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Home My WebLink AboutX2022-0018 - PermitsCity of Newport Beach �'�EWno," C 'd Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachea.gov/inspections Combination Type - Work Class - Other II II II I II I I I I I II I I COMB Permit : X2022-0018 Plan Check No : Issued Date C 09/ z/2022 0018-2022 Inspection Area : 5 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 : 11 OFFSHORE Legal Desc : Description: SFR INSTALL (16) CAISSONS FOR (S2022-0003) ' . Owner: ANDREW STUPIN Address : 215 5TH ST HUNTINGT BEACH, C/{ Phone : DistE" Applicant: ANDREWST IN Address : 215 5TH ST S EA HUNTINGTON E Phone: Owner/Builder: ' Address Phone: �S �SP 11C2�' �'• ! Contractor: ELITE CUSTOM POOL AS Qq��rr�,�by�e�funC ddressy_ CAR WAY ��11 $O% Of � �1�d$ress LAKE FORESTICA 9263® Phone : (714) 606-4007-, Phone �, a^ ColnState Lic : 529870 t0 WhpIT!'. a e Lic Lic Expire 05/31/2024 I. Bu io-,=nBT30031210 Engineer: PET Bds is Expire : 03/31/2023 Address: 28161 CA LAGUNA Workers Compensation Insurance Phone : (714) 717 Carrier: STATE COMP Policy No : 1137574 -`"''1 Designer W. C. Expire : 6/1/2023 ddres Code Edition : 2019a Fire Sprinklers Type of Construction : V-B 5Z 5, Fire HazaR'Zone Occupancy Groups : U No, of Units Bldg Height: `.N;;O)'Y SV� 14,,6 o'fStories Building Setbacks Flood Zone: Use Zone : PROCESSED BY: SPECIAL CONDITIONS: PLAMEN SITAS CT MIGUEL, CA 92677 a r a, r h° to ,�!\\ NO r!i} wCrk St�uT*L$-Wstruction Valuation : $50,000.00 NO Added/New[TI .Bide : 0 0 Alteratio ft-. B - g : 4'"5§jam-.Rc 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t 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 ftem(s) ,Section 7031.5, Business and Professions Corte: 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' 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 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 1, 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 Code: The Contractors` Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprove ru nts are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the (Jwner-Suilderwill have the burden of proving that it was not built or improved for the purpose of 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 alaply 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' State License Law for the fallowing reason: By nay signature below I acknowledge that, except for my personal maid once in which I must have resided for at least one year prior to completion of the improvements covered by this permit I cannot legal!} soll a structure that I have built as an ownorbuildor 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 Professions Code, is avallabie upon request when this application is submitted or at the fallowing Web site:hitpatwww.legiofo.ca.gavlcal>;tw.htmi. Signature, of Protrorty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION W _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Sects 0 of Division 3 of the Business and as d my lice is In full force and effect. License Class License No Da -I' l2—Z Z- Contractor Signal. ' tNORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UPTO ONE HUNOR THOUSAND DOLLARS t$100,006), tN ADDITION TOTES COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANC ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 1 have and will maintain a certificate of consent to self Rsure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh Terl.4m ante of the work for which this permit is issued. Policy No. _ 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' carrier and policy number are: is of Agent certify that. In the performance of the if I should becorr object to the we lature of ApplicaI G Policy Number Expiration Date issued. I shall notemploy any parson in any manner so as to become subjectto the worifery compensation laws of California. and agre is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ D e-IL-22 hereby affirm under,geriaity o perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). _endue s Name Lender's Address 3y any signature bslnw, I certify to each of the following: I am [tie property ew,ier orauthorized to act on the property owner's behalf. I:e_va :ead this Paplicatlon and the information I have provided `s correct. I agree to comply with all applicable city andZutordinancos a1 retail to building construction. I uthnrize representatives of this city or counterth v -Identified pro y for Inspection purposes. >ic,}Lriatum of Pro alq OWnar kr Authorized A ant- Print Pro 2 ert Owner's or Authorized A ent's Name 7' Oat Z ZZ ALTIGN DAT; BY (D: RAT'IONOFCOMPLIANCEWiTHCODEOFr£OER,AL I FOR OFFICE USE ONLY REGULATIONS PART 51 or TITLE 40 AND AQMD RULE PERAvrtXPIRED Rtr11TTF.DASBFSIOSNQTIFtCATIONTO P qn ^IT Ch VFHLED� .......- CPA �Q ��_ rMD __.... ._..._... .._._... L..tgSRE5TO5 NOTIFICATION 15 NOT :"APPLICABLE 10 !� CERRFICATE OF 111 1[ PROPOSED DEMOLITION OCCUPANCY ISSUED E I SIGNATURE: