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Home My WebLink AboutP2023-0434 - PermitsCity of Newport Beach 41, CommunityDevelopment Department- Building Division 100CivicCenterDrive, Newport Beach, CA 92660 uPermit Counter Phone: (949) 718-18886,p newportbeachca.gov/civic iiiiiiii4 it Plumbing Permit Plan Check No : Work Class : Other Issued Date : 09/15/2023 Final Date: Permit Status: Issued Inspection Area : 2 P2023-0434 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 : 2762 BAY SHORE DR Legal Desc : N TR 1014 BLK LOT 3 Description: PLMB - GAS LINE TO BBQ & FIREPIT Owner: ROGER DEYOUNG Address : 2762 BAYSHORE DR NEWPORT BEACH, CA 92663 Phone : (949) 933-7957 Applicant: THE POOL CONNECTION INC Address : 7740 E DOHENY CT ANAHEIM, CA 92808 Phone : (714) 401-9930 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: ^A SPECIAL CONDITIONS: Contractor : THE POOL CONNECTION INC Address : 7740 E DOHENY CT ANAHEIM, CA 92808 Phone : (714) 401-9930 Con State Lie : 1062685 Lie Expire: 01/31/2024 Bus Lie: BT30078754 Bus Lie Expire:05/31/2024 Workers' Compensation Insurance Carrier : STATE COMPENSATION INSURANCE FUND Policy No : 9269572 W. C. Expire: 2/10/2024 Fire Hazard Zone : NO Occupancy Groups: OWNER -BUILDER DECLARATION 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 items) 'Section 7031.5, Business arid Professions Code: Any city or County that requires a permit to conetruDt, alter, improve. demolish, or repair any structure, pdor to Its Issuance. also requires the applicant for lie permit to file a signed stalomant that he or she Is licensed pursuant to the provisions of the Contractors' State Gconse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'mfessions Code) or that he or she is exempt from flcensure 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 Perralty, of lo€ more than five hundred dollars ($50o), 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the improvements 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 'mproved for Ito purpose of sale). ❑ 1, as owner of the properly, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, 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 Contractors' Slate License Law). ❑ I am exempt from lirensure under the Contractors' Sale 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 least one year prior to completion of the Improvements covered by this permit. I cannot legally sell a structure that I have built as an owner-bulldor 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 this application is submitted or at the following'Neb site:http:flwww.leginfo ca.govlcalaw html. Signature of Property Owner or ALthorized Agent _,.__._.......,._.,____._......._. _w,,...,.._.._....,--._ _._____..._. __.—._____._....,..._. _._._. _____ Data__ _...__..._____ LICENSED CONTRACTOR'S DECLARATION /J I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 0 Dlvisi n 3 of the Business and Pr esslons e. andLmyJree a is m f ice and effect License Class License No Date iS' Contractor Signal re _.. n NORKERS' COMPENSATION DECLARATION VAR NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ORE U NO DOLLARS ($160,000), IN ADDRION TO THE nOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 ,k]ce or rence of the work forwhich this permit is Issued. Policy No. If hive 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' compensabol Insurance carrier and policy number are, Cartier Policy Number Expiration Date Name of Agent _, _„ Phone tf ❑1 certify that. in the erformanne f the work for 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 that, If I should bee me subje' to t e wjvkers' cnrnpensatlGn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of App cant ,/l2 ( Date..... -..._._.._______.._._..,�.____—...-_......_.. DECLARATION RED NG CONSTRUCTION LENDING AGENCY I hereby affirm w pe aity of perjury that there Is a constnlcrnOn lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). Lendar'e Name _ _ Lender's Address __.._._.__..__._..—_.____.—._.._.._ By my signature belo I certify to e@rlt of the following: I am the property diviner or orincri ed to act on the property owner's behalf. 1 have read this application and the Information I have pr Is co cl.. I agree to comply with all applicable city and county 96inance a. slate laws relating to building construction. I authorize representatives of this city or county to not ih o e•identified property for inspection purposes. �,.•...,rr o.,.,.o.r n y,.,, a u ,"rl a,A„I Print Property Owner's or Authorized Agents Name Jz4012V ltiLe.Cb h(,F7,, _ Date Grj Z ACTION I DATE PERMIT EXPIRED ........ .. .. - .._.......__ PERMIT CAA�CELLFf` r ....-......__..... _..., ._.....-... FERMIT FXTFNDED I OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE. 40 AND AQMD RULE I .SUBMITTED TO PERMITFINAL ( LIASBESTOSNOTIFICA'TIONISNOt APPLICABLL TO CERTIFICATE OF' 24'9y p�'� PROPOSED DEMOLITION OCCUPANCY ISSUE,) I IGNATUII