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HomeMy WebLinkAboutS2018-0141 - Permits91 City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II POOLPermit : S2018-0141 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1941-2018 �, Permit Counter Phone (949)644-3288 "u,r,�,ei,*�` Inspection Requests Phone (949)644-3255 .lob Address: 4 DRAKES BAY DR Floor: Suite: Bldg: 1 Description of Work:SFR ADD SPA TO POOL (81 SF), INCLDS CTY STD DRAINAGE �1 CTOR Inspector Area: 4 Plan Check No: 1941-2018 Ar Code Edit: 2016 @" Legal Description: N TR 7844 LOT 86 iCii iii Owner: MIKE & NINA YAMIN Contractor: VICTORY POOLS Architect: Address: 33 GOLETA POINT DR Address: 1164 N SACRAMENTO ST Address: CORONA DEL MAR, CA 92625 ORANGE CA 92867 Phone: Phone: 714.469-2702 Phone: State Lic: Applicant: VICTORY POOL Con State Lic: 976169 Engineer: LACHER TODD Address: 1164 N SACRAMENTO ST Lic Expire: 0 313112 01 9 Address: 1201 N TUSTIN AVE ORANGE CA 92867 Bus Lic: BT30061313 ANAHEIM CA 92807 Phone: 714469-0756 Lic Exp Date: 1113 012 01 8 Phone: 714.630-6100 State Lic:C-067656 Building Rear: Worker's Compensation Insurance Special Conditions: oeoo Setbacks: Front: Carrier: STATE FUND LANDSLIDE AREA • o Left: Policy No: 9131746 .... Right: Expiration: 05/0212019 Issued Date: 0811512018 Construction Type Construction Valuation: $12,000.00 Building Permit Fee: $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 PROCES ZONING TOTAL FEE : $727.00 Record Management: Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee: FEES e o00 0 0 00 $8.00 Water Quality- 00 0 00000 Building Dept Inspection Fee: $0.00 • $0.00 Water Quality Dept Insp Fee: $0°00„ • ° ° ° ° $0.00 Building Dept WQ Plan Check: $1E00 $0.00 Others: 0 $0.09 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $727.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: l A PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) lection 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). 1201 N TUSTIN AVE 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work,�nd the structure is not intended or offered for sale (Section 7044, lusiness 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 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 nJroved for the purpose of sale). J as`owder of`fhe 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). ]-I am exempt from licensure under the Contractors' State License Law for the following reason: ,'my signatdre 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 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:hltp:/Aw .leginfo.ca.gov/calaw.html. signature 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 7000 of Division 3 of the business nd Profess' C ense is in full force end effect. License Class License No at`y`:i-- Contr _ ature VORKERS' COMPENSATION DECLARATION —1 rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 0 USAND 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 penalty 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 th erformance gfifie °work for which this permit is issued. Policy No. have and w.illll * 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' compensatiol IISQce caraenendpolicy number are: nor •• Policy Number Agent Date in.: In t performanc a work for which thisjl0mrit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and WOMB subje � th. workers' c exon provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. 0-V ' r — ICA • DECI.RRA'WIO6AA EORSSTRUCTION LENDING AGENCY , N%rmr!affirm uader Pena 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'a Name* • • • • Lender's Address 6Y o 6ignature tgelgoy, I certify to each of the following: • . dem the prdpe?tg pd✓ner or authorized to act on the property owner's behalf. I have read this application and the information I have prop ed is correct. I agree to comply with all applicable city and county o IGa as and state laws relating to building construction. I authorize representatives of this city or countyyp - I led property for inspection purposes. A,dhnrimd An.nf 7 Print Pronertv Owner's or Authorized AD s Name - I e.' , ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED INSTALLED DATE 1--T BY l DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE OP REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO /0—UASBESTOS 0UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION.