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Home My WebLink AboutS2022-0176 - Permits"�EWPORT City of Newport Beach II II I I II I II I II III I IIII II COMB Permit : S2022-0176 O� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2081 ? Permit Counter Phone: (949) 644-3288 Issued Date : 08/19/2022 aK Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 CS(/FOAN�P newportbeachca.gov/inspections Combination Type - Work Class - New 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: 2-HARBOR-POWTE- -- - LegaFDesc-t N T4Z 10625-BLi«6T 64R-10625-LOT-6-POR OF —LOT- - Description : REPLASTER/RETILE SPA, REPLACE COPING AND DECK Owner: LAURA MEISENBACH Contractor : VICTORY POOLS Architect Address : 2 HARBOR POINTE DR CORONA DEL MAR, Address : 1164 N SACRAMENTO ST ORANGE, CA Address CA 92625 92867 Phone: Phone: (714)469-2702 Phone: Con State Lie : 976169 State Lie Applicant: VICTORY POOLS Lie Expire : 05/31/2023 Address : 1164 N SACRAMENTO ST ORANGE, CA 92867 Bus Lie: BT30061313 Engineer Phone : (714) 469-2702 Bus Lie Expire : 11/30/2022 Address Workers' Compensation Insurance Phone : Owner/Builder: Carrier: WESCO INSURANCE COMPANY Address : Policy No: WWC3584728 Designer: Phone : W. C. Expire: 5/2/2023 Address Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY 2019 Fire Sprinklers : Fire Hazard Zone R3/U No of Units : No of Stories NO Construction Valuation : $10,OIr0.0u No Added/New/TI sq. ft. Bldg: 0 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Front: 20, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: d : 'it LCTOR OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(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, after, 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Coda'. 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 hullt or EI roved for the purpose of sale). Ll 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 ap.Rly 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 licensure under the Contractors' Slate License Law for the following reason: By my 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 legally sell a structure that I have built as an owner-buildar 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 Professions Code, is available upon request when this application Is submitted or at the following Web sjte:http://www,leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 0 O) of Division 3 of the Business and Projes�ions pde, d my license is In full force and effect. License Class License No Date Contractor Signature a ) WORKERS' COMPENSATION DECLARATION WARNING: FAILUFE TO SE',URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100.0001, IN ADDITION TO THE COST OF COMPENSA.-Wd, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, I Sa.so/ affirm wider penalty of perjury one of the following declarations: 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 a of the work for which this permit Is issued. Policy No. have and tvi!I r.TcLasin 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' �Pnce carder and policy number are: Policy Number Expiratk of Agent Phone # aw,ify that, In the performance of the If! should becumw subject to,1W 9 -a of APR'icarl Date 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 Califomla, and ticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,&CLARATION nEGPRI.IING CONDUCTION LENDING AGENCY Dale �• I� 2-Z. _- hereby 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 enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is corroct- I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countydr° ant r ih r Ie property for Inspection purposes. , lionature, of Property Owner m Authorized Aaent /\ /_ � � Print Property Owner's or Authorized Aaent's Name X. e�or DECLARATION OF COMPLIANCE WITH CODE OF FEO£RAIL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND A(>_MD RUIF Civil Code). PL'R1NIT EXPIRLD U I SUBMITTED ASBESTOS NOTIFICATION TO PERNNTCAIYCEUED UEPA - All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIYEXTEIVOED q AD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the P€ftM!(FINA! A I ASBESTOS NOTIFICATION IS NOTAPPLICARLE TO life of the pool. CERTIFICATE OF-ft'l'�' +��-'�{$ PROPOSED DEMOLITION - OCCUPAINCY6SUE0 i SIGNATURE: