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Home My WebLink AboutP2023-0253 - Permitse��WpORT City of Newport Beach Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 718-1888 Cq�"epH�P newportbeachca.gov/civic Plumbing Permit Plan Check No : PC2023.1624 Work Class : Other Issued Date : 07/10/2023 Final Date: Permit Status: Issued Inspection Area : 4 P2023-0253 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 : 1715 NEWPORT HILLS DR W Legal Desc : N.TR 7032 BILK LOT 3 Description : PLUMB GAS TO BBQ AND FIREPIT (MORE THAN T FROM P/L, LESS THAN 42"H) *S2023-0142* Owner: LITVAK-URI-TR1-1'fVAK FAMILY TR Contractor : INSTANT POOLS LLC Address : 4 CHANDON NEWPORT COAST, CA 92657 Address : 116 SENCILLO PL RANCHO MISSION VIEJO, CA'92694° Phone : Phone : (949) 795-0648 ' Con State Lie : 1009644 Applicant: INSTANT POOLS LLC Lie Expire : 07/31/2025 „ Address : 116 SENCILLO PL RANCHO MISSION VIEJO, CA 92694 Bus Lie : BT30053469 Phone: (949) 795-0648 Bus Lie Expire: 12/3112023 Workers' Compensation Insurance Owner/Builder : Carrier : NO EMPLOYEES Address : Policy No: EXEMPT .. ; Phone: W. C. Expire: w Code Edition : 2022 _ Fire Hazard Zone : NO Type of Construction : Occupancy Groups Building Setbacks : Front: 19, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC -Harbor View Hills V PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm undar penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ection 7031.5, Business and Professions Code: Arty 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 to permit to file a signed statement that he or sheds 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 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 at more than five hundred dollars ($500).. 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved 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 ly 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 licensors under the Contractors' State License Law for the following reason:,-..T y my signature below I acknowledge that, exceptfor my personal residence in which I must have msided for at least one year prior to completion of the. improvements covered by this permit, I cannot legall) All a structure that 1 have built as an owner -builder if it has not been constructed In its entirety by licensed contractor. I understand that a Copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application Is submitted or at the following Web site:http:/twww.leginto.Ce.gov/calow.html. Ignatura of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 Of i io the Business and Prof s Coda, and r license is in nd effect. Llclnse CLuss License No Date - Contractor Signature VORK--RS' COMPENSATION DECLARATION'. 'ARNING. FAILURL Tr, SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100.000). IN ADDITION TO THE OST OF COMPENSADON, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST. AND ATTORNEY'& FEES. 5e,abvafflrm under penalty of perjury one of the following declarations: �e1 'h", ve and '.4:1 r a.L,Itain 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 to �t�N+naRc�i a! the work for which this permit is issued. Policy No.. 71'wtia and w,,] 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' rPre canter and policy number are: Policy Number Expiration Date life theL P VIEPPInfornivC9 of the work for which this armit fs_.issuad, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and Agra I should brnoma subject ha wort sa on provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. are of Appliea_�, �, Date eeby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued ($action 3097 ider's Name Lender's Address my sii)nature below, I certify to each of the fohowmgt I am the property owner or authorized to act on the property owner's behalf, I have read this application and the information f have provided is correct, I agree to comply with all applicable city and county ordinances a n q to Ouilding construction. J I authorize representatives of this city or county to attjg erP- ��ecflon purposes. DATE By N,�ARATION OF CO° Pam' Trtl CODE OF FEDERAL I FOR OFFICE USE ONLY t REGULATIONS PART 61 OF TITLE 40 AND ADMIT HUI PERMITEXP?RED I i I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL j.,,I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF / •!y PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE. Civil Code):