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Home My WebLink AboutX2022-0905 - PermitsaEWPo?T City of Newport Beach II III I II COMB Permit:X2022-0905 I II I II II I I III I II p4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0835-2022 Permit Counter Phone: (949) 644-3288 Issued Date Cgcrppa�'``P Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other PERMITS EXPIRE 180 DAYS A\FT SUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELANCON TED SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS .V� Job Address: 2136 E BALBOA B Legal Desc : N TR 756 BLK LOT 37 TR 756 LOT 37(AND NWLY1/2 LOT 38 Description : SFR (4) CAISSFOR SPA Owner: BALBOA POI L(c Contractor: DE VORE POOLS & SPAS Address : 2136 E B BLVD a Address : PO BOX 828 Architect Address NEWP EACH, CA SJC, CA 92693 �2f1� Phone �® \� Phone: (949) 370 9576 Con State Lie : 401549 Phone State Lie d_ Lie Expire: 04/30/2024 Applicant: DE VORE POOLS & SPAS Bus Lie : BT97026761 Engineer: PETROV PLAMEN Address : PO BOX 828 Bus Lie Expire : '11130/2022 Address : 28161 CASITAS CT SJC, CA 92693 LAGUNA NIGUEL, CA 92677 Phone: (949) 370-9576 Workers' Compensation Insurance Phone: (714) 717-7542 Carrier: 'STATE FUND Owner/Builder : -: Policy No: 1222520 Designer: Address : W. C. Expire: 11/1/2022 "' :Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $32,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 0 h Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 _ Added/New sq. ft. Garage: 0 Building Setbacks : Front: 30, Side: 4, Side: 4, Rear: 0 Flood Zone: AE, 8 FT, X s 8y Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: ea� coo •o�oo .,19 ooco 0 a o° o 0 00 I hereby affirm under penalty of perjury that i am exempt from the Contractors' StateLicenseLaw for the reasan(s) indicated below by the checkmark(s) I have placed next to the applicableftemis) c1lon 7031 5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor toots issuance, also requires the applicant for permit to file a signedstatement 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 fasslons Code) or that she 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 J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of usinass and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through nprovements are not intended or offered for sale. If,however, the building or improvement is sold within one year of corn nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 pply to an owner of property who builds or improvesthereon, and who contracts for theprojects with a licensed Contracts I I am exempt from licertsure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that; except for my personal residence in which Imust have resided for aI least one ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. j u rofessions mode, is available upon request when this application is: submitted or at the fallowing Web sdwhttp'Ifwww.tegl ignature of Property Owner or Authorized: Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that ) am licensed under provisions of Chapter g (commencing with Section 7000 11 nd effect. License Class License No Dot PORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR OOUS, INTEREST, Me ATTDRNEY'S FEES, hereby affirm under penalty of perjury one of the following declaratlors: I have and will maintain a certificate of consent to:self•insure for workers' compensation, Issued by. the Director 1 ormance of the work for which this permit Is issued. Policy No. I ave and will maintain workers' compensation insurance, as required by Section 3700 Of the Labor Code, for the I 1 once carder: and policy number are: atrier Policy Number na of Agent _ certify that. In the . it I should becon which this permit is issued. I $hall not at mpensahan provisions of.Section .3700. c hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the. work f entices Name Lender's Address y my signature below, I certify to each of 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 i ormGt I agree to comply with all applicable city and county. ordina and state laws relating to building construction. I author'Ize representatives of this city or county is ent e Cie-ddomiNedpraparty for inspection purposes. ACTION DATE 6 BY 40 AND AQVID RULE TO rC�ERT751�COA RMlTACftL€D • 9 .' ♦ • • ' ,i ♦ IlEAA RMiTEXrEfJDED ir• ♦ • ♦ • •��II gQIy D• RMrT HNAL ( �3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO FE Of •se _e._ w w • PRyPOSEO DEMOLffION b o 0 k and the structure 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 Business and Professions Code; The Contractors' State License Law does not pursuant to the Contractors' State License Law),. that a copy of the applicable. law, Section 7044- of the Business and Icalaw.html. Date license is In full force AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (VIK000), IN ADDITION TO THE Industrial Relations asprovided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My Ilan Date so as to become subject to the workers' compensation laws of California. and agre h comply with those provisions. Dat h this permit is issued (Section 3097, CIVI Code).