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Home My WebLink AboutS2023-0228 - Permits04'. City of Newport Beach ��1111111111111►1p111111►111111111111111111IIII 11Pool Permit:S2O23-o22s Community Development Department- Building Division S 2 0 2 3 0 2 2 8100 Civic Center Drive, Newport Beach, CA 92660Plan Check No : PC2023-0199 Permit Counter Phone: (949) 718-1888 Issued Date : 10130/2023 newportbeachca.gov/civic Final Date: CombCombination Type - Permit Status: Issued Work Class - Other Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION Job Address: 621 DONALD PL Legal Desc : N TR 10156 BLK LOT 2 Description: SFR NEW POOL 200 SF W/ DRAINAGE *REPLACE EXPIRED S2023-0023* Owner: BRENNAN KEVIN P TR K & L Contractor: P R CONSTRUCTION INC Architect Address : 621 DONALD PL Address : 1995 BATAVIA ST Address NEWPORT BEACH, CA 92663 ORANGE, CA 92865 •, , , ,. Phone : Phone : (714) 637-7848 Phone Con State Lie : 673267 State Lie: Lie Expire: 03/31/2025 Applicant : ROSALES POOL & SPA CONSTRUCTION Bus Lie : BT30076183 Engineer: BIEDENBACH CHRISTOPNER DAMES , , Address : 12643 DOLLY COURT Bus Lie Expire : 08/31/2024 Address : 1201 N TUSTIN AVE . • , , , , EASTVALE, CA 92880 ANAHEIM. CA 92807 Phone: (714)296-0644 Phone: (714)630-6100 Workers' Compensation Insurance Carrier: EVEREST NATIONAL INS CO Owner/Builder : Policy No : CA10002583221 Designer: Address : W. C. Expire : 1/1/2024 Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : Alteration sq. ft. Bldg : 0 Bldg Height No of Stories : Added/New sq. ft. Garage : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: n /— SPECIAL CONDITIONS: SUB -AGRMNT SCANNED 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 item(s) 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 'rofessions 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 fore permit subjects the appleantto a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will Be (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness 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 Rim ovements 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 nproved for the. purpose of sale). 1 1, 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 '�poly 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). �II am exempt from licensure under the Contractors' State License Law for the following reason: _ ty my signature below l acknowledge that, except for my personal residence In which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legalll all a structure that I have built asan 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 'rofessions Code, is available upon request when this application Is Submitted or at the fallowing Web site:http:iMvhv.leginfo.ca.gov/calaw.html. Ignature, of Property Owner or Authorized Agent _ ICEMSED CONTRACTOR'S DECLARATION hereby affirm cider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S lion 0 i f the Busin rofes ens dm li 'mull force no effect. License L7uss License No a U Contr t r Signature VORKERS' Cr7W`PENSATION DECLARATION ARNING: FAILURE.n ",rCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP O. ONE HUNnREO THOOSAND DOLLARS ISf0DAO01, iN ADDrrlOH TO THE OST O- COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 2 1 hove and :will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for (hi ariormance of the work for which this permit is issued. Policy No, �" �a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ya p rmlt is issued. My workers' compensatior FJ r.: airier an p umber are: C � J 5 Expiration Date Z 2 "me of Agent Phone if e �1 Cartlf, that, it ape once o a h this perm is Issued, shall nor employ any parson in any manner so as to become subject to the worker,' compensati n laws of California, and agree la' d I should on.c sub t s' om salio 'lions clien 3700 of the Labor Code, shall forthwith comply with those provisions. lgnature of A ICanl _ _ Dili ,�Q ECLARATE(;thl EGARDI C pNF{i?ING AGENCY hereby offi u der 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 Cod . tinder's Name Lender's Address y my signature below, I certify to each of Ilia following. -- I am the property owner or authorized to act on th y owner behalf. I have read this application and the iI rm ' I he prov Is c rrec I agree to comply with all applicable y and count rid aws relating to building construction. �/y� 1/ authorize representatives oft is city oE�county,fq enter t 6a e- enilhed y for inspection purposes. /�J' .i 1Y71' Ionatule of PrOOBRV Owner or AUIh F d AOe11I I(ii / I Print Prrnprty Owner c nr ANIlKi'izad Arians Nam n� BY DECLARATION OF COMPLIANCE WITS CODE OF FEDERAL RFGULATIONS PART 61 OF TITLF 40 AND AQMD RULE ONLY PERMIr EXPIREp I UI yRMITTFD ASBESTOS NOTI FICATION TO PERMIT CANCELL€a rq Ail required alarms, latches gates and fences which serve as part of a poollspa barrier, shall P€RMI±errENOEo %%y/�//�- OMp be in place prior to �va� fill pool/sj'a hall remain In place & be maintained for the PERMIT FINAL ,gp /d[1--��' ASBES705 NOTIFICATION IS NOT APPLICABLE TO life of the pool. ,?� i1 e/ lJj CERTly7CRTEOF 7 I PROPOSED DEMOLITION OCCUPANCYISSUED l SIGNATURE: