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Home My WebLink AboutS2022-0199 - PermitsaEWPogT City of Newport Beach 4 p p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U� T Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �F�F00.N�P newportbeachca.govflnspections Combination Type - Work Class - Alteration II II I I I II I II III II III Pool Permit : S2022-0199 Plan Check No : PC2022-2387 Issued Date : 09/2312022 Inspection Area : 4 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: 11 RUE VILLARS Description : SFR POOL & SPA REMODEL. Owner: R D OLSON INVESTMENTS II LLC Address: 11 RUE VILLARS NEWPORT BEACH, CA Phone Applicant: POOL ICONS INC Address: 15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745 Phone: (562)455-8883 Owner/Builder Address Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 E Legal Desc : N TR 7800 BLK LOT 17 Contractor `. POOL ICONS INC Architect Address : 15935 DEL PRADO DR - Address HACIENDA HEIGHTS, CA 91745 Phone : (562) 455-8883 Phone: Con State Lic: 479446 - - _ State Lic Lic Expire : - 10/31/2023 Bus Lic: - BT30077496 Bus Lic Expire : 12131/2022 Workers' Compensation Insurance Carrier: STATE FUND Policy No : - 9268030 W. C. Expire : 1116/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories: - - 0 Front: 10, Side: 5, Side: 5, Rear: 15 X PC - Big Canyon SPECIAL CONDITIONS: Engineer: Address Phone: Designer: POOL ICONS INC Address : 15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745 Phone: (562)455-8883 V10 oo` Construction Valuation : $50,000„00u Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg Added/New sq. ft. Garage : 0 " OWNER -BUILDER DECLARATION I hereby affirm under penallyof perjury that i am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed FAA to the applicable kem(s) �cbon 7031.5. Business and Professions Code; Any city or county Thal requlresa permit to construct, alter, Improve; demolish, or repair anystructure, pnor to its issuance, -also requires -the applicant tar pormit to file a signedstatement that he or she is licensed pursuant to the, provisions o€the -Contractors' Stato Licanso Law (Chapter 9 (commencingwith Section 7000) of Division of the Business And ,fossions Code) or that he or she Is exempt from licensors and the basis for the alleged exemption. Anyvlolatlon of Section 7031:5 by any Aphiloont for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500), I, as owner of the property, or my employees withwages As their sale compensation, will do L) allofor (_) portions of the work; and the Structure Is not Intended or offered for safe: (Section 7044, ainess and. Professions Code: -The Contractors $late License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the pmparty, provided that the movements 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 of moved 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' State License Law does not Ay 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 _ my signature below I acknowledge that, except for my personal residenco In which I must have residad for at least one year prior to completion of the Improvements covered by this permit, !.cannot legal a structure that I have built as an owner-huilder if it has not been constructed in Itsentirety by licensed contractors. I understand that a copy of the applicable law, Section{ 7044 of the Business and dessions Code, Is available upon request when this application Is submitted or at the following Web site;Itdpaiwvrw,leginfo.ca;govlcalaw.html. /-� nature of Property Owner or Authorized Agent / 1-Date •mue�n rv��,+.nwn+r,nrn nrxr, w.r�n^rrn>ii hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Ivislo 3:of the Business and Pr fetsi>1ns:Cod d my license is In full force ndeffect. License Class. License. No Dale - -� �cotractor Slgnatu �� VORKER9' COMPENSATION DECLARATION FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOVERTO CRIMINAL PENALTIES MO CIVIL FINES OF TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOPTION. TOT) OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OFT HE LABOR CODE, INTEREST, AND ATTOANEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I I have and will maintain a certificate of consentto self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for erfopwdTceof the work for which this permit is Issued. Policy. No. _ have: and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' dance carder and policy number are: Policy Number is of Agent _ Date certify that, in the parformanr the rk for ch this pormit Is Issued, Ishall not employ any person in any manner at) as to become subject to the workers' compensation laws of California,. and ogre t, if I should became-subje • o the wu ens IpenSa proofs is of Section 3700 a( the Labor Code, I shall forthwith comply with those provisions. nature of Applloanl _ Date CLARATIGN REGARDI G C N 'RUCTION LENDING AGENCY---�k----E-�. meby`affirm under Penaft _ perjury thattherais a construction lending agency forfhe: performance c(the work for which this permit is Issued-(Sectlan 3097. Civil Code). Idor's Name _ - - Lenders Address my rigneture.below, I certify to each of the. foilcwing: I am the pmpeth' owner or authorized to act: on the. properly er's behalf. I have read bra application and theInformation 7 have p d is -correct. agree to comply with all applicable city and county or ' Gas and st a Iawa,Tefaiing to building construction, I authorize mpres :;,Ia Uves of this city or county to-e AT a above' entitled' prcpaAy;for inspection purposes. Y �/ z7 nalL e of ProLs. lv Caner or Authorized Anent Print Pmosfty Owner's or Authorized Anent's Name` t �'�� L`Cd `J )ti :Cr) ��o t Oalu -J ACTION HPRM17 EXPIRED PFRM17 CANCELFD T PERMIT EXTENDEn9 PERMITFIMAL CERTIFICATE OF OCCUPANCY ISSUED DATE l E1Y' 1403 OF COMPLIANCE WITH CODE, OF FEDERAL PART nl' OF TITLE. 40 AND AQMD RULE NOTIFICATION TO 141AIFESTOS NOTIFICATION. 15 NOT APPLICABLE To PROPOSED DEMOLITION SIGNATURE: FOR All required alarms, latches gates and fenceswhich serve as part of a pool/spa-barrier, shall be in place.prior to approval to fill pool/spa &shall remain in place & be maintained for the life of the pool.