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Home My WebLink AboutS2022-0122 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIII'IIIIIIIIIIIIIII II POOLPermit : S2022-0122 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 2 2 Project No : 1404-2022 Permit Counter Phone (949)644-3288 �'zaamttr ,' Inspection Requests Phone (949)644-3255 Job Address: 1712 IRVINE AVE Floor: Suite: Bldg:1 Description of Work:SFR POOL REMODEL, INSTALL BENCH AND BAJA REEF Inspector Area: 3 Plan Check No: Code Edit: 1404-2022 2019 Legal Description: N TR 3082 LOT 9;ri Owner: BOCIAN HILLIL & JACLYN Contractor: EARTHCRAFT ENTERPRISES Architect: Address: 1712 IRVINE AVE Address: 34100 POURROY ROAD Address: ...... NEWPORT BEACH, CA 92660 WINCHESTER CA .... Phone: Phone: 951-973-4234 Phone: State Lic: mm ... ..... o Applicant: THOMPSON MATTHEW Con State Lic: 425442 Engineer: THOMPSON MATTHEW •; Address: 1201 N TUSTIN AVE Lic Expire: 12/31/2023 Address: 1201 N TUSTIN AVE ° ° m. ° ANAHEIM CA 92807 Bus Lic: BT30078846 ANAHEIM CA 92807 • Phone: 714-630-6100 Lic Exp Date: 05/31/2023 Phone: 714-630-6100 State Lic:C-086051 ° ° ° ° ° o ° ° ° ° Building Rear: Worker's Compensation Insurance Special Conditions: oeemom °000 Setbacks: Front: Carrier: MID CENTURY INS • Left: Policy No: A09493114 ° ° ° ° m ° Right: Expiration: 12/01/2022 Issued Date: 05/31/2022 ••°• • ° Construction Type : 0o ° ° ° • oo°000 m ° ° ® • FEES Construction Valuation: $20,000.00 Building Permit Fee : $419.00 Record Management: $8.00 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: $0,00 Grading Consultant Fee : $0,00 Others: Building Dep Plan Check: $364.53 $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: $792.53 PROCESSED BY: ZONING APPRO\, Plan Check Fee : $0.00 Fee Due at Permit Issuance : $792.53 PLAN CHECKED BY:: 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 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 fr 'a permit subjects the applicant to a civil penalty 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 (_) all of or U 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 )rovements 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). ' 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 fly 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 legall, a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 'lunderstand that a copy of the applicable law, Section 7044 of the Business and Ifessions Co ft j%available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION reliKaffirm uric%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivisi n 3 of the Business and Profe Ions G de, apd my liG&nse is in full force I effect. License Class License No Date i Contractor Signature �/i%i A . ✓f%- iRKERS' COMPENSATION DECLARATION INIV; FAILURCT4SECy RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN' LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE W OF COMPENINBONSDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .repi affirm under penalty of perjury one of the following declarations: 112'e and will maliltain 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 fojmance of the -work for which this permit is issued. Policy No. and 41rmelnl2in workers' compensation insurance, as required by Section 3700 of the Labor Code, for carrier2r5d policy9� tuber are: : k,c.r r3 Policy Number of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any It, if I should becomesubject workers' com anon provisions of Section 3700 of the Labor Code, I shall (nature of Applica �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for w 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 couljjjy ordinan es and state laws relating to building construction. I authorize representatives of this city or count enter oveiid d property for inspection purposes. nature of Prooertv Owner or Authorized ADent � Print Prooertv Owner's or of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. Date `J / 3 i i this permit is issued (Section 3097, Civil Code). Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY All required alarms,latch�' REGULATIONS PART 61 OF TITLE 40AND AQMD RULE gates 8 fences which Serve 1403 PERMITC4NCED I SUBMITTED ASBESTOS NOTIFICATION TO c' barrier, shall be in place prior to approval to fili pool/spa & shall remain ir, place & be maintained fo, PERMIT CANCELLED A PERMITEXTENDED AQMD POOLALARMS ASBESTOS NOTIFICATION 15 NOTAPPLICABLE TO INSTALLED POSED OLIT N. the K SIG TUR ,�� %t PERMIT FINAL