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Home My WebLink AboutS2023-0164 - Permitso��E RT City of Newport Beach @ Community Development Department - Building Division p 100 Civic Center Drive, Newport Beach, CA 92660 u ¢ Permit Counter Phone: (949) 718-1888 .� newportbeachca.gov/civic Combination Type - Work Class - Alteration Il iiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 4 II li lii I U1 Pool Permit : S2023-0164 Plan Check No: PC2023-1929 Issued Date : 98/10I2023 Final Date: Permit Status: Issued 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: 38 OLD COURSE DR Legal Desc : N TR 15388 BILK LOT 72 Description: SFR ALT (E) SPA WITH EPDXY COATING AT REAR PER CITY STANDARD PLAN Owner: TIM & JANET RAFALOVICH Address : 38 OLD COURSE DR NEWPORT BEACH, CA 92660 Phone : (858) 997-9856 Applicant: TIM & JANET RAFALOVICH Address : 38 OLD COURSE DR NEWPORT BEACH, CA 92660 Phone: (858) 997-9856 owner/Builder: TIM & JANET RAFALOVICH Address : 38 OLD COURSE DR NEWPORT BEACH, CA 92660 Phone : (858) 997-9856 Contractor: Architect Address : Address Phone: Phone: Con State Lie : State Lie Lie Expire: Bus Lie : Engineer Bus Lie Expire : Address Phone: Workers' Compensation Insurance Carrier : Policy No : Designer W. C. Expire: Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone ; Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Aeronutronic Ford %- PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $1,100.00 NO Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item 3eclion 7031..5, Business 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 me 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 rofesslons Code) or that he or she is exempt from @censure 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 of 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 (_) 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 Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n oved 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 Professions Code: The Contractors' Stale License Law does not p 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 ern exempt Dorn Iicensure under the Contractors' State License Law for the following reason iy my signature below I acknowledge that, except for my personal residence in which I must have rosided'for at least one your prior to completion of the improvements covered by this permit, I cannot legail! ell a structure Thal I have built as an owner- builder'f it has not been con, l le in its entirety by licensed contractors. I understand. that a copy of the applicable law, Section 7044 of the 8u��. 'rofesslons Code Is available upon request wife th a. pllcation is d r a me f I �h�Web sl1e:http:llvaaw.leginfo.ca.gov/calaw.himl. r� iignahlre. of Property Owner or Authorized Again „_„ �w Date U Z .ICEN'SED CONTRACTOR'S OECLARAT1 If hereby affirm under penalty of perjury that am ?en ed under provisions o haptar 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force no effect. License Class License No Dale Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SVELECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0704i.OF THE LABOR CODE, INTEREST,AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Ierformance of the work for which this permit is issued. Policy No. 711 have 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' compensaiiol Tsurance carrier and policy number are:. ;arrier Policy Number Expiration Date da a of Agent Phone # certify that, in the performance of the work' which this permit is issued., I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre my If I should lure of ier Dme s act d'P worker Im nsallon ruvdsions of Secllon 3700 of the Labor CDde, I shall forthwith comply with those provisions. rcariJ�( p p )ECuI.ARAi@OW IREGAR G-- ... N Dater ONSTRWCT O L QINO A(f€WCY hereby affirm under pe al of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda). tinder's Name _ _ Landers Address iy my signature below, I certify to each of the following: I am the property owner or authorized to act Do life property owner's behalf. I hvyu read this application and the information I have provided is correct. I agree to eomp'y wi'h all applicable city and c only ordinances and state laws reefing to building DO[ slruction. I atahorize representatives of this city er co t to enter e-i ent led pro arty for inspection purposes, i:onatc -e of Property Owner or Authorized A (= Print Pro e Owner's or Authorized Agent's Nara ( Data AC rICN b'IT i Ry OECLAAATtO O. COMPLIANCE VJIT1{ CODE OF FEDERAL FOR OFFICE USE ONLY j RFGUTATIONS PART 51 OF TIT1.E40 AND AQMD RULE TF.t i- -ANCELLED ,'ER..NVT XTEnDED Pt,.A,v i ,INAL O.f, r,n CATF OF OCCUPANCY ISSUED I SURMITTF,D ASRFS705 All required alarms, latches gates and fences which 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 FICATION 15 NOT APPLICABLE TO life of the pool.