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Home My WebLink AboutS2022-0212 - Permitsw <,r City of Newport Beach II II I I II I I II III I II I II Pool Permit : S2022-0212 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2578 Permit Counter Phone: (949) 644-3288 Issued Date Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 °gcrFor,r;" newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 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 : 4 PINEHURST LN Description : SFR POOL 8 SPA 365 SF Owner: ROGER JEWKES Address : 3750 LAS VEGAS BLVD S UNIT4701 LAS VEGAS, NV 89158 Phone: Applicant: PAUL ELLISON Address : 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)683-9861 Legal Desc : N TR 7223 BLK LOT 66 Contractor: PACIFIC PARADISE POOLS Address : 3007 S HARBOR BLVD SANTA ANA, CA 92704 Phone : (714) 437-7665 Con State Lie : 522119 Lie Expire : 08/31/2024 Bus Lie: BT30046344 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier: STATE FUND Owner/Builder : Policy No: 9123412 Address : W. C. Expire: 2/1/2023 Phone: 9 Code Edition : 2019 Fire Sprinklerq; NO— Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : Bldg Height: No of Stories : 0 A Building Setbacks : Front: 10, Front: 20, Side: 5, Side: 5 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY. _ SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address Phone: Construction Valuation : $40,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasuri indicated below by the checkmark(s) I have placed next to the applicable item(sy (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 the 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 Professions Code) or that he or she is exempt from Lcensure 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 not more than five hundred dollars ($500). ❑ L, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 improvements 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 Improved for lire purpose of sale). Ell, 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 apply to an owner of property who builds or improves thereon, and wfio contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason' ...... By my signature below I acknowledge that. except for my personal residence in which I must have resided fora# least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions Code, is available upon request when this application Is submitted or at the following Web site:hitp:Ilwww.teginfo.ca.gov/calaw.html. Signature, of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 O) of 'vi on 3 of the Business an Pr essi 1 Cad d my license Is In full force and effect. License Class License No D to Contractor Sign WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UP TO ONE HUNDREO THOUSAND DOLLARS J$100,0001, IN AODmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one or the following declarations: 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 thl rmance 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' compensatioi �e carrier and policy number are: ier Policy Number Expiration Date to of Agent Phone # certify that, in the pe roan e o the rk r w Its pem7il 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 if I should been a ubject e w ke. c0 Pons n provisions of Section 3700 of the Labor Code, I shall forthwith enmply with those provisions Iature of Applican!e �Z I hereby affirm under peklty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name _ Lenders Address By my signature below, I certify to each of the following. i am the property owner or authorized to act on the property owner's be alf. I have read this application and the informal on haw revided is co edt I agree to comply with all applicable oily and cou ordi a. as an sta taws relating to building construction. I authorize representatives of this city or count' to ante a abov -id tified pro y for inspection purposes.L-,( Si nature of Pro ert Owner Dr Authorized A ent Print Pro pertOwner's or Authorized A ent's Nato Date a, ACTION I DATE BY D CLARA N PLIANCE VJI7kl CODE OF FEDERAL FOR OFFICE USE ONLY I R, DONS PART 61 OF TITLE 40 AND AQMD RULE 1 1403 PERMITCANCELLED 6PA All required alarms, latches gates ant fence¢ which serve as part of a pool/spa barrier, shall PFRMMT be in place prior to approval :o fl'; pnoljspa 3r shall remain il� piacE & be maintained for the pool. the ' PERMIT FINA! _ ASBESTOS NOTpICATION IS NOT APPLICABLE t0 life op CERTIFICATE Of I PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE;