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Home My WebLink AboutS2022-0179 - PermitsFWIPo,T City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 V > x Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Alteration 111111III ��III�IIII��III��III11111111111111111111111111111111111 COMB Permit : S2022-0179 Plan Check No : PC2022-2139 Issued Date : 12/06/2022 e•-- ,. F..n., ,� Inspection Area : 6 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 : 15 LE MANS Description : SFR REPLASTER (E) POOL & SPA. Owner: TSAI KATHY Address : 7 TIDE WATCH NEWPORT COAST, CA 92657 Phone : Applicant: F M POOL CONSTRUCTION Address: 10151 54TH ST RIVERSIDE, CA 92509 Phone: (951)377-2331 Owner/Builder : Address : Phone: Legal Desc : N TR 15935 BLK LOT 46 Contractor: F M POOL CONSTRUCTION Address : 10151 54TH ST RIVERSIDE, CA 92509 Phone: (951)377-2331 Con State Lie : 873721 Lie Expire : 07/31/2023 Bus Lie: BT30079545 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy No: 1ATCA16005607 W. C. Expire : 5/6/2023 Architect Address Phone: State Lie Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: PERSPECTIVE LANDSCAPE INC Address : 12995 ROSWELL AVE CHINO, CA 91710 Phone: (909)598-5658 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 to 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 rofessions 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 of more than five hundred dollars ($500). 7 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 sate (Section 7044, ustness 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 nprovemenls 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 mproved for the purpose of sale). 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 Daly 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). 3 1 am exempt from ficensure under the Contractors' State License Law for the following reason: ly 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 all a structure that I have built as an owner -builder if it has not been constructed in its entirety by ficensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prate s-Crufe.-s �nd my license is in full tome no effect. License Class License No Date V2L1_6 3'Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 iormance 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 work for which this permit is issued. My workers' compensa Trance carrier and policy number are: Policy Number Date lame of Agent enone R 3 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 Tel, if I should become subject to the war kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions, signature of Applicant _ r / _ Date LECLARATION REGARDING CONS U LENDING AGENCY 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, ender's 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 property owner's behalf. I have read this anplicahon and the information I have provided is correct. I agree to comply with ad applicable city and county ordinances and state laws relating to building construction. f authori're representatives of this city or count E7-tRtrn ove-identified prope for inspection purposes. sinnature of Prooeriv Owner or Authorized ADe / Print Property Owner's or Authorized Agent's Name (�- ACT-ON I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I 1403 PERi✓RT Ex"IR£D LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERM0 CANCELLED C CEPA PERMIT £X rENDED QMD —PERVITFINVt SBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OC(ZPANCL ISSUED �7.11 r plc-�—� PROPOSED DEMO ��, SIGNATURE: <7 \ /J'ti-1 / FOR OFFICE USE ONLY Civil Code). All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for Date t> 12�