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Home My WebLink AboutS2022-0154 - Permits4£y Po", City of Newport Beach II II I I III II I II III III II II COMB Permit: S2o2,2,-0154 e e CommunityDevelopmen?Department- BuildingDivision 100 Civic Center Drive. "nwport Beach, CA 92660 Plan Check No : PC2022-1748 Yea S Permit Counter F i949) 644-3288 Combination Type <a.. C9</FO PN�P Inspection Requ done: (949) 644-3255 newportbeachc6.gov/inspections < °' n 0-% Work Class: New Issued Date: 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 : 1207 BLUE GUM LN I Legal Desc : N TR 9620 BLK LOT 1.1 Description: SFR (N) POOL & SPA %t Sf'CF°old _4-- Owner: STEFANKHUDIC Contractor: VICTORY POOLS - Architect: Address : 1207 BLUE GUM LN NEWPORT BEACH, CA Address : 1164 N SACRAMENTO ST ORANGE, CA Address 92660 92867 '.. Phone: (714) 814-1011 Phone: (714) 469-2702 - Phone: Con State Lic : 976169 State Lic Applicant : VICTORY POOLS 'Lic Expire : 05/31/2023 Address : 1164 N SACRAMENTO ST ORANGE, CA 92867 Bus Lic : BT30061313 Engineer Phone: (714) 469-2702 Bus Lic Expire : 11/30/2022 Address - Workers' Compensation Insurance 'Phone: Carrier: WESCO INSURANCE COMPANY Policy No : WWC3584728 Designer W. C. Expire : 5/2/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone :. Y Occupancy Groups : No of Units : 1 Bldg Height : No of. Stories Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Westcliff Grove � Processed By: Public Works Approval: AA �j�(�`` Zoning Approval: M t— lyG Plan Check By: Grading Approval: Approval To Issue: SPECIAL CONDITIONS: •a• N 6 • 9 .. o� • 09 i LACHER TODD .. 1201 N TUSTIN AVE ANAHEIM, CA 92807 ...._� (714)630-6100 e• • q Rs i .i VICTORY POOLS 1164 N SACRAMENTO ST ORANGE, CA 92867 (714)469-2702 Construction Valuation Added/New sq. ft. Bldg : Added/New sq. ft. Garage RA [L $65,000.00 I herebysfllrm Under penalty of perjury that tam exempt from the (iontractors'-State License Law for the reasons) indicated below by the checonark(s) IIIave placed next to theapplicable ftenl(si Section 7031:5, Business and Professions Code' Any city or county that requires a'perm It to construct, alter, improve, demolish, or repair any structure, prior to Its ls,u'anoet also requires the applicant for lie permit to file a. signed slalom ant that he pr she is licensed pursuant to the provisions of the Contractors! State License Law (Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and 'rofasslons Code) or that he or she is exempt from lleensure and the basis for the alleged exemption Any violation of Section 7031.5 by applicant for a perms su " '-none ant to a civil penalty of lot more than five hundred dollars ($500) asts P I, as owner of the property., army employees with wages as their sole compensation, will do C) all of or t_) portions of. the work, and the structure Is riot Intended or offerr.:.+or sale (Section 7044, iusiness and professions Code. The Cordroctors' State License Law does not apply to an owner of property who, through employeez' or personal effort, builds or improves the properly, provided Chet the mprovemants are not Intended or offered forsale. 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 notbulitor reproved for thepurposeof sale), - I; 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 I ply 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 lcensure under the Contractors' Stale License Law for the following reason: ty my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one g ear prior to completion of the Improvements covered by this permit, Lca nnot F.—gall: 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 copy of the applicable law, Section 7044 of the Business and 'rofessions Coors Is available upon request when this application Is submitted or at -the, following Web site:http:liwxw,legin o.ca.govlcalaw.html. 3jgnatura of Prop&I!y'Clwnar or AuthorTzed Agent Date .j(!jtrNSVD CCV PRAETOR'S DECLARATION hereby affirm under penalty of perjury that, I am Iloensed Under provisions of Chapter 9-{commencing with Section 7000) of Division 3 Of the Business and Professions Code and my license is In full force resafieoi. License Class ( S?> License No �7�61 6F Data,.//2/-2 -7 Contractor Signature. 1ORKERS' COMPENSATION DECLARATION ..... YARNING iAILURE TO SECURE WORKERS' CpMPEN3ATIDN COVERAGE 19 UNLAWFUL, AND S11AL4 SUBJECT AN EMPLOYER TO CRIMINAL F£HHIs $ AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100000I, IN ADDITION TO THE DST CMOMPENSATIONi DAIMAEES AS PROVIDED FOR IN SECTION 3746 OF THE LIIBOR CODE, INTEREST, AND ATTORNEYS FEES, hersbp' affirm under pelity of perjury one. of the following declarations: 5'hliave:and will maintain a certificate of consent toself-insure for workers' compensation, issued by. the Director -of Industrial Relations as provided for by Section 3700 of theLaborCode, for to 01419t53ce of thn�worjc jor which this permit is issued. Policy No. eve'and -will e0n4fn workers' compensation insurance, as required by Section 3700 of the Labor Code, for the: p rformance,cf the work for whioh. this permit is issued. My workers' compensatioi -8uiVncacarder and pp>!cy number are: Policy Number ww C, is of Agent. certify that, In the performance of thework forwhich this permit is issued; I shall not employ any person in , If I should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code; f hereby affirm under penaltyofperjury thAthere Is a construction lending agency for the performance of the work'. enders 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 Iscorrect 1 agree to comply with: all applicable rhy and county ordinances and state lawsrelatingto building construction I.authorize representatives of this city or county to enter the atiGp4cismifted property for Inspection purposes. Date o. asto become subject to the workers' compensation laws of Califomia, and comply with those provisions. permit is issued (Section 3097, Civil Code):. DATE I By ' I pFCLARATI99J f OMPLIANCF WITH CODE OF FEDERAL I FOROFFICEILISFONLY 1C .gate. PERMIT EXPIRED LJ''.I SUBMITT OASBESTOS NOTIFICATION €ICATION 70 li PERMITCANCEELED _ EPA. All required alarms, latches Bates and fenceswhich serve as part,ofap,odl/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 PERMIT EXTENDED QMO: PERMITFINAL ASBESTOS NOTIFICATION 15 _NOT APPLICABLE TO T CERTIFICATE OF PROPOSED I7EiutOLITION OCCUPANCY ISSUED I SIGNATURE: 'iC