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Home My WebLink AboutS2022-0134 - Permits�Wvo"T City of Newport Beach l ' @ Community Development Department- Building Division 0 � 100 Civic Center Drive, Newport Beach, CA 92660 ~ _ n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9cicOaP`P newportbeachca.gov/inspections Combination Type - Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR NO CONSTRUCTION RELATED NOISE ON SATURDAY Job Address : 1000 WHITE SAILS WAY Description: SFR POOL & SPA 392/49 SF W/ Owner: Address Phone: n Applicant: JEFF LOZUN Address: 4122 WINTERHAVE T Y0 92886 �� Phone : (714) 337-7790 n� Owner/Builder : Address: 10( Phone: Code Edition: Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: II II I I II I III III\nsp Irmit : S2022-0134 No: 1499-2022 08/09/2022 a : 6 •_� . BUT NO LATER THAN 3 YEAR ITYAPEAS AND NO WORK ON N TR 221;LOBLK LOT 27 �o contracrpT.: Addres9'''e Phone Con StateLic Lic Expire LINT A,'CA Bus Lic E lal` TLS W NE T BEACH, �' y Bus Lic xpne. rc ect dressAddress rL�d hone ,,tate Lic CJ 4• �4En near�FoAddd a, Workers' Compensation sur '- a ��O `�40 Carrier Policy No : / esigner W. C. Expire�� nie yni 44 bof Front:27, Side: *esiflal X s. R-1-6000 - Si �lJ R(6000 Indic ' 6 SPECIAL CONDITIONS: NO No area) Address Phone: VAL ISSUANCE DATE HOLIDAYS IN ALL AREAS DAWN 1411 N BATAVIA STE 208 ORANGE, CA 92867 (714)363-3585 Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft.- Garage : 0 I SPECIOR Q • I hereby affirm under penalty of perjury that f am exempt from the ContractorsState License Law for the reason(s) I ed below by the chackmark(s) I have placed next to the applicable items) Giinn 7031,5, Business and Professions Code: Any city or county that requires e permit to construct a(tse, improv eme t, or rapair any structure, prior to Its Issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State ens, Law hapter 9 (commencing with Section 7000) of Division 3 of the Business and ressions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any viol n of Section 7A 5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500), J I, as owner of the property„ or my employees with wages as their sale compensation w19 do ( 3usjness and Professions Code The Contractors' State License Law does not apply to an Owner mprovements are not intended or offered for sale. If, however, the building or improvement is so nproved for the purpose of sale). ber,llf",�"Islons as Owner of the property. am exclusively contracting with licensed Contractors to cc MCI o an owner of property who builds or improves thereon, and who contracts for in rejects m exempt from licensors under the Contractors' State License Law for the f wing reams signature below I acknowledge that, except for my personal residence in iGh I m w tructure that I have built as an owner -builder if it h not been canal d in its entir ty b� Code is available upon request whe is app ed or at the followtrFa ldgnsture of Property Owner or Authorized Agen _ g .ICENSED CONTRACTOR'S DECLARATION rr () portions of in +1br'Ec, a the structpro Is not intended or Offered for sale (Section 7044, rty who through oyaes' or OrsonaLeffort, builds or Improves the property, provided that the one year of colon, th2a Own Builder will have the burden of proving that It was not built+ . 7i' —C A '. and Prole ors Gods: The Contractors' State License Law does not to the Conlr ors' State License Law), re year prior to completion of tl ) understand that a copy of the hereby afflrm under penalty of pertury that I am licensed on :rovisions o hapter 4pmmenrARith Section 7000) of Division 3 of the eu no Profs rid effect. License Class cerise No Date Crfp gnature _ VORKERS' COMPENSATION DECLARATION ��y� 1ARNINO: FAILURE TO SECURE WORKERS'COMPENSATION @RAGE ISe WFUL Va T Ary Ehv>i.UYltt rtr CRIMINAL PENALTIES AND Gla]t. FaJ�p�fP TO ONE HUNDRED DST Of COMPENSATION, DAMAGES AS PROVIDED FOR I CTION37060 HE LAaOR'dODE iNT , ArlO ATTORNCYS F EES, hereby affirm under penalty of perjury one o e following claraHpn 'I �� \ .t 1 have and will maintain a certiftca f consent sell-inp9re tar workers compensaiiorr Issued by the Director a IalafP iM1ons as pro ' ad QO� ertormance of the work for which Rr eHalt Is is d. Policy hie 11 have and will maintain 'or camp s n insurAncn 0$ eqular f L Section 100 of the Gabor Code/fTj�� or Ce of the fot III t isuranoe carrier and policy bar ar dider Poky N u-iber / ® E iYaUori'�ate iota of Agent of of hereby affirm under p'� -onder's Name 3y my signature below, I c c I am the property owner I have read this appficaUon I agree to comply with all app I authorize representatives of Signature of Property Owner Or A� ACTION I nATF PFRMO WING) CERTIFICATfOr OCCUPANCYISSUEO owner's agency 1 not employ any persor3Tit any manner so 3700of the Labor Code, I shall forthwith y of the Address S covered by lots permit,.I cannot Section 7044 of the Business and nalsA P3 —C:�—zZ and my license is in full force ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for is issued. My workers` cum to the workers' compensation taws of California, and Slurs. - JAwn 6 — `t ^ Z. 7— issued (Section 3097, Civil Code). Pnr ro t Owner's or Authorized Agent's Name OF caAL FOR OFFICE USE ONLY — cute TO old _ 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 I5 NOT APPLiCA3tE TO life of the pool.