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Home My WebLink AboutS2022-0089 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone (949)644-3288 (9) 2 0 2 2 POOLPermit: S2022-0089 0 0 8 9 Project No : 1006-2022 Inspection Requests Phone (949)644-3255 Job Address: 30 WHARFSIDE DR Floor: Suite: Bldg:1 Description of Work:SFR POOL & SPA 264 SF Wl YARD DRAINAGE. -- Inspector Area: 5 Plan Check No: 1006-2022 Code Edit: 2019 Legal Description: Owner: MANLEY MICHELLE Contractor: TESERRA Architect: Address: 30 WHARFSIDE Address: P O BOX 1280 Address: NEWPORT COAST CA 92657 COACHELLA CA 92236 Phone: Phone: 760-398-9222 Phone: State Lic: �•i I Applicant: ELLISON PAUL Con State Lic: 656128 Engineer: BIEDENBACH CHRISTOPHER ? Address: 24642 VIA RAZA Lic Expire: 10/31/2022 Address: 1201 N TUSTIN = LAKE FOREST CA 92630 Bus Lic: BT30070953 ANAHEIM CA 92007 Phone: 949-603-9861 Lic Exp Date: 0613012023 Phone: 714-630-6100 State Lic:C-074003 Building Rear: Worker's Compensation Insurance Special Conditions: Setbacks: Front: Carrier: STARSTONE Left: Policy No: T10200999 Right: Expiration: 0110112023 Issued Date: 06/0812022 Construction Type : FEES Construction Valuation: $39,000.00 Building Permit Fee: $440.00 Record Management: $14.00 Water Quality -- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $237.00 Water Quality Dept Insp Fee: $152.00 Building Green Fee: $2.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $396.00 $0.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,440.00 Plan Check Fee : $595.00 Fee DLe at Permit Issuance : $345.00 PROCESSED BY: \ Vx d� _ _ _ PLAN CHECKED BY:: ZONING APPROVAL: 1 APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS Gr'. ER ;SSUANCE 0R LPST 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) (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 I, 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 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). ❑ 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 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 legall3 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION p I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 is 3 of the Business and P fes to s r?e, a icense fifull force and effect. License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 :e of the work for which this permit is issued. Policy No. and will mynOA& 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 an olic number are: ,-N _ re of Agent certify that, in the p . if I should become re of Applicant Date Ice f the o orw pe is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation la s of California, and agree to hew rs' co ation ovisI ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G Z Zi nu of r �i vu nu.ir_ nr_or.iry Date o hereby affirm under penaty of perjurylhat 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 y my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I ha, I agree to comply with all applicable city and county I authorize representatives of this city or county to Onature of Prooertv Owner or Authorized Aaentl owner's behalf. ed is correct. i g to building construction. for inspection purposes. I Print Property Owner's or Authorized ACTION DATE BY r I R GULATIONS PAT 61 OF TITTLE 40 AND AQMD RULEf OLICLARATION OF FOR OFFICE USE ONLY Name V hU t PERMIT EXPIRED - ❑ I SUBMITTED ASBESTOS NOTIFICAT:ON TO gates & fences win cn serve as part of a pool / spa barrier, Shall be In place prior to approval to fill poollspa & shall remain in place & be maintained for pool/spa the life V21 PERMIT CANCELLED UEPA QMD PERMITEXTENDED POOL ALARMS INSTALLED Z ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: - PERMITFINAL