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Home My WebLink AboutS2019-0034 - PermitsCity of Newport Beach -0 °ti� III IIIIIIIIIIIIIIIIIIIII�llllllllllllllllll II 100 Civic Center Drive, Newport Beach, PA S2.660'. 0 0 0 0 o fl 5 2 0 1 9 0 0 3 4 Permit Counter Phone (949)644-3288 �. !k •m• o e o ooe ee c`�R]vtni"�'S e o o eo 0 0o e Job Address: 1840 MARAPATA DR Floor: ° suit,:.BTd¢ 1 ° ° o 0% ° ° ° o $0.00 Description of Work:SFR POOL & SPA REPLASTER, NEW LIGHTSIDRAINS, TILE, POOL EQUIPMENT, RE -PLUMB & PUMP LINES Inspector Area: $2.00 Plan Check No: 0552-2019 Building Dep Plan Check: $0.00 Code Edit: 2016 Legal Description: N TR 2813 LOT. 33 $0.00 WQ Compliance ]nap Fee: $0.00 Owner: BOMAN WILLIAM LAROY Contractor: SMITH ALAN POOL PLASTERING Architect: Address: 1840 MARAPATA DR Address: 227 W CARLETON AVE -Address: CORONA DEL MAR, CA 92625 ORANGE CA 92867 Phone: Phone: 714-628-9494 Phone:. Applicant: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: -714-628-9494 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $37,100.00 Building Permit Fee : $614.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $0.00 Building PC Investigation : $0.00. Plan check Ext. Fee: $0.00 WQ Compliance ]nap Fee: $0.00 TOTAL FEE : $618.00 PROCESSED BY: t'T� ZONING APPROVAL: �QLo�e POOLPermit : S2019-0034 Project No: 0552-2019 Inspection Requests Phone (949)644-3255 Con State Lie: 571196, Engineer: LACHER TODD Lie Expire: 06130/2019 Address: 1201 N TUSTIN AVE Bus Lie: BT00012422 . ANAHEIM CA 92807 Lie Exp Date: 08/31/2019 Phone: 714-630-6100 Worker's Compensation Insurance Carrier: SECURITY NATL Policy No: SWC1148848 Expiration: 04101/2019 FEES Record Management: $2.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee: $0.00 Plan Check Fee : Special Conditions: Issued Date: 03113/2019 Water Quality- — Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION State Lie: State Lic:C-067656 Due at Permit Issuance : $618.00 '... ori , $0:00 $0.00 $0.00 $0.00 Due at Permit Issuance : $618.00 '... OWNER -BUILDER DECLARATION " "' ... .. ..• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasQn(j) inei;atgd Qelp y the chef kmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, d emolishror repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License taw'(Chapter 9 (Com%ftcing with Section 7000) of Division 3 of the Business and Irofessions 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 of more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) §oroons df toe *qrk, ar:Mhg structure isnot intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property wtro! through emp�oyees'or personal e�fori, 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 ofcompletion,, 1h%0Wner-I%MeI*Vifl have theburden 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 only 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 licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature 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 70 0) of Divi ion 3 of the Business and Prof Sal a, d my license is in full force nd effect. License Class License No D e 3 b l Contractor Signaf u�e� IIORKERS' COMPENSATION DECLARATION DARNING: 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 (4100,000), IN ADDITION TO THE OST 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 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 IN e' rmance of the work for which this permit is issued. Policy No. i9Lh ve 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' compensatior vIsur ce carrier and policy number are: ler�%�%&AIO' WO I - Policy Number ?}i'�1IL/2��5�� Expiration to lame of Agent s //1� ff—A 7M zz0 Phone# �7/) vn&-Of3 -7 ]I certify that, in the performance ork 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 tat, if I should beco a subject the wo ers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y ignature of Applica Q---� ! CLARATION REGAR ING NSTRUCTION LENDING AGENCY sreby 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, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: 1 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 correct. I agree to comply with all applicable city and county ordinances and st to laws relating to building construction. I authorize representatives of this city or count en the ove- ntified property for inspection purposes. d� mature of Prooertv Owner or Authorized AGent Y _. Print Property Owners or Authorized Agent's Name 9-IA46 DATE BY '/ -� ULATIONS OF COMT 61 L TNTLE 4CE TH CODE OF FEDERDAQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO POOLALARMS /iL1✓ cCirjNO E DEMOLITIONION IS NOTAPPLICABLE TO Date INSTALLED