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Home My WebLink AboutP2022-0144 - Permits (2)��EWPoRr City of Newport Beach p e Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 �. Inspection Requests Phone: (949) 644-3255 �9C/pppN�P newportheachca.gov/inspections PERMITS EXPIRE 180 DAYS AFTER ISSUANCE NO CONSTRUCTION RELATED NOISE ON SATU39 Job Address : 3927 SANDUNE LN Description Owner: Address Phone: Applicant Address Phone: 'LAST VALID IN I OR SUNDAY IN HI F SFR GASLINE TO BBQ AND EPIT Permit : P2022-0144 No : 1551.2022 PNO LATER THAN 3 YEARS AREAS AND NO WORK ON QUESADA STEPHANIE R ontractor 3927 SANDUNE LN RONA D AR, �ddress r�`i7 ��Phone PA EL N Sr�� 2464 A RA Z4 E FOR CA.9 0 (949 683-9�� W 2p x Code Edition : 201 ��``L�. Type of Construction : �0 3 Cj i%a Occupancy Groups Building Setbacks Flood Zone :lfi Use Zone: PROCESSED BY: Con "T Liclap s �C B Lic re Workers' Coml Carrier Policy W. xpire ;i SpriAklers : NO Hazard Zone : N ISSUANCE DATE (DAYS IN ALL AREAS �ADISE POOLS ..PQR BLVD S A AN C 27i 65 �/ I hereby affirm under penalty of perjury that i. am exempt from the Contractors' Slate License Law for the re n(s) indicat bef y the checkmark(s) 1 have placed next to the applicable Items} ;Section 7031,5. Business and Professions Code: Any city or county that requires a permit to constnlct, alI mprove, demolis r r 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 Contrac ' State License Laws,{C pto" commencing with Section 7000)of Division 3,of the Business and Drofessions Code) or that he or she is exempt from lieansure and the basis for the alleged exemptio Try violation of Se`tj_ti1}i031, by y`pppiicant for a permit subjects the applicant to c'vi penalty of Tot more than five hundred dollars ($500). �\? y`.. Q 1, as owner of the property, or my employees with wages as their sole compensation, will �}ail of or (_) Do ' 9of the work; nd e &Te is not intended or offered for sale (Section 704t, 3usiness and Professions Code; The Contractors' State License Law does not apply to anAnor Of �[ti w. rough Serbia as, or p o. art, attics or improves the property; provided (hat the mproverrents are not intended or offered for sale. If, however, the building or improvement is so m Di r of comply ' n, the Owner Ulf 11 have the burden of proving that it was not built or mproved for the purpose of sale). Q I as owner of the prcpertN, am exclusively contracting with licensed Con Grs lG of I th pr ct (Section A, Business and Profess s The Contractors' State License Law does not Ea ly to an owner of property who builds or improves thereon, and who corn or th; jects a licensed C ractor pursuant to the Contrac rs License Law), LI 1 am exempt from licensure under the Contractors' Slate License Law for the following By my signature below I acknowledge that, except for my personal;e'sidence in which I mu ve resid r at least one year prior to completion of the p . ants covered by this permit, I:cannot IagaU7 sell a structure that I have built as an owner-buldar if it has not peen construbted in its entirety by I1cgSs�d contractors. I understand that a copy of the ap. a , Section 7044 of the Business and Professions Code, is available upon request when this apple _ ion is submi d or a e foliowin� e site:hdp:t/www.leginfo. ca.gov/calaw.html..y Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATIO X + ' I hereby affirm under penalty of perjury that I am nsed u«� Divisions o er mencing with Section 70. ) o _ i Isio siness and Prof my ase Is in Tull force and effect. License Class ense N1-1 Dal Detractor Signatu iNORKERS' COMPENSATION DECLARATION f WARNING. FAILURE TO SECURE WORKERS' COMPENSATION ERAGE IS UNLAWFUL, AND SHALL 5ue.iECi' AN Eh1PLOYEF TO CRIMINAL PENAt;7A(!'�N Wll ES UP TO ON£ N ORED T SA! OLLARS (E100,0001, M ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN CTION 3F THE LABOR CODE. INTEREST. Af.0 ATTOFNEYB FEES. ((//F_� eV re affirm under penalty of perjury one o e folipv/ing aclamlions q � e (.G�IIa c, I eve and will maintain -a certifica of consent to st ll in ure for ,Dirk P.rs' rampeusation issued by rot dutlustriai Re to as��Cv' Ed by Section 3700 of the Labor Code, for in a Lance of the work for which IN permit isissued. pr lice No. �Q c7 I ve and wl 'ITlamtair Kars compens. tlon nsu nn .e e, requ:.,d by Section 37,00 of theCO , fo)performanc of ttxe'.�i(�k If vhioh this permit is issued. My workers' compensatioi I nce Earn and pimber are: at Petlicy Number Date Name of 40t, P e if Ell certify that jp io the for c r for p[7 tills permit is Issued., I shall n ploy any person in arr net so to Dime subject to the workers' compens Ion NS of Califomla, and agre that, If I should tieC"b, me b` Lt rk s (pens hole gtD ✓isions cf Sac' rySj( a the Labor Code., I,1li forihw 1. o with those provisions. / ZL (J' Signature of Appbc,` _ D DECLARATION REG _ -T LENDING AGENCY �` (7 1 hereby affirm under pe v o dury at there = nstnlction le nag apen f ft perforTan of the f hick this permit issued (Section 3097, GN71 Code). Lenders Name i � ender' ass By my signature below, I ce ,tio h of slowing: I am the property owner or " ord to act or the to or alf. T' I have read this application a e ormatio r rect. I agree to comply with all appli `_ p and unlq e n slat a elating I utl g construction, ` I authorize representatives of this I or r he ab -ide if propert or action purposes.} 2 Signature of Property Owner or Al I' Print Properly Owner's or Authorized Agent's Narne\lf/ Date `— ACTION I DATE - ATION MPL HI CODE OF FEDERAL FOR OFFICE USE ONLY `b REGII SPARTS FT 40 AND Al RULE PERMITtWPIRED IS aY-« I D l f MI 5U8MITTOASO STOS NOTIFICATION To PERMIT EXTENDED I PERMIT HNAL ' '8ti5T05 NUTl FICATIChN 15 NOT APPLICAaLE 1'0 CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY155UED SIGNATURE': All required alarms, latches gates and fences which serve 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 the life of the pool.