The URL can be used to link to this page

Home My WebLink AboutS2019-0077 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIU POOLPermit t S2019-0077 100 Civic Center Drive, Newport Beach, CA 92660 Permit S 2 0 1 9 0 e 7 7 Project No ; 0985-2019 Counter Phone (949)644-3288 .rx wru'�4' Inspection Requests Phone (949)644-3255 Job Address: 2201 ALTA VISTA DR Floor Suite Bldg:1 Description of Work:SFR NEW POOLISPA 450 SF (YARD DRAINAGE X2019.0325) Inspector Area: 8_ Plan Check No:0985-2019 ?I� tF! Y I Code Edit 2016 - Legal Description[ N TR 4705 LOT 79 x ;�„ y •'1p6e, Owner: WEBB CHRISISYDNI Contractor: FUSION POOL & SPA y Architect: ° °' • Address: 2201 ALTA VISTA DR - Address: 603 SEAGLAZE: DR #900 Address: , • o • • -' m •,.° o NEWPORT BEACH, CA 92660 OCEANSIDE CA 92054 • • e ° c Phone: - Phone: 760-519-0135 Phone: - State Lie: • ' ° Applicant: GODSEY ERIC Con State Lie: 842383 Engineer: LACHER TODD ®• ° ° , o Address: 603 SEAGAZE DR 4900 Lie Expire: 07/31/2020 .Address: 1201 N TUSTIN AVE OCEANSIDE CA 92054 Bus Lie: BT30061028 ANAHEIM CA 92807 m °e Phone: 760-519-0135 Lie Exp. Date: 10131/2019 Phone: 714-630-6100 State Lic:C-067656 °. • ° ° • • 0 00 Building Rear. 6' Worker's Compensation Insurance Special Conditions. a • • ° m • • o 0 0 0 oe • o Setbacks: Front: 6' - Carrier: - SECURITY NATIONAL INC CO "Left: 6' Policy No: SWC1207689 • o® o 0 o c o 0 Right: 61. _ Expiration: 10101/2019 Issued Date: 0512212019 °<a o . ° - • o o ° ° Construction Type: FEES Construction Valuation: $100,000.00 .Building Permit Fee: ' $405.00 Record Management: $12.00 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: $4.00 Drainage Plan Check: " $0.00 ; Building Dept WQ Plan Check, - $0.00 Plan Dept Plan Check: $0.00 Grading. Consultant Fee: $236.00 Others Building Dep Plan Check: $361.00 $0.00 -Building PC investigation : $0.00 Additional Fee: $0.00 $0.00 ' Plan check Ext. Fee ; $0,00 . - - WQ Compliance Insp Feer $0.00 - TOTAL FEE : $1,018.00 'Plan Check Pee : $321.00 Fee Due at Permit Issuance : $697.00 PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL 6./y APPROVAL TO ISSUE:l PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Iam 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) Iction 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 itsissuance, 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 subjectsthe 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 L) all of or (_) 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 1t was. not built or )roved 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 )ly 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 bglow 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 legalh I a structure S%Phave 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 Ifessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. - iRature of r?*erty Owner or Authorized Agent Date 'ENSED'CONTRACTOR'S DECLARATION sreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 DpyOf Division 3 of the Business and Pr essions di, and my lic nse is in full force Vbffect. License lass License No Date ✓✓✓✓✓✓ Gv %''% Contractor Signatur )RKERS*e MPENSATION DECLARATION WING: FAILURE TQQ IUJCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE vr%F coMPE%;i4 lON.DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. xaby affirm uVer penalty of perjury one of the following declarations: 1 five and will rp§intain 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 forMonce of Ve work for which this permit is issued. Policy No. *a and RI%aiQtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issued. My workers' compensatioi Bfahce carrienald-policy number are: mer Policy Number .Expiration Date me of Agent Phone # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre t, if I should become su 'ect to thh��nnnFkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p— nature of Applicant Dat 0 z C 'Z 6 CLARATION REGA DING CONSTRUCTION LENDING AGENCY ?reby affirm under. nalty 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). 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and count rdinances and state laws relating to building construction. I authorize representatives of this city or county t enter the -i entified property for inspectionpurposes. �: mature of Prooertv Owner or Authorized Aqent Print Property Owner's or Authorized Agent's Name G r' ACTION DATE BY /. .DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 3403 PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TOWvLP PERMIT CANCELLED EPA ILI- i �� r�U,r/"'�f PERMIT EXTENDED QMD ' �, POOL ALARMS SBESTOPIRO S OTIFICATION IS NOT APPLICABLE TO A Vim"^' iw UI INSTALLED (2�1�� V SIGNATURE: E OLITION.' (/l PERMIT FINAL (� I�y�vl 5 r �S