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Home My WebLink AboutS2023-0221 - Permits�gWPO�T City of Newport Beach C4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U s ems. Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9C/FOPH�P Combination Type - Work Class - Alteration 11IillIII 1111111111111111111111111111111111111111111 jjPool Permit : S2023-0221 Plan Check No : PC2023-2515 Issued Date : 10/12/2023 Final Date: Permit Status: Issued Inspection Area : 8 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 : 1124 ESSEX LN Legal Desc : N TR 3000 BLK LOT 50 Description: SFR REPLACE COPING, TILE AND DECKING Owner: HEINKE KEITH L TR Address : 1124 ESSEX LN NEWPORT BEACH, CA 92660 Phone : (949) 233-6931 Applicant: H & H POOLS AND SPA INC Address: 10058 MEMORY PARK AVE MISSION HILLS, CA 91345 Phone : (818) 579-3003 Owner/Builder: Address : Phone Contractor: H & H POOLS AND SPA INC Address : 10058 MEMORY PARK AVE MISSION HILLS, CA 91345 Phone: (818)579-3003 Con State Lie : 1056975 Lie Expire ; 08/31/2025 Bus Lie: BT30081473 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: Architect Address: Phone: State Lie Engineer: Address Phone: Designer: Address Phone Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable itemfs) 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' 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 licensors 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). 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, 3usiress 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 properly, 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 bullt 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 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). ❑ 1 am Exempt from licensure under the Contractors' State License Law for the following reason ...--_-.—.- By 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 legal]) sell a structure that I have built asan owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that 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.]eginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent,___ __ Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Sec' n 70 0 of D'visio 3 of t P� lslnes�Professions - ense is In full force and effect. License Class ` br� License No �O �� 9 !� D l..� 12, oft I alure ; WORKERS' CGhtrZNSATION DECLARATION WARNING 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 (SW0000), IN ADDITION TO THE COST OF CI MPENSATICN, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following deciaratlons: G I h'd�e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 370D of the Labor Code, for th armcnce of tt-v crk'or which this permit is issued. Policy No. Fhave 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' compensatiol surdl,La carrier and JoI:-y number are: eI to o, r.gent _ _ - Policy Number Date rcertify that, in t n 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, compensat'Ion laws of California, and agie If I snOuld BFcer subject to the T Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicd _ _ �.� -„ O IZ 2n2, CLARATION REGARDING CONSTRUCTING AGENCY Ireby 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). Ider's Name Lender's Address _ nay signature below, I certify to each of ilia following: I am the property owner or authorized to act on the property owner's behalf. , I have read this I authorize comply with all applicable hs lcity coanf county provided es is sta le r tng to building construction. PP Y Y e " p yfor inspection purposes. P Y 7 Print Property Owner's or Authorized Agent's N na L 5�� ACTION DATE BY OECLARATION`OF COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGiRATIONS PART el OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO Pr RMITCANCEUED __ r-f E—PA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXrENDEO L.lAtZMD be In place prior to appr alto ill pool/spahall remain in place & be maintained for the -------- life of the pool. p S PERMIT FINAL 2 �'3 � �0ASBESTDSNOT'IFICATIONISNOTAPPLICABLE TO F� �D CERTIFICATE OF 4 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: ____ _ ...... _