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Home My WebLink AboutP2022-0270 - Permits04". City of Newport Beach Plumbin Permit:P2022-0270 Community Development Department- Building Divisiong100 Civic Center Drive, Newport Beach, CA 92660 _ Plan Check No : PC2022-2387 Permit Counter Phone: (949) 644-3288 Work Class : Other Inspection Requests Phone: (949) 644-3255 Issued Date : 09/23/2022 newportbeachca.gov/inspections t" -• P--. 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 Legal Desc : N TR 7800 BLK LOT 17 Description : PLUMB: INSTALL (3) GAS LINES FOR (2) NEW FIREPITS &-BBQ 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 : 2019 Type of Construction : Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: Bl� SPECIAL CONDITIONS: Contractor ; POOL ICONS INC Address : 15935 DEL PRADO DR HACIENDA HEIGHTS, CA 91745 Phone: (562)455-8883 Con State Lic : 479446 -Lic Expire : 10/31/2023 Bus Lic: BT30077496 Bus Lic Expire: 12/31/2022 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9268030 W. C. Expire : 1/16/2023 Fire Hazard Zone : NO Occupancy Groups: o .. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury, that I am exempt from the Contractors' State License Law for the ISasoo(s) indlcaled below by the checkrnark(s) I have placed next to the applicable items) Segllon 7D31,5, So sin ass 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 he permit to file a signed ata[am ant that he or shois konsed pursuant to the provisions of the Contractors' State License Law (CIlaptor 9 (commencing with Section 7000) of DivisinIt 3 of the Business and rrofesslons Code) or that ha or she is exempt from Itcensure and the basis for the alleged exemption. Any Violation of Section-7031.5 by applicant for a pod itsubjects the applicant to It civil penalty of lot more than Five hundred dollars ($500). I, as owner of the property, or my employees with wages as their Gets Compensation, will do°(-). all of or (_)-portions of the work; and the structure is not Intended or Dflered for sale (Section 7044, . lustness and Professions Code; The Contractere State License Law ones not apply to. air owner of property who., through employees' or personal effort, builds or Improves the. property, -provided that the nprovements are not Intended or offered for sate. If, however, tile building or Improvement Is sold within one year of completion, the Owner-Builderwlll have the burden of proving Ural Itwas not bell or nproved for the purpose of sale), 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Profi sslons Code: The Contractors' State License Law does not Ipply to an owner of property who builds or Improves: thereon, and wfio contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensure under the Contractors' State License Law for the following reason iymy signature below I acknowledge that, except for my personal residonca in which I must have roslded for at least one year prior to completion of the Improvements covered by this. permit, I cannotlegall! ell a structure that I have built as an owner -builder If it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable low, Section 7044 of the Business and 'rofesslons Coda, is available upon request when this application Is submitted or at the following Web sito;http:ilwww.leglnfo.ca,gov/calaw.htlpl. ;ig nature of Property Owner or Authorized Agent ate. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Cheipler g (commencing with Section 700 ivisib trot the Business slid Prof ssion Code, a my license is in full force: Ind effect. License Class License No Oale ConLractocSignature VORKERS' COMPENSATION DECLARATION a� IARMNG: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T08.OF THE LABOR LO➢E, INTEREST, AND ATTORNEYS FEES.. hereby affirm under penalty of perjury one. of the following_ declarations: U I hayand will maintain a certificate of consent to Self -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of theLaborCoda, for th pert area or the work for which this per mll is issued. Polley No. - I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whah this permit is Issued. My workers' compensatlol insurance carrier and policy number are: Cartier Polloy Number Expiration Data Name of Agent I Phone N Of certify that, in the pert a e of the w tar which this permit 1,.issued, i shall not employ any person in any manner at) as to become subject -to the workers' compensation laws of Callforrfa, and our that, if should became s bje to Lt a Brs' co easation DmvlSions of Section 3700 off the Labor Coda; I shall forthwith comply with those previsions. a Signature of Applicant. pain DECLARATION REGARDING CONSTRICTION LENDING AGENCY I. hereby: affirm -rider penalty of perjury that there is a construction lending agencyfor the. performance afthe workfar which this permit Is Issued ($ectl n 3097, Civil Coda), Lenders Name Lenders Address ;Ey b,j ;,Igraine SLlow, I certify (a each of the following: I am the properly owner or authorized to act on the prop ner's behalf. I hive read thl; application and the information I hayelpnai Is correct. I agree to comply with all applicable city and cou ordtna es and sta ws rsla5r�lo building construction, I authorize representatives of this Guyer court to -enter a abov ant d property for inspection purposes. - \1,� - SI nature of Prop" Owner or Authorized A e Print Pro erl Owners or Authorized Ai enl's erne . � Y �.._ �� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE IJSE-ONLY -REGULATtONS. PART 61 Of TITLE 40:AND AQM0 RULE _ 1403 PMM_17EXPIREC - I SUBMITTED ASBESTOS NOT] FICATION TO PCR.V;T CANCELLED EPGp — _- 'CF.L 1TEXlENCED PCRM7T FINAI /1,3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: d,