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Home My WebLink AboutXR2022-1953 - Permits (3)EWPoRT City of Newport Beach IIIII�IIIII�IIII�IIIIIIIIIIIIIIIIIIII'llllll II COMB Permit : XR2O22-1953 0 1 Community Development Department- Building Division X R 2 9 2 2 1 9 5 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1797 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date : 2022 Cq��FOA��P newportbeachca.gov/inspections Inspection Areeaa : 4 4 Combination Type - Work Class - Other 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 : 2206 ARALIA ST Legal Desc : N TRA705 BILK LOT 109 Description : POOL DEMO (S2022-0157) Owner: SHAW KAMAO C TR THE SHAW FAMILY TR Contractor : DE VORE POOLS & SPAS Architect Address : 2206 ARALIA ST Address: PO BOX 828 rAddress NEWPORT BEACH, CA 92660 SJC, CA 92693 Phone: Phone: (949) 3709576 Phone: Con State Lie : '1401549 State Lie Lie Expire : 04/30/2024 Applicant: DE VORE POOLS & SPAS Bus Lie: BT97026761. Engineer : PETROV PLAMEN Address : PO BOX 828 Bus Lie Expire : 11/30/2022 Address : 28161 CASITAS CT SJC, CA 92693 LAGUNA NIGUEL, CA'92677 Phone: (949) 370-9576 Workers' Compensation Insurance. Phone: (714) 717-7542 Carrier: STATE FUND Owner/Builder : Policy; No: 1222520 Designer: DE VORE POOLS & SPAS' Address : W. C. Expire: 11/1/2022 Address : PO BOX 828 SJC, CA 92693 .... Phone: Phone: (949) 370-9576 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone NO Added/New/TI sq. ft. Bldg: Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg Bldg Height: No of Stories :. 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks: Front: 6, Side: 6, Side: 6, Rear: 6 - Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: . R 7— am exempt from the Contractors State License Lawfor thereason(s) indicated below by the checkma M penalty of. iness 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 ovements 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 burdenof proving that it was not built or raved for the: purpose of sale). 1, as owner of the. property,am exclusively contracting. with Ncansed Contractors to construct the project(Section 7044, Business and: Professions Code: The Contractors' State License Lawdoes net y 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), I am exempt :from licensors under the .Contractors' State License Law for the following reason: ny 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) a structure that I have built as an owner -builder if it has not been constructed in itsenbrety by licensed contractors. I understand that copy of the applicable taw, Section 7044 of the Business and assons Code, is available upon request when this application is submitted or at the following Web site:htm:flwww.leginfo.ca.govlcalaw.html. Iature of Property Owner or Authorized Agent. Date. ENSED CONTRACTOR'S DECLARATION rebyaifirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 777 € of ftle Business and Pro�ss-o!Sde�,�koense is in full forceeffect License Class License No iJate 1 Contractor SignatuRKERS' COMPENSATION DECLARATION KING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND $HALL. SUBJECT AN EMPLOYER TO CRINIHAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tE100,000i; IN ADDITION TO THE hereby affirm under penalty of perjury one at the following declarations: r .LI have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the .Director of Industrial .Relations as provided for by Section 3700 of the: Labor Code, for stir or ance of the`+�grjCa which this permit is issued. Policy No. k$ave 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` eompensa. afsce farrier v1 pp4 number are: Policy Number Date , fttif9 (prat, in VIIipWarmance of work for which this pormlt is issued. I shall not employ any person in any manner so as to become subject to the workers' componsation laws of California, and agree t, if Istwuid become subject to m' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply With those provisions. . !TrilUe of ApplicaniX-L - Date_ GLWTION REGARDING CONSTRUCTION LENDING AGENCY "VAIrm undej penalty of. perjury that there is a construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code). tilers Name. • • - Lenders Address. cW.sfgrwture below. i certify to each of the. following; �l aro like propar(q oWncror authorized to act on the property owner's behalf. I have read this%Dpiic$tion and the information I have provided is correct. f agree to comply with all applicable city and county ordin and state laws. relating to building construction. I authorize representatives of this city or county to en a rve-Wemified property for Inspection purposes PERMIT CANCELLED PERMITEXTENDEO NOTIFICATION I$ NOT APPLICAKE TO FOR OFFICE