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HomeMy WebLinkAboutS2022-0174 - Permits��EWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 c9t/Fn Inspection Requests Phone: (949) 644-3255 0.N�P newportbeachca.gov/inspections Combination Type - Work Class - Other 11IIIIII111111111111111111111111111111111111111111111111111111 jj COMB Permit : S2022-0174 Plan Check No : PC2022-2046 Issued Date : 10125/2022 Inspection Area : 5 {� �`� PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE D. NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL Job Address : 14 SCENIC BLUFF Description: NEW POOL AND SPA 650 SF Owner: CRYSTAL COVE 14 LLC Address : 14 SCENIC BLF NEWPORT COAST, CA 92657 Phone Applicant : Outdoor Concepts Address: 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL, CA 92677 Phone: (949)295-4417 Owner/Builder Address: Phone Legal Desc : N TR 15818 BLK LOT 9 TRACT 15818 LOT 9 & FOR OF LOT 8 Contractor : Outdoor Concepts Address : 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL, CA 92677 Phone : (949) 295-4417 Con State Lie : 831378 Lie Expire : 02/29/2024 Bus Lie: BT30OB0506 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: BENCHMARK INSURANCE COMPANY Policy No: CST5021783 W. C. Expire : 6/1812023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC -Newport Coast PROCESSED BY vT SPECIAL CONDITIONS Architect Address Phone: State Lie Engineer : LACHER TODD ' Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone: NO Construction Valuation : $68,000.00 NO Added/New/Ti sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(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 ficensure 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 ($500),. ❑ I, 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 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). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ lam exempt from licensors 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 raslded'. for at least one year prior [a Completion of the improvements covered by this permit, I cannot iegall; sell a structure that I have built as an owner -builder ff it has not been constructed in its entirely 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:htip:llwww.leginto.ca.gov/calaw.html. 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 7000 f ivision 3 of the Business and PrOfeapilode, and y license is In full force and effect. License Class License No Date Contractor Signatur WORKERS' C0.4:PErISATION DECLARATION WARNING: F.,IW RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USANO DOLLARS I$100,000), IN ACTTION TO THE CO nT OF COMPENSATION, 5,.,:MAG£S AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY"s FEES. I hereby affirm under pa,ualty of perjury one of the fallowing declarations: 0 1 h,.,0 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 of the Work for which this permit is issued. Policy No. V 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 permitis issued. My workers' eompensatio insurw,ca carrierone poli,y number are: Policy Number o. gent Date certify that, in the petormance of the work for which this permitis 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 snould become subject to_.thg workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Alin those provisions. tature of.Applies.nt hereby affirm under p6nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lenders Address y 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 end county or ances and state laws relating to building. construction. /) I authorize representatives of this city or county to 9904 t"ove40Z-1tified➢ro39rty for inspection purposes. Or ACTION 9tCLARATION OF COM REGULATIONS PART 61 1403 ID I SUBMITTED A5BEE N+ITH CODE OF FEDERAL 40 AND AQMD RULE TO PERMIT EXTEND€D IJAQM D PERMiTFINAL _ j (w 1 ASBESTOS NOT rICA7ION 15 NOT APPLICABLE TO CERTIFICATE Of -3 —` V PROPOSED DEMOLITION OCCUPANCYISSUED ! SIGNATURE: FOR OFFICE USE ONLY Name