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Home My WebLink AboutS2023-0209 - Permits��EWPpR� City of Newport Beach p d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 a,. newportbeachca.gov/civic C9[/FO0.N�P Combination Type - Work Class - Alteration iiiiiiiiiiiiiii II Pool Permit : S2023-0209 Plan Check No : PC2023-2405 Issued Date : 1010212023 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 : 1500 LINCOLN LN Legal Desc : N TR 3851 BILK LOT 38 Description: REPLASTER POOL AND ADD 35 SF SPA INTO EXISTING POOL, REPLACE COPING Owner: RAFF HARRIET TR RAFF REVOC LIVING TR Address : 1500 LINCOLN LN NEWPORT BEACH, CA 92660 Phone: Applicant: ELEVATED POOL CONCEPTS Address : 13419 FAWNCREEK ST VICTORVILLE, CA 92395 Phone: (818)849-6560 Owner/Builder : Address : Phone: Contractor: ELEVATED POOL CONCEPTS Address : 13419 FAWNCREEK ST VICTORVILLE, CA 92395 Phone: (818)849-6560 Con State Lie : 1094567 Lie Expire : 07/3112024 Bus Lie : BT30082644 Bus Lie Expire : 09/30/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Architect Address Phone: State Lie Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address : Phone : NO Construction Valuation : NO Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage 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: $38,000.00 0 Fk OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(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 sheds licensed pursuant to the provisions of the Contactors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that heor she is exempt from licensure 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 iot more than five hundred dollars ($500). 1, as owner of the property. or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 a 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; 3y 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 Segall} sell a structure that I have builtas an owner -builder if if 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:hftp://"wv.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pgnurythat I am licensed under provisions oi��aptr:9f(commencing with Ss ion 70 ��f Zivisign 3 of the Business Professions de, an license is in full force and effect, License Class e-5 License No v I�-tc[-T o� Contractor atu NORKERS" COMPENSATION DECLARATION NARNING: FAILURE TO SErURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOL S (St00,0001, IN ADDITION TO THE COST OF COMPEMS S'aY ; DAMAGES AS PROVIDED FOR iN SECTION 7708.OF THE LADOR CODE. INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: harre 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 xmance of the work for which this permit is issued. Policy No. bale and will mqi-itain 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 raise carrie, and policy number are: Policy Number Date 7 cf Agent _ _ f none IF /certify that, in tha 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' compensation laws of California, and agre s Quid b On 6 subject to L Wodte dpmpensatlon provisions or Section 3700 of the Later Code, I shall forthwith comply with those provisions. nature pplicanf _ _ X JE N `EGAK.. DNSTRU TIDN LENDING AGENCirmundrpEaaltyfprjurythatthereconstrution lending ageneyfortheperfrmance of the work for which this permit Is issued (Section 30ode). Iders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ondfiqances and state laws relating to building construction. I authorize representatives of this cif couny�o enle the S,"V5-I miffed property for inspection purposes. _ /Ali r 1 e 3i nature of Property Owner or AU10,dNed Agen Print PropertyOwner's or Authorized A en erne VL?N e I �+ 7 ACTION DATE BY ` ECLA ATCN OF COMPLIANCE WII CODE OF FEDERAL FOR OFFICE USE ONLY I REG'U ATIONS PART 5t OF TITLE 40 AND AOMO RUfE 3 ]403 PERMIT ENPIREO ?LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED —i EIEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMtr ExTeNo€D nQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the ERM CERTIFICATE (0117-cf 3 ASBESTOS NOTIFICATION IS NOT APPLICABLE 70 Ilfe of the pool.-/ CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE;