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Home My WebLink AboutS2023-0244 - Permits�2EWPpRT City of Newport Beach D p Community Development Department - Building Division r n100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Other S 2 0 2 3 0 2 4 4II Pool Permit : S2023-0244 Plan Check No : PC2023-2879 Issued Date: 12/22/2023 Final Date: Permit Status: Issued 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: 2812 CAROB ST Description : SFR IN) POOL 375 SF Owner: OJ RODRIGUEZ Address : 2812 CAROB ST NEWPORT BEACH, CA 92660 Phone: (909)592-8500 Applicant: CALIFORNIA POOLS Address : PO BOX 1765 TUSTIN, CA 92781 Phone : (714) 469-1580 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : Occupancy Groups: U Bldg Height : Legal Desc : N TR 4892 BLK LOT 29 Contractor: CALIFORNIA POOLS Address : PO BOX 1765 TUSTIN, CA 92781 Phone: (714)469-1580 Con State Lic : 699262 Lic Expire : 05/31/2025 Bus Lic : BT30066465 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Architect Address Phone : State Lic Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Policy No: 9069093 Designer: W. C. Expire: 8/21/2024 Address Phone: Fire Sprinklers : NO Construction Valuation : $50,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 1 id SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I 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 fam(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 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 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 of more than five hundred dollars ($500). 3 1, 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, justness 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 nprovements arenot 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). 3 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 ppEy 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). J. i am exempt from licensure under the Contractors' Slate 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 legalll ell a structure that I have built as an owner -builder if 11 has not been constructed in [is entirely 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 following Vyeb site:http:liw .leginfo.ca.goWcalaw.html, iignah)re of Property Owner or Authorized Agent v Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi D ,and my license is In foil force nd effect. License Class License No Date =ZZZZ Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 (SI00.000),. 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: I I 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 IhI erformance 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' rance carrier and policy number are: of Agent certify that, in the performance of the if I should become subject to the of Applicant Policy Number Date or 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 compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. I �i DatgCZ.Z � _ ItULAKAIIUN KLUAKOINU UUIN51KUUIIUN LLNUINU AUtNUY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code). enders Name _ Lenders Address y 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 Es correct. I agree to comply with all applicably city and county ordinances an a laevs relating to building construction. I authorize representatives of this city or county to an rthe ve-identified property for inspection purposes. fi ionalwe of PI'ODertv Owner or Authorized Anent Print Property Owner's or Authorized Auenl's Name I1�1 PEANW EkPWP O PERNVT FINAL cERTrocarr or OCCUPANCY ISSUED DECLARATION OF CONIPLIANCE W'ITIi CODE OF FEDEI REGULATIONS PART BI OF TITLE 40 AND AQMD RULE 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOSNOTIFICATION 15NOT APPLICABLE TO PROPOSED DEMOLITION. CIGNATURE: FOR OFFICE USE ONLY )Z -,-? �? 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. v aao �C LN ✓f' O` m c C d z w N z T