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Home My WebLink AboutS2023-0174 - PermitsCity of Newport Beach �aEvvoR 0 ) ' Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 718e1888 newportbeachca.gov/civic Cq</F00.N`r Combination Type - Work Class - Other 111111III ��III�IIII111111111111�1111111111111111111 jj Pool Permit : S2023-0174 Plan Check No : 0117-2021 Issued Date : 08/23/2023 Final Date: Permit Status: Issued Inspection Area : 3 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 : 1862 BRAEMAR WAY Legal Desc : N TR 3282 BLK LOT 42 Description: SFR NEW POOL & SPA 576 SF W/ DRAINAGE *RENEW EXPIRED PERMIT* Owner: KORI & BLAKE TIPPETT Address : 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (818)687-0449 Applicant: KORI & BLAKE TIPPETT Address: 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (818)687-0449 Owner/Builder : KORI & BLAKE TIPPETT Address: 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (B 18) 687-0449 Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height: Contractor Address: Phone: Con State Lic Lic Expire: Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone : State Lic Engineer: AZIZISEFAT SOLAYMAN Address : 19510 VENTURA BLVD #110 TARZANA, CA 91356 Phone : (818) 708-1962 Designer: Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single-UnitResidential(10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 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 the 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 Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). El 1, as owner of the property, or my employees with wegas as their sole compensation, will do L) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 properly, provided that the improvements are not intended or offered for sale. 11, 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 i proved for the purpose of sale). i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). 0 I am exempt from lioensure under the Contractors' Stale License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this ;permit, I cannot legall, sell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when I�hl appli a�tioy is submitted or at the fWtowing Web sits:hlip:h•'urnnv.laginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATIOW r I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is In full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION YARNING: 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 1s100;0001, IN ADnn10N TO :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 performance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number Date area of Agent Phone # 11 certify that, in the performance of the work for which this per Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agie tat, if I should become Ybject to the workers' compansatl rev (ion 3700 of the Labor Code, I shall forthwith comply with those provisions. / I lgnalure of Applicant _ _ Data ECLARATION REGARDSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work. for which this permit is issued (Section 3097, Civi Code). enders Name Lender's Address. q 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couN Qp enter the ab e filled arty for inspection purposes. icnalure of Prooertv Owner or Authorized AGaa1t 1 > Print Property Owner's or Authorized Agent's Name\ r ` �1 �t�F- r \ ate �1 f ACTION DATE BY g TCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART bl OF TITLE 40 AND AQMD RULE PEA11417 EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMI7CANCEUEO DEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PER—AFEYTENOEO ce AQMD be in place prior approval to fill pool/s & shall remain in place & be maintained for the PERMIT FINAL q life of the p00f. V { �SBE5T05 N011F ICAiIOf! IS NOT APPLICABLE TO CERPFWAPE OF �'"I PROPOSED NLITI OCCUPANCVISSUEO /, SIGNATURE: