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Home My WebLink AboutS2022-0252 - PermitsdPoRr City of Newport Beach Community III��III�I�I��I��II�I�II��I��I��II�II II Pool Permit: S2022-0252 p� m Development Department- Building Division S 2 0 2 2 0 2 5 2 ? 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Plan Check No : 0987-2021 } cgiicoaN`� Inspection Requests Phone: (949) 644-3255 '�? newportbeachca.gov/inspections 9 �y � rs �� fls,�71 � Issued Date : 12/12/2022 Ins pection Area : 3 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: 1726 CANDLESTICK LN Legal Desc: N TR 3763 BLK LOT.32 Description: SFR POOUSPA 560 SF. W/DRAINAGE (CITY STANDARD) '-CHANGE OF CONTRACTOR** Owner: HILARY SHALLA Contractor i ADAMSON MARK - Architect Address : 1726 CANDLESTICK LN Address : 104 OKRA : Address NEWPORT BEACH, CA 92660 -° IRVINE,�CA 9261E " Phone : Phone: (714) 376 6301 Phone Con State Lic : 590874 State Lie ''Lie Expire:: 02/29/2024 Applicant: ADAMSON MARK Bus Lie: BT30057889 - Engineer: RAHMAN MOKSUDUR Address : 104 OKRA Bus Lie Expire : 01/31/2023 Address: 13611 12TH ST, STE B IRVINE, CA 92618 CHINO, CA 91710 Phone: (714) 376-6301 Phone: (213) 400-8078 ' Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No: ` 9225662" Designer: Address : W. C. Expire: ' 2/2/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : Fire Hazard Zone : NO " Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : Alteration sq. ft. Bldg Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks: Front:20, Side:6, Side:6, Rear:6 a°°°=� Flood Zone : X , Use Zone : R-1-6000 -Single-Unit Residential (6000 indicates minimum lot area) ° PROCESSED BY: ° .. SPECIAL CONDITIONS: CHANGE OF CONTRACTOR: TO MARK ADAMSON / WATERMARK CONSTRUCTORS QBpG°y P° N 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 rem(s) Section 7031.6, 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 be or she Is licensed pursuant to the provisions of the -Contraotors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lipeftsure and the basis for the alleged exemption. Any violation of section 7031-6,by any applicam fora permit Subjects the applicant to a civil penalty of: not more than five hundred dollars issoo):. C3 I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions: ofthe work, and the structure is not Intended oroffered for sale (Section 7044, Business and Professions Code: Tha Contractors' State License Law does not apply to an owner of Property who, throug employees` or personal effort, builds or improves the property, provided that Ins improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of coi ipletion, the Owner-Buifderwill 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 704 4, Business and Professions Code: The Contractors' Stale .License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac or pursuant to the Contractors' State License Law).. i am exempt from licensure under the: Contractors' -State License Law for the following reason: By my signature below I acknowledge that, except£ormy personal residence in which I must have resided for alleast on' year prior tpcompletton of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if it has not beery -constructed -in its entirety licensed contractors.) nderstand that a copy of the applicable taw, Section 70" of the Business and Professions Coda, is available upon request when this application is submitted prat the following Web sita:f ttp:/A ww.ie Info.ca.govlcalaw.htrm.. 41 wARNiNG: FAILURE TO SECURE : WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJEGT. AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARStSiaD,006i, IN ADDITION TO THE C } PI OFCOMPENSATION,DAM�AGES ASPROVRIED FOR IN SECTION S70S OF THE LABOR CODE, INTEREST, AND ATTORNErs FEES. hereby affirm under penalty of perjury arts of the following claclarafi€ons I ha .and will maintain a Certificate Of Consent to Belt -insure for workers' compensation, Issued :bythe Directorof Industrial:. Relations: as provided for by Section`3700 of the Labor "a, (or I e I. ance of the work €or which this permit is issued.. Policy: No... I 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 n Csurance Cartier and policy number are: anter Policy Number Expiration Date Name of Agent. Phone al [1I certify that, in tare performa a of the work for which "permit is issued, ).shall not employ any person any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should becomes bjeci workers' cot .Batton provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGARD. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that thare Is a construction lending agency for the performance of the work for vfi!on this permit is Issued (Section 3097, Civil Code):. Lender's Name. Lenders Address By my signature below, I certify to each of the following: I am the property. owner or authorized to act on this prop, owner's behalf - I have read this application and the information I have pq videdis correct. I agree to comply withal applicable city and cou ordi moss and state Jews relating to building construction. evesLI y ty P dY P purposes. rflyytSi'� :Date:. 7/ I authorize re resarliahves of this cif or coun : me t a above•Idelti o- e forms inspection Signature Of Pro a Omer or Authorizeet A snt . -Print Pro Owner's or�Authorized A ent's Name- IL s • ••• DATE BY WCLAILATION OFCOMPUANCEwrrH COPE OF FEDERAL FOR OFFICE USE ONLY AL>rf• •+• REGULATIONS PART 610E TITLE 4t)AND AQMD RULE • • 1403 •PERIT•. EXP1R€R.• ISUBMITTED ASBESTOS NOTIFICATION: TO p RMrCraryCEtLEA EPA larts, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXT€tvoJD •' ; I M❑ be in place priorto approval to fill pool(spa &:shall r in place &.be maintained for the PERMrrfiNAt ++- ASBESTOSNOTIFI TIONISNOTAPPLICA ❑ the pool. CERFIF#CAi'fOF `Ii2[r FR❑POSEII OEM❑ T llh�� life a t ;.)Zl*i1HCyISSUE4 • SIGNATURE ee • E