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Home My WebLink AboutX2022-0017 - Permits��EWPpRT City of Newport Beach p d Community Development Department- Building Division F. y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 fir. S Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other II II I II I II I II II III I II II COMB Permit : X2022-0017 IPlaed e09/t Check :0018-2022 022 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: 11 OFFSHORE Description : SFR DEMO (E) POOL/SPA Owner: ANDREW STUPIN Address : 215 5TH ST STEA HUNTINGTON BEACH, CA 92648 Phone Applicant: ELITE CUSTOM POOLS & SPAS Address: 25871 VICAR WAY LAKE FOREST, CA 92630 Phone: (714)606-4007 Owner/Builder : Address : Legal Desc : Contractor: ELITE CUSTOM POOLS & SPAS Address : 25871 VICAR WAY LAKE FOREST, CA 92630 Phone: (714)606-4007 Con State Lic : 529870 Lic Expire : 05/31/2024 Bus Lic: BT30031210 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 1137574 W. C. Expire : 6/1/2023 Architect: Il Address Phone: C--?. 0 State Lic Engineer: PETROV PLAMEN Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasom(s) indicated below by the checkmark(s) I have placed next to the applicable item(sl Section 7031.5, Business end 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 io 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 'rofessions Code) or that he or she is exempt from rcensure and the basis. for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, Or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, ;Ufar s and Professions Code: The Contractors' State 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). i, as owner of the property, ant exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from Iicensure under the Contractors' State License Law for the fallowing 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 lagally oil a structure that I have built as an owner -builder it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code., is available upon request when this application is submitted or at the following Web site:http:fiwww.leginfo.ca.gov/colaw.htmi. ,iGnature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commending with SectiQQ�A 7JJ((0 ) Of Division 3 of the Business and P mien and my tic a is In lull force no effect. License Class License No Dal(3/ Zr 22- Contractor signal VORKERS' COMPENSATION DECLARATION k{x\i7a 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PE LTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDRION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 gr�ofmsnce of 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 the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Date lame of Agent Phone If It certify that, in the performance of the work t permit' issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre rat, if I should become ubject io the work o ensattcn pr Isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iynature of Applica _ _ - Dat rECI_ARATION REG ING CONSTRUCTION LENDING AGENCY hereby affirm under p na perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued'. QSecfl n 309 , C vil Code}. enders 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 is rrect. agree to comply with all applicable city and cotY rdinances an sta vs rela'ng to building construction. I authc-lze rep-e`,entalives of this city or county tdL¢nter the e miffed pro rty for inspection purposes. C xlSj 6 r'I „,,.,f „f Q'—ri n.,,,.a," a uh..,;,.H A. I 1l ❑n,.I a..,, 1, .., e.,o P. &I— AC, ION EYPIREO PF,i,A,T LX, ENDED I PE,bMIT Fh- AL CE,3,1 EOf OCCIVq 1r7CY ISSUE.n DATE I BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL + FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE J I SUBMITTED ASBESTOS NOTIFICATION TO C..IASBESTOS NOIIFICAIION 15NOTAPPLICABLE TO PROPOSED DEMOLITION