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Home My WebLink AboutP2023-0061 - Permits�gWP0,4T City of Newport Beach Community Development Department- Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3286 CgL�cO RN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/lnspections ��III1111111111111111111111111ill1111111111111jj Plumbing Permit : P2O23-oos1 Plan Check No : PC2023-0270 Work Class : Other Issued Date : 02/09/2023 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 : 14 SIDNEY BAY DR Description: PLUM GASLINE TO FIRE PIT AND BBQ Owner: SKEPASMENOLLC Address : 140 N CENTER ST MESA, AZ 85201 Phone: Legal Desc : N TR 15445 BLK LOT 18 Applicant: SOUTH COUNTY POOL BLDRS INC Address: 32962 CALLE DEL TESORO SAN JUAN CAPISTRANO, CA 92675 Phone: (949)324-3369 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: X PC - Newport Coast Contractor : SOUTH COUNTY POOL BLDRS INC Address : 32962 CALLE DEL TESORO SAN JUAN CAPISTRANvO, CA Phone : (949) 324-3369 Con State Lie : 1023064 Lie Expire : 01/31/2026 Bus Lie: BT30074892 Bus Lie Expire:04/30/2023 Workers' Compensation Insurance Carrier : FALLS LAKE FIRE AND CASUALTY COMPANY - Policy No: FLA01345603 W. C. Expire: 1/23/2024 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penalty of penury that I am exempt from the Contractors' State License Law for the reasons) 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, alter, 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 ticensure 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 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 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 built or improved for the purpose of sale). El I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 following reason: By my signature below I. acknowledge that, except formy personal residence In which I must have resided forat least one year prior to completion of the improvements covered by this permit, I Cannot legall) sell a structure that I have built as an owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand fnat a 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 site:http:!(www,ieginfo.ca.gov/ce law.html. Signature of Property Owner or Authorized Agent ____._._.__.._.__.._.V.—. _ ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 700L} o Duvd ion 3 of the B.uslnass and or fessiC, s.0 a, and my license is In full force and effect. License Class License No Oate Z he Bu ctocSlgnaiure. WORKERS' COMPEIISATION DECLARATION Waquli FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINER UP TO ONE HUNDRED THOUSAND DOLLARS iS10Q000), IN ADDITION TO THE COST OF FOMPENS A i ION, JnNtAGES AS PROVIDED FOR M SECTION 3706 OF THE LABOR COVE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under pe,ialty of perjury one of the following dec€orations: ❑ I nave 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 lh nerfonnance of!he work for which this permit Is Issued. PofCy NO.., have and will maintain workers' compensation insurance, as required by Seclion 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiol I canter ani bailey number are: let Policy Number Expiration Date is of Agent Phone it certify that. in the bettor arc 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 lays oftlifomia, and agre if should b i qi ne subj t0 4he workers compensation provisions of Section 3700 of the Labor Code, I shall forlriwilh comply with those provisions. nature of Applica,. _ _. .I.._.._-�✓ 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, Civil Code). _ender's Name Lenders Address 3y my signature below, I certify to each of the following: I_.^ I am the property owner or authorized to act on the property owner's behalf. e i have read this application and the information I%veovided is correctI agree to comply with all applicable city and coinntes and state laws relating to building construction.r-�I authorize representatives of this city or c unty taabo, -identified property for inspection purposes,G_ Signature of Property Owner or Authorized Again Print Property OMmer s or Authorized Agents Name Date ACTION I DATE BY DECLARATVON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY `. REGULATIONS PART 61 OFTITLF 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEUED $ EPA n CERTfFICATEOF I �� a', I�flO5f.DSSE S 05 h'CL1 CA ION IS NUT APPLIiABtf TO OCCUPANCYISSUED t 35GNATURE: O f L� W J W ^W I� N 0 N cA N m C 7 0 (CO C LO c a) 0 .� 10 CO to Ow 0) NU a m co .o = J j to N to In N O N W Q U m 0 O U r O Q N Z >+ a5 O(O mLI) LO aa)) o C "O O WU J U O CZ m U) w _o E O c O U U J J O m m w m .0 a) V w a) >. a 0 N 0 C O. N C 0 m i9 N C 0 E o. c a a) Em a w 2 U Q `o N C a) E c N a) L_ N a) a) X m O N m E C 0 co m N c U c w N a) 0 1] a3 m C r N N D U J J ui O uL m C N m O m 2m C 0 L c U N ca N m C C U C 0 N c 0 .N a) c V c Q C N N U N vi N 0Q O a) C(D) N C a>j C 7 m W C) c C m Cl N T O C O M a C Y -0 t C N O O CD I— Li X U 0D r` a N Cl) ' n tf J a LL ' N 0 r a Cr O LL a U c Q I N N co C , M O N 00 a) O N *k a) N LL O F— Z.