The URL can be used to link to this page

Home My WebLink AboutS2016-0187 - Permits'sof* City of Newport Beach - Building Division IIIIIIIIIIIIIIIilllllllllllllllllllllllllllllillil POOLPermit : S2016-0187 :wpb 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 6 0 1 8 7 Project No : 2793-2016 t~ v Permit Counter Phone (949)644-3288 s7 ' Inspection Requests Phone (949)644-3255 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION {j' a5; Job Address: 1509 BAY AVE E Floor: Suite: Bldg: 0 e� Description of Work:NEW POOL 160 SF � , M1% Inspector Area: 1 Plan Check No: 2793-2016 Code Edit: 2013 ., f Legal Description: BALBOA TR EAST SIDE ADD LOT 4 BILK 24 ALL -INC S1/2ABAN ST i t ADJ ON Owner: ROBIN RICHARD Contractor: INFINITY POOL SERVICE Architect: Address: 18681 PASADERO DR Address: 16835 ALGONQUIN ST #406 Address: TARZANA, CA 91356 HUNTINGTON BCH CA 92649 i Phone: Phone: 714-262-9164 Phone: State Lic: • , ° °. ° e••moo Applicant: INFINITY POOLS Con State Lic: 891370 Engineer: LACHER TODD • ° ° ° ° Address: 840 W. 19TH ST Lic Expire: 02/28/2017 Address: 1201 N TUSTIN AVE • •• • e ° • COSTA MESA, CA 92627 Bus Lic: BT30053051 ANAHEIM CA 92807 ° • • • ° Phone: 714-587.8687 Lic Exp Date: 11/30/2017 Phone: 714-630-6100 State Lic:C-067656 moon o 0 0 mo 0 Building Rear:Worker's Compensation Insurance Special Conditions: o Setbacks: Front: Carrier: INS CO OF THE WEST .... ° ° • ° ° ° Left: Policy No: WSD6032758 ® o ° • m • o Right: Expiration: 01/17/2017 Issued Date: 12/09/2016 ° o•oomm o Construction Type FEES 0o m °• Construction Valuation: $25,000.00 Building Permit Fee : $380.00 Record Management: $10.00 Water Quality - Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $37.50 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $338.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,104.50 Plan Check Fee : $0.00 Fee Due aa't//Permit Issuance : $1,104.50 PROCESSED BY: �A-�,, PLAN CHECKED BY:: 'G ZONINGAPPROVAL: , ll VV APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I 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 item(s) action 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 I 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 )fessions 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 t more than five hundred dollars ($500). 1201 N TUSTIN AVE 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 orovements 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 )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 oly 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: 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 I 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 )fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. (nature of Property Owner or Authorized Agent Date TENSED GADI.TAACTOR'S DECLARATION j areby affirm under Oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7006) ofYA vlain4 of the Business and Profess ns e, a lice a is in full force :rd*ct. LonVIlass License No Date/17III Contractor Signature )RKERS' COMPENSATION DECLARATION WAG: FAILURE to SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE iT OF COMPEN SMiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. try affirm under' penalty of perjury one of the following declarations: J have anq WIlj r*intain 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 kitance oftlTeWork for which this permit is issued. Policy No. and wilt 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' carp4r Vaolicy number are: Policy Number Expiration Date 00 I certify that, in the perfoff n of a or ich is 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 t, if I should becomes b' ct o t work rs' pe anon provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. mature of Applicant - Date/1 LI W CLARATION REG R ONSTRUCTION LENDING AGENCY ;reby affirm under enalty 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: I 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 state laws relating to building construction. I authorize representatives of this city or countyt^the above-identifie operty for inspection purposes. ed nature of Prooertv Owner or AuthorizADent / IV , Ir9'WI(i v�/t[,L�rint Prooertv Owner's or Authorized Acent's Name Date % ACTION DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AN D AC MD RULE 1403 PERMIT EXPIRED I L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENED 14 LJAO.MD POOLALARMS �.� �� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY ePrl'-- 10 0 1I� ,4 Pr6 f�Ff6�E%n f a Ba�Kg ♦ �l