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Home My WebLink AboutP2022-0246 - PermitsC`U! City of Newport Beach Plumbing Permit:P2022-0246 Community Development Department -Building Division100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2213 Permit Counter Phone: (949) 644-3288 1 Work Class: Other Inspection Requests Phone: (949) 644-3255 '� ` '4�+�„„"•�+i R"'; Issued Date : 0813112022 ppN�P newportbeachca.gov/inspections is °� 3 L— "e,/ i L.�- Inspection Area : 4 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 : 18 SHERWOOD Legal Dead: N TR 15409 BILK LOT 69 Description: PLUMB: INSTALL GAS STUBOUTS FOR FUTURE BBQ & FIREPIT. (S2022-0184) Owner: OKELLY GRAHAM TR Address : 18 SHERWOOD NEWPORT BEACH, CA 92660 Phone: Applicant : CRYSTAL POOLS Address : 19631 BROOKHURST ST #13 HUNTINGTON BEACH, CA 92646 Phone: (714)420-5473 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone : PC - Bonita Canyon PROCESSED BY: 83 Contractor : CRYSTAL POOLS Address : 19631 BROOKHURST ST #13 HUNTINGTON BEACH, CA 92646 Phone: (714)420-5473 Con State Lic : 867770 Lic Expire : 11/30/2022 Bus Lic: BT30053161 Bus Lic Expire:11130/2022 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No: 9089361 W. C. Expire: 12/19/2022 Fire Hazard Zone: N Occupancy Groups: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that t am exempt from the ContractorsStale 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )rofessions Code) or that he or she is exempt from licensure 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 tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the Work, and the structure Is not Intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contracors' State License Law does not apply In an owner of property who, through employees' or personal effort, builds or impmves the property, provided that the mprovernents are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose or sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensors under the Contractors' State License Law for the following reason: _____. _ 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permit I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and )rofesslons Code, is available upon request When this application is submitted or at the following Web site:hltp:!lwww.leginto.on.gov/calaw.html. 3ignalure of Property Owneror Authorized Agent - Date, _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ivi ' n 3 of the Business and Profs$ to o e, alter y license is in full force Ind effect. License Class License No Dale ! Z� Contractor Signature YORKERS' COMPENSATION DECLARATION ;ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU O DOLLARS (6100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES. hereby affirm under penalty or perjury one of the following declarations: I I have and will maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for US 'erfyrmance of the work for which this permit Is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the vYork for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number Expiration Date ie of Agent Phone # certify that, in the performance of the work for 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 California, and agree if I should become subjela to the ork ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. lalure of Applicant.. pat 3IfAl 2— :LARATION RFGAADKG CO ST UCT LENDING AGENCY hereby affirm under pen of Mury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, CNII Code). ender's Name Lender's Address ,y my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have mPd this application and the Information I have provided is correct. I agree to comply with all applicable City and county ordinances and stale laws relating to building construction. y 1 authorize representatives of this city or coon toter the a ve-identified property for inspection purposes. � / i na9 tors of Pro art Owner or Authorized A ent �% Pnnt Property Owner's or Authorized Agent's Name %C V t'A`y �DN h'i I I Dab 1CTION DATE BY DE LARAT( K OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD NUIF. PERMIT EXPIRED Li.J l SUBMITTED ASBESTOS NOTIFICATION TO PERMIT c'?r r' . lsa ( �EEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall .__ ... PERMIT EA7ENDE0 ��AgMD be in place prior to approval to lilt pool/spa &shall remain in place & he maintained for the RMIT FINAL 27 q3 C A5BE4TOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CrRTIFICA'rEOF F� J $$ PROPOSED DEMOLITION OCCUVANCt 6SUE0 j SIGNATURE.