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HomeMy WebLinkAboutS2021-0053 - Permits1v City of Newport Beach - Building Division zk as 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c .lob Address: 5 WHITESANDS DR Floor: Suite: Bldg: 1 Description of Work:SFR INSTALL NEW POOL AND SPA (720 SF), DRAINAGE Inspector Area: 6 Legal Description: N TR 14912 LOT 1 Ilp��S 20 200 5�u3��� II Plan Check No: 0398.2021 Code Edit: 2019 Owner: SCHWETZ OLENA Contractor: ORANGE COUNTY POOLS INC Address: 5 WHITESANDS DR Address: 960 6TH ST 101A-148 NEWPORT COAST, CA 92657 - NORCO CA 92860 Phone: Phone:. 714-225-2907 Applicant: ORANGE COUNTY POOLS Con State Lic: 839719 Address: 960 6TH ST #101A-148 Lic Expire: 06/30/2022 ANAHEIM CA 92807 Bus Lic: BT30072637 Phone: 714-630-6100 Lic Exp Date: 08/31/2021 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $50,760.00 Building Permit Fee: $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED @Y: ZONING APPROVAL - Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1958611 Expiration: 09/01/2021 FEES Architect: Address: POOLPermit : S2021-0053 Project No: 0398-2021 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA Phone: 714630 6100 92807 Stag i 61L-u�i.s' a l Special Conditions: Issued Date: 03/16/2021 Record Management: $6.00 Water Quality- — _ Building Dept Inspection Fee: $0.00 Drainage Permit Fee: $232.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $195.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee: PLAN CHECKED BY:: APPROVAL TO ISSUI ° 0 ° ° ° L o ° ° ° ° ° e ° ° o ° " PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION O O °O O O 6 OO p 60 O(1p 0 0 OB BO °°O Fee Due at Permit Issuance : $671.00 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 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 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 not 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 (_) all of or U 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 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 improved for the purpose of sale). ❑ 1, 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 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' State License Law). ❑ 1 am exempt from licensure under the Contractors' State 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 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 this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0YALT11S i 'g11 of the Business and Profs s 'ons de end my license is in full force and effect. License Class license No Date 'L Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEAND CML FINES UP TO ONE HUNDRED HOUSAND DOLLARS (E100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 inane of the work for which this permit is issued. Policy No. 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' Carrier and policy number are: Policy Number Date lame of Agent Phone # ]I certify that, in the performance of 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 agree Iat, if I should become subject to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant )f - „/�%/ Da IECLARATION REGAIqDVG CO STR TION G AGENCY hereby affirm under penalty of perjury that tfiere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil C de). ender's Name Lender's Address ;y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. 1 have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tin ,r/��,ove-idendtiffiiedd property for inspection purposes. �/ r p^. Data' �" I cionature of Prooertv Owner or Authorized Agent Y ���%'"/ly. Print Property Owners or Authorized Agent's Name �i TTT��I V° ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI&5 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE t gUlr@a alarms,latcheS 9 gates &fences which serve 1403 • • • e • ,,, PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO barrier, shall be in place .. prior to approval to fill • • • , • •.� •. pool/spa & shall remain in place & be maintained for PERMITCANCELLED LIEPA PERMIT EXTENDED EIAQMD POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. tl1 life o e of/spa . •. • . e. • e SIGNATURE: • • • • • ��• X , • • • s .•, ee• •• e m ee e s orcnmr rmm, SfA 2 .•AA /