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Home My WebLink AboutS2019-0070 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIII II t3 - 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 1 9 0 0 7 0 Permit Counter Phone (949)644-3288 Job Address: 1963 PORT CHELSEA PL Floor: Suite: Bldg: 1 Description of Work:SFR REPLASTER (E) POOL/SPA, CHANGE OUT (E) POOL EQUIPMENT - Inspector Area: 4 - Plan Check No: 0851-2019 - - Code Edit: 2016 Legal. Description: N TR 6565 LOT 13 $0.00 Plan check Ext. Fee : $0.00 $0.00 _ Owner:. HOHL E & B Contractor: SMITH ALAN POOL PLASTERING Architect: Address: 1963 PORT CHELSEA PIL Address: 227 W CARLETON AVE Address: NEWPORT BEACH, CA 92660 ORANGE CA 92867 Phone: Phone: 714-628-9494 Phone: Applicant: JOSH/ALAN SMITH POOLS Con State Lie: 571196 - Engineer: Address: 227 W CARLETON Lie Expire: 06/30/2019 Address: ORANGE CA 92867 Bus Lie: BT00012422 Phone: 877-607-6657. Lie Exp Date: 08/31/2019 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $26,000.00 PROCESSED BY:. ZONING APPROV 13001 -Permit: S2019-0070 Project No : 0851-2019 Inspection Requests Phone (949)644-3255 State Lie: State Lie: Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12545401 Expiration: 04/01/2020 Building Permit Fee: $482.00 Permit Issuing Fee: $0.00. Investigation Fee: $0.00 - `Building Green Fee: $2.00 $0.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $419.34 Building PC Investigation : $0.00 $0.00 Plan check Ext. Fee : $0.00 $0.00 WQ Compliance Insp Fee: $0.00 $0.00 TOTAL FEE : $1.197.34 PROCESSED BY:. ZONING APPROV 13001 -Permit: S2019-0070 Project No : 0851-2019 Inspection Requests Phone (949)644-3255 State Lie: State Lie: Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12545401 Expiration: 04/01/2020 Special Conditions: Issued Date: FEES - Record Management: $0.00 Water Quality - Building Dept Inspection Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee: $294.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,197.34 °¢«.°•°PLAN (X-IEOXED BY:: An "•AFP(3;)Vl--rO ISSUE: ° .° PERMIT EXPIRES 180 DAYS AF PER 4SUA1SGE 012 L4;S? VALID INSPECTION V V° OWNER -BUILDER 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) 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 is 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 'rofessions 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). as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business nd 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 nproved 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 pply 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). 7 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 legall) 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 Section70 0) f Division 3 of the Business and Profe y It Is in full force nd effect. License Class License No Date / — 9' Contractor Signal VORKERS' COMPENSATION DECLARATION IpRNING:. 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 ($100,000), 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 th eVormance of the work for which this permit is issued. Policy No. have and will $t�� in 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' compensatiol rance carrier a d {i6licy number ler 9 nI C--{o�Jlc� Number Expiration Date is of Agent s F Phone # certify that, in the performance of the work for which t 's 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 if I should become s bject to o kers' com tion pro ' ' Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ lature of Applicant _ at ^ 3reby 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: 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 ' correct. I agree to comply with all applicable city and county or ' nce nd st ws relating to building construction. I authorize representatives of this city or coun er o tified property for inspection purposes. Drill Drn %y n—nar a nr Aufhnrnad AnanPe Mom, DATEDECLARATION OF CMPLIANCE WITH CODE OF FEDER I BY y I REGULATIONS PARTO 1 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED IU I SUBMITTED ASBESTOS N IFICATPMTO : + PERMIT CANCELLED EPA • :• • �. •• `•` PERMITEXTENDED LJAQMD + n POOLALARMSQ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED \� ! /t P POSDDEMOj,L�JDN.•• +•+ ••• ••+ +•• `�` /moi + � � . � • +