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Home My WebLink AboutS2019-0053 - Permits�r City of Newport Beach - Building Division 11111111111��11u1jill 1111111111��11111 a 100 Civic Center Drive, Newport Beach, CA 92660 .. Permit Counter Phone (949)644-3288 .,eft vira�'4 POCILPerri : S2019-0053 Project No 0660-2019 Inspection Requests Phone (949)644-3255 Job Address: 1917 SEADRIFT DR Floor: Suite: Bldg:1 Building Dept Inspection Fee: Description of Work:SFR RE -PLASTER (E) POOLISPA & NEW POOL WATER LINES $216.00 Inspector Area: 5 Building Dept WQ Plan Check Plan Check No: 0660-2019 Code Edit: 2016 .Legal Description: TR 2813 LOTS 18&18 Building Green Feer $1.00. Owner: CIES ANDREW Contractor: CRYSTAL POOLS Architect: Address: 1917 SEADRIFT DR Address: 19631 BROOKHURST ST #13 Address: CORONA DEL. MAR, CA 92625 - HUNTINGTON BEACH CA 92646 $0.00 Phone: Phone: 714-420-5473 Phone: ' Applicant: O'DONNELL JIM Con State Lie: 867770 Engineer: Address: 19361 BROOKHURST ST#13 Lie Expire: 11130/2020 Address: - HUNTINGTON BEACH CA 92646 Bus Lie: BT30053161 Phone: 714-420-5473 Lie Exp Date:. 11/30/2019. Phone: Building Rear:. Worker's Compensation Insurance Special Conditions: Setbacks: Front: Carrier: STATE COMP Left: Policy No: 9089361 . Right:. Expiration: 12/1912019 Issued Date: 03/26/2019 Construction Type PROCESSED BY: ZONING APPRO\j FEES $2.00 Construction Valuation: $8,000.00 Building Dept Inspection Fee: Building Permit Fee: $216.00 Record Management: Building Dept WQ Plan Check .Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: Building Green Feer $1.00. Drainage Plan Check: Plan Dept Plan Check: $0.00 Grading Consultant Fee Building Dep Plan Check:.. $187.92 Building PC Investigation :. $0.00 Additional Fee: Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE i - $406.92 PROCESSED BY: ZONING APPRO\j FEES $2.00 Water Quality- -- - Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check $0.00 Others: $0.00 State Lie: State Lie: Plan Check Fee: $0.00 Fee Due at $0.00 $0.00 $0.00 $0.00 $0.00 r • �.. m: PJAN CHECKED BY;: a ARPROVAL TO ISSUE: ' mora PERMIT EXPIRES 18G DA1SS a,SE4 ISSLJA[WU OR LAST VALID INSPECTION E F ' m m cJo as 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 1e 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 (_) all of or L) 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). 1 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: ',y 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.html. ignature 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 Section 700 ) of Ivisign 3 of the Business and Prof sions" de,a Sd my icense is in full force Ind effect. License Class License No Date 3'i -C11 ` Contractor Signatur ! 1ORKERS' COMPENSATION DECLARATION IARNING: 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 penally 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 the ormance of the work for which this permit is issued. Policy No. have an will aintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior ranee car'ran policy num are: ierIII W is umber Expiration Date is of Agen G Phone # certify that, in the performance of ¢he work for wt ich 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: if I should become su lect to the W rkers' o, pm , nsati n pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant alt �at �" r r min' Trw oMe ,w,n_ er_v iry hereby affirm under penalty of perj ir' 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 owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances anA state laws relating to building construction. / I authorize representatives of this city or count o melt-r� Pr, able- en Ifired �rgperty for inspection purposes. C ` ,t 3i nature of Property Owner or Authorized Agent �' V U ' "�"�' Print Property Owner's or Authorized Agent's Na l V\A ACTION DATE BYRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFI TioVrl) + + PERMIT CANCELLED EPA :+• . •• ` + • .• PERMIT EXTENDED 13AQMD ++ �' •--" POOL ALARMS ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED OSED DEMOLITION. • +• 2NATURE: •o ••s ••+ • + s PERMITFINAL b