The URL can be used to link to this page

Home My WebLink AboutP2022-0232 - Permitso��gWPO�T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 o- S Inspection Requests Phone: (949) 644-3255 C9r/FOPN`P newportbeachca.gov/inspections II II I III I I II Plumbing Permit : P2O22-0232 Plan Check o he PC2022-2163 WC Issued Date : 0812612022 Inspection Area : 4 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 : 1 HERMITAGE LN Legal Desc : N TR 7223 BILK LOT 91 Description : PLUMB GAS TO BBQ Owner: PETER POLOS Contractor : INSTANT POOLS LLC Address : 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Address : 116 SENCILLO PL LADERA RANCH, CA 92694 Phone : Phone : (949) 795-0648 Con State Lic : 1009644 Applicant; Jc C Wright Lic Expire : 07/31/2023 Address : 833 Dover Dr, 7 Newport Beach, CA 92663 Bus Lic: BT30053469 Phone: (949) 795-0648 Bus Lic Expire: 12131/2033 Workers' Compensation Insurance Owner/Builder : Carrier : NO EMPLOYEES Address : Policy No : EXEMPT Phone : W. C. Expire Code Edition : 2019 Fire Hazard Zone: N Type of Construction : Occupancy Groups Building Setbacks : Front: 10, Side: 5, Rear: 15 , Flood Zone : X Use Zone : - Big Canyon /PC PROCESSED BY : / Z OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that f am exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placednext 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 is 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 iieensure 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). I, as owner of the property, er my employees with wages as their sole compensation, will do I_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70", ',usiness and. Professions Code: The Contractors' State License Law does not apply to nn owner of property who, through employees' Gr personal effort, builds or improves the property, provided that the nprovements 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 builtor trproved for the purpose of sale). J 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 ply 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: !y 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 legall) oil a structure that I have built as an owner -builder 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 'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:liaw,'w.leginfo.ce.gov/calaw.htmi. ignoture 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 tuts' n 3 f the Business and P essions1 rise is n nd effect. License Class License No Date 26 `Z Contractor Sign ur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORRIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100.,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: 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 )rmance 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 ranee ccr.f,a and policy number are: Policy Number Agent in the perform ,a erform e c hould' become sub! 86t io, the workers' col I of Apmicent Date any person in any manner so as to become subject to the workers' compensation laws of California, and agrer :i Code, I shall forthwith comply with those provisions. j Date—,,2f! 1 Zz hereby affirm Lndel penalty of er}ury t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Fmc s Name Lender's Address :y my signature below, I certify to each of the following: I Prrt the property owner or authorized to act on the property owner's behalf, I have read t; Is application and the infohnatlon I have provi Oct. I agree to cornp(y Aith all applicable city and cou mantes and sta laws relating to building construction, : authorize rirresentatives of this city or cou to enter the abovedey or i pectlon purposes. \\ %%'' �f� signature of Property Owner or Authorized Age. t )( � Print Prooertv Owner's or Authorized Anent'9 Name Je sl l_ \AD \ri ACTION DATE BY O ANCE W'ITI-I CODE OF FEDEf EE- LATION5 PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT E%PIRED I SUBMITTr,D ASBESTOS NOTIFICATION TO PERMITCANCELLED O EPA PERMIT EXTENDED PERMIT FINAL - A5 - OS 01IFICATION IS NOT APPLICAHLE TO CERTIFICATE OF �'' OSED IOLITION OCCUPAPICYISSUED fp IGN FIE, FOR OFFICE USE ONLY (!?[z 11� Date 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,