 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 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). ❑ 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: _„_.____�— y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pdor to completion of the improvements coven ell 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site http:llw .leginfo.ca,govlcalaw.btml. .ignature of Property Owner or Authorized Agent Date., ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section If Division 3 of the Business and Prcf ions Cc e, and my H ense is In II force no effect. License Class License No Date 23Confractor Signature AMP VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 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: and AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRI THOUSAND DOLLARS ($100,0001,. IN ADDITION TO THE have and wilt maintain a certiricale 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 Trance of the work for which this permit is issued. Policy No.. 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' carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the 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 L, if I should becon bjeci to the workers' compensation provisions of action 37 of the Labor Code, I shall forthwith comply with those Rmvisions. 41 /�� nature of Applicant .._._......... _�.. Dal ZUS -2nZ7., CLARATION REG DI ONSTRUCTION LENDING AGENC Ireby 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, Ci it Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the propally 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 alhea to comply A,th all applicable city and county ordinances and state laws relating to building construction. / i authorize rep.as,;utalives of this city or counlqo er r the�jabovh-ideNfied propSIrty for inspection purposes. Owner's or Authorized Aaent's Name DATE BY V j DrZTARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY RFGULATION5 PART 61 OF TITLE 40 AND AOMD RULE 1403 pERrv4T E: PIRkO ( I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PAR V IT EXTENDED LIAQMD p"PpTlT rIVAL l.Z fr( 1 ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTfFICArE OF ii' PROPOSED DEMOLITION OCCUPANCYISSUCC I SIGNATURE: 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.