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Home My WebLink AboutS2023-0121 - PermitsCity of Newport Beach 0- a Community Development Department - Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 O i Permit Counter Phone: (949) 718-1888 .s+ newportbeachca.gov/civic C9F�FpR�`P Combination Type - SFP Work Class - Other 111111III ��III�IIII��III�III IIIIII�IIII�IIII1111111111Pool Permit : S2023-0121 Plan Check No : 2565-2021 Issued Date : 06/14/2023 Inspection Area : 6 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: 15 SAN MATEO WAY Legal Desc : N TR 7844 BILK LOT 25 Description : POOL REPLASTER (REV22-0135): RENEW EXPIRED PERMIT S2022-0050 Owner: MAHMOUD ESLAMI Address : 15 SAN MATEO WAY CORONA DEL MAR, CA 92625 Phone : Applicant: PRESTIGE DESIGN CENTER Address: 1559 W EMBASSY ST ANAHEIM, CA 92802 Phone: (310)529-6009 Owner/Builder Address : Phone: Contractor: PRESTIGE DESIGN CENTER Architect Address : 1559 W EMBASSY ST Address ANAHEIM, CA 92802 Phone : (310) 529-6009 Phone Con State Lic : 993531 State Lic Lic Expire : 06/30/2024 Bus Lic: BT30064560 Engineer: Bus Lic Expire : 09/30/2023 Address : Phone: Workers' Compensation Insurance Carrier: WILLIAMSBURG+NATIONAL+INSURANCE+C OMPANY Policy No : WC0872077 Designer: W. C. Expire: 7/20/2023 Address : Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 85-74 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: 4, SPECIAL CONDITIONS: Phone: NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 v„ ,e OWNER -BUILDER DECLARATION I hereby affirm under penalty or perjury that I am exempt from the Contractors' State License Law for the resson(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 the permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' Stale. License Law (Chapters (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt from iicensure 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 (S500). 111, 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 L!ff'm roved 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' Stale License Law does not rffa ly 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). EJ I 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 for at least one year prior to completion of the improvements covered by this. permit, I cannot legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:http:/Iwww.leginfo.ca.gov/calaw.html. Signature of Poperty Owner or Authorized Agent Date LICENSED GUA TRACTOR'S DECLARATION I ha.T.by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of ' ision 3 of the Business and Pr es io •Code and m easaJafit full force and effect. Licersa Class License No Dat Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAfLU[E TO S CURF WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSA/ D DOLLARS (6100,000), IN AMMON TO THE COS'. OF COMP.ckSA, Wu,. DAMAGES" PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I ha, aby affirm under penalty of perjury one of the following declarations: id i 47 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 of the work for which this permit is issued. Policy No.. and will n,Lintain 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' carrier and policy number are: Policy Number Expiration Date of Agert :1I certify that, in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should becom s ject to t orkers' co nation p visions of Section 3700 of the labor Code, I shall forthwith comply with those provisions. ignature of Applicant IECLARATION REGA DING CONSTRUC ON LENDING ENCY YY/ hereby affirm under penalty of perjury the .there is a cone lion lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). .enders Name Lenders Address. Iy my signature below, I certify to each at 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 ordinances and state laws relating to building construction. I authorize representatives of this city or co'u o enjer-tjle aSios�>Ideniified yroperly for inspection purposes. y._ "� ' signature of Property Owner or Authorized Age �i �f��i - Print Property Owner's or Authorized Agent's Name �x26) 1 W T �W Dat �iI r 1 Li ACTION DATE RY I DECLARA IONOF CO PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PAR bl OF TITLE 40 AND ACtMD RULE 1403 PERMIT EXPIREp 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED SBESTDS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: All required alarms, latches gates and fences which sameas part of a pool/spa barrier, shall be In place priorto approval to fill pool/spa &shall remain in place & be maintained for the life of the pool.