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Home My WebLink AboutS2022-0146 - PermitsviF„�T City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 4 6 Permit Counter Phone (949)644-3288 Job Address: 20281 BAY VIEW AVE Floor: Suite: Description of Work:NEW POOL AND SPA W/DRAINAGE Inspector Area: 3 Legal Description: N TR 1507 LOT 19 Owner: ROBINS JAMES M Address: 20281 BAY VIEW AVE NEWPORT BEACH, CA 92660 Phone: Applicant: BACKBAY CUSTOM POOLS Address: 2153-B SAN MICHEL COSTA MESA CA 92627 Phone: 949-412-0447 Building Rear: Setbacks: Front: Left: Right: Construction TVOe : Construction Valuation: Building Permit Fee Permit Issuing Fee: Investigation Fee: Building Green Fee: Plan Dept Plan Check: Building Dep Plan Check: Building. PC Investigation Plan check Ext. Fee : WQ Compliance Insp Fee: ZONING $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $396.00 $0.00 $0.00 $0.00 TOTAL FEE : $842.00 Bldg: 1 Plan Check No: 1620-2022 Code Edit: 2019 Contractor: BACKBAY CUSTOM POOLS Address: 2153-B SAN MICHEL COSTA MESA CA 92627 Phone: 949-412-0447 Con State Lic: 813938 Lic Expire: 1013112020 Bus Lic: BT30055011 Lic Exp Date: 1013112019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: FEES Architect: Address: Phone: POOLPermit : S2022-0146 Project No : 1620-2022 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 06121112022 State Lic: State Lic:C-067656 •°aa a • e oeoa eoeao• a a ® a ° oa • 000000e ��'`� • • o • °® a03370 oaR 000• 7q•• Record Management: $10.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $237.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others: $0.00 Additional Fee: $0.00 $0.00 Plan Check Fee : $344.00 Fee Due at Permit Issuance: $498.00 PLAN CHECKED BY:: 5-- C— APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) ction 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 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 more than five hundred dollars ($500). 1 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or l_) portior iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr( rovements are not intended oroffered for sale. If, however, the building or improvement is sold within one year of roved for the omippse of sale). I, ag owner orltsproperty, am exclusively contracting with licensed Contractors to construct the project (Section' Igty an ownBrgt property who builds or improves thereon, and who contracts for the projects with a licensed Cont I gm exempt irrora licensure under the Contractors' State License Law for the following reason: n� eignature pelow I acknowledge that, except for my personal residence in which I must have resided for at least a structure trat "ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors `eSgions Cede, is available upon request when this application is submitted or at the following Web site:http://www tature of Property owner or Authorized Agent LENSED GONI' ACTOR'S DECLARATION f� pI retry affirm 11ndbr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section A ,effect. License Class License No Date of the work, and the structure is not intended or offered for sale (Section 7044, 3h employees' or personal effort, builds or improves the property, provided that the mpletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). le year prior to completion of the Improvements I understand that a copy of the applicable law, S of pivi&ioD 3_pDthe Business and :D Dy tnls permit, I cannot 7044 of the Business and is in full force ERS'.COWAY,ENSATION DECLARATION I I : FAILURETO 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 COMPENSATIOK DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. affirmuwr%rbenalty 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 `ormance of the work for which this permit is issued. Policy No. j have 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' compensa Trance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance o the or 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 hT if I should become ubject tot a wor r co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / eignature of Applicant Da t COVES 2? )ECLARATION REG REIN CONST CTION LENDING AGENCY hereby 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). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owneq-ie 'ehalf. I have read this application and the information I have provided isect. I agree to comply with all applicable city and count or nces aate la s relating to building construction. I authorize representatives of this city or count to nt r th abovntifi ropartyfor inspection purposes. v Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name C.� 4 Date ACTION DATE BY D RATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU PART61OFTITLE40ANDAQMDRULE All required alarms,latches PERMITEXPIRED 15UBMITTED ASBESTOS NOTIFICATION TO as pan OT a pool / Spa barrier, shall be in place prior to approval to fill pool/spa & shali remain in (24 f- Itl place & b tgai yned for �e a PERMITC4NCELLED EPA PERMITEXTES POOLAL D INSTALLED qL2 BESTAQM SBEST ,PROPOSED SIGNATUR S OTIFI T N APPLICABLE TO ; NIfTIO Al