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Home My WebLink AboutS2022-0155 - PermitsCity of Newport Beach II II I I II I II III III I I II �+ 0¢ d' Community Development Department - Building Division COMB Permit:S2O22-U155 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No = Permit Counter Phone: (949) 644-3288 N.._. Combination Type *� Inspection Requests Phone: (949) 644-3255 cgcrcon�"�. newportbeachca.gov/inspections Work Class :Other Issued Date 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: 6 WINGED FOOT LN Legal Desc : N TR 7638 BILK LOT 80 Description : SFR POOL & SPA 380 SF Owner: TROTTA RENATO Contractor Address : 6 WINGED FOOT LN NEWPORT BEACH, CA Address : *}� 92660 J Phone : (949) 719-0915 Phone Con State Lie Applicant: TROTTA RENATO Lie Expire Address : 6 WINGED FOOT LN NEWPORT BEACH, CA Bus Lie: 92660 Phone : (949) 719-0915 Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : Y Occupancy Groups : No of Units : 0 Bldg Height: No of Stories : Building Setbacks Flood Zone Use Zone: Processed By: Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Front: 10, Front: 20, Side: 5, Side: 5 X PC - Big Canyon Architect Address Phone: State Lie Engineer : LACHER TODD Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer Address Phone: Construction Valuation : $30,000.00 Added/New sq. ft. Bldg : 0 Added/New sq. ft. Garage : 0 Public Works Approval: iNSPECTOR ��/ Plan Check By: 1' 11� Approval To Issue: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) eldice Section 703L5, Business and Professions Code: Any city or county that requires 0 permit to construct, alter. improve, demt is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` State License LI 'rofesslons Code) or that he or she is exempt from Lloensure and the basis for the alleged exemption. Any violation of Saar 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 ( ) portions of th justness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through o.. nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp) n roved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, E ply to an owner of property who builds or improves thereon, and Who contracts for the projects with a licensed Contractor 1 1 am exempt from licensors under the Contractors' State License Law for the following reason _ ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yt ell a structure that I have built as an owner -builder if it has not b. n constructed In Rsbo lisety by Pcensed contractors. I unc 'rofesslons Code, is available upon request when this applieatio bmL r & f owlr ita:hltpJiwvew.legint, ;igntdure of Property Owner or Authorized Agent ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000) of ind effect. License Class License No Date below by the checkmark(s) I have placed next to the applicable heirl , or repair any structure, prior to Its issuance, also rage#res the applicant for Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and 331.5 by any applicant for a permit subjects the applicant to a civil penalty of t, and thestructure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code. The Contractors' State License Law does not to the Contractors' State License Law),. to completion of the improvements covered by this permit, I cannot legaW. that a copy of the applicable law, Section 7044 DI the Busine�ss ^and lcalaw.;ittml. 3 of the Business and Professions Code, and my license is in full force Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE, WORKERS' COMPENSATION COVeRAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALr us AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,0001, IN ADDITION TO THE `DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the fallowing declarations: -11 haveand will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of ndustrial Relations as provided for by Section 3700 of the tabor Code, for th aarfonnance of the work for which this permit is issued. Policy No. '11 have and will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the per ormance of the Work for which this permit is issued. My workers' compensatiol isuuance carrier and policy number am: zanier Policy Number Expiration Date of Agent dify that, in the performance of the wgck for which this permit I should become subject to the work Compenga am prdvt not employ any person in any manner s as to become subject to the workers' compensation laws of California, and a0re 3700 of the Labor Code, I shall forthwith mply with those provisions_ ireby affirm under penalty of perjury thaNthere is a construction tending agency for the performance of the work for which idor's Name _ _ _ _ Lenders Address my signature below, i certify to eFach of the following. I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I hav provided is Correct, I agree to comply with ail applicable city and county idt "areas and ate la Isting to building construction. t authorize representatives of this city or county e a vAe /nt/Ifie/d1 any for Inspection purposes. nature of Prnnoriv Clwner nr Anthori ADant �� // ! /A / , Print Property Owner's Or Aull DATE BY 7 CCLAR,ATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE ( FCUTATIONS PART 61, OF TITLF 40 Al AQMD RULE PERMITEXPIHEU I U19UBMITTE'DASBESTOSNOTIFICATIONTO PERMI7CANCECGEU.... �.. LJEPA All required PERM7Y'EXTENOEi7 —i�nOMD be In plate j PERMIT FINAL 3. ASBESTOS NOT+FICATION 6S NOT APPLICABLE TO life of the pl CEnprlC'ATEOF I PROPOSED DEMOLITION OCCUPANCY f55UC0 I SIGNATURE: Permit is issued (Section 3097, Civil Code). It's Name ru �`I • /4 r' ' Date ONLY latches Yates and +encgs,41rtch �Serve es part of a pool/spa barrier, shalt Ile rcval to fill pcor(spH&'shJ iemain In place & he maintained for the