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Home My WebLink AboutS2023-0229 - Permits (4)6aao City of Newport Beach Community Development Department- Building Division 5 2 0 2 3 0 2 2 9 COMB Permit : S2023-U229 r t ey 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2664 S Permit Counter Phone: (949) 718-1888 e.Issued Date : 12/07I2023 newportbeachca.gov/civic Final Date: c9C�FORN\P Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 5 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 : 14 WHALERS BLUFF Legal Desc : N TR 16422 BLK LOT 7 (%uPu4�'- Description: SFR - POOL & SPA REMODEL 450 SF , Owner: KIANI MIKE TR Contractor: H & H POOLS AND SPA INC Architect Address : 14 WHALERS BLF Address : 10058 MEMORY PARK AVE Address NEWPORT COAST, CA 92657 MISSION HILLS, CA 91345 Phone: (714)345-0575 Phone: (818)579-3003 Phone: Con State Lie : 1056975 State Lie: Lie Expire : 08/31/2025 Applicant: H & H POOLS AND SPA INC Bus Lie: BT30081473 Engineer Address : 10058 MEMORY PARK AVE Bus Lie Expire : 05/31/2024 Address MISSION HILLS, CA 91345 Phone: (818) 579-3003 Workers' Compensation Insurance Phone: Carrier: EXEMPT- NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : Fire Hazard Zone : NO Added/NeWITI sq. ft. Bldg : 0 Occupancy Groups : R3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone :. PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any cityor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for Ie 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 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). I, 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, usiness and Professions Code: The Contractors' Stale 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 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 nproved for the purpose of sale). 11, 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 pply 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). 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 legall) ell a structure that I have built as an 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi. -ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce nd effect License Class License No Date Contractor Signature PORKERS' 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 1$100.0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEWS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the erformance of the work for which this permit is issued. Policy No. ]I 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' compensatior Isurance carder and policy number are: Policy Number of Agent Date certify that, in the performance of the work for 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 agree L if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). tders Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 county to enter the above -identified property for inspection purposes. mature of Prouertv Owner Or Authorized Agent Print ProDertv Owner's or Authorized Adam's Name Date I071L KI&IL!L4[i]P10 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED PERMIT EXTENDED PERMIT FINAL ��•�` — I //' U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF r—J%'j'jl (//�j� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: