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Home My WebLink AboutS2022-0202 - Permits�gvuaoRT. City of Newport Beach II II I I II I II I II II I I II I I II 0� A Community Development Department- Building Division Pool Permit:S2O22�O�OL > �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2022-2443 $ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date : 09/29/2022 °q<rcoaN'P newportbeachca.gov/inspections o-e a Inspection Area : 4 Combination Type - e T .y" Work Class - Other n " n ➢ 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: 22 ROCKINGHAM DR Legal ,Desc : N TR,11449 BLK"LOT 44 Description: SFR REPLASTER (E) POOL Owner: JAFAR ROWHI ASSAF Contractor : Architect Address: 22 ROCKINGHAM DR Address : Address NEWPORT BEACH, CA 92660 Phone : (949) 910-5068 Phone :' Phone: Con State Lie : State Lie: Lie Expire Applicant: JAFAR ROWHI ASSAF Bus Lie: Engineer Address : 22 ROCKINGHAM DR Bus Lie: Expire : Address NEWPORT BEACH, CA 92660 Phone: (949)910-5068 Phone: ' Workers' Compensation Insurance' Carrier i' Owner/Builder : JAFAR ROWHI ASSAF Policy No : Designer: EMPIRE DESIGN LANDSCAPE Address: 22 ROCKINGHAM DR W. C. Expire: Address: 3848 CAMPUS DR, 115 NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA Phone: (949)910-5068 Phone: (949)274-0160 aeon Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $15,oWala, a Type of Construction : Fire Hazard Zone :.: NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : a"a Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 Building Setbacks: Front: 5, Side: 5, Side: 5, Rear: 10 Flood Zone : X s as a c •oeaa Use Zone: PC - Aeronutronic Ford PROCESSED BY: mo �a e SPECIAL CONDITIONS: ( 9 fT.r AaaY by affirm under penalty of perjury: that I am exempt from the Contractors' State License Law for the resson(s)imolested below by the eheckmark(s) I have placed next to the applicable Item(s) r031,5;.Business and Professions Code: Any city or county that requires a permit to construct, after, Improve, demolish, or repair any structure, prior to. its Issuance, also requires the applicant for t 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 ns.Code) or that he or she Is exempt from licensors 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 than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or`) portions of the work, and the structure Is net intended or offered for sale (Section 7044, mess and Professions Code: The Contractors' State License Law does not apply 10.On owner of property who, through employees'' or personal effort, builds or improves the property; provided that the ovements are not intended or offered for sale.- It, however, the building or Improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or raved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not. ytoan owner of property who builds or Improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Stale License Law for the follov4n f as IT ny signatures below I acknowledge that, except for my personal rgsidencs in Which I st va Baldad foe at least one year prior to completion of the improvements covered by this. permit, I cannot leg a structure that I have built as an owner -builder if it has not been omstructed in it a tir 4 h oensod contractors. I understand that a copy of the applicable law, Section 7044 of t a Bu$I oes and easlons Code is available upon request when this 'trppltaadm Issubmitted or'a ry fo wl W site:6trp:Vlww'w,leglnfo.oa_govlcslaw.html. /j1 /p ... _ v ble t �/ n�ro. � /'%i�i / �%G r/ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business. and. Professions: Code, and my license Is In full force: nd effect. License ClassLicense: No Date Contractor Signature. VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,0001.I14 ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 370EOFTHE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 th arformenceof the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of they work for which this permit is issued. My workers' carrier. and. policy number are: � Policy Number Expiration Data that, In the performer Duld become subject at there Is a' I am the prop€r I,.Aww far or authorized to act on the I t Bali mad this Application and the lefnrmalion I ha+ I agree to comply wlifll all applicable city end Gcunty r t autflgrize represydfAllives of this city or county to o :esa� this permit is Issued; I shall nor employ any person in any manner so as to become subject to the workers' compensation laws of California,. and-agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Cate NG AGENCY � nstruction lending agency for the performance of the work for which this: permit is issued (Section 3097, Civil Code);. Lender's Address. n wopergaed f. •T�}')%)Cid'[. 'e provr`.J VTR ordlnaetus relating tG building construction.propertyforinspectionpurposes. �� USE ONLY RULE U i 5URMfTTEO ASBESTOS NOTIFICATION TO All required alarms, latches Batesand fences which serve as part of a pool/spa barrier, shall y /L gyp: be In placeprior to approval to fill pool/spa &.shai remain In place & be maintained for the ASBESTOS NOTIFICATION IS NOT APPLICABLE TO. fife of the pool.