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HomeMy WebLinkAboutS2016-0108 - Permits9Proj�1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillll P001 -Permit: S2016-0108 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 6 0 1 0 8 N Permit Counter Phone (949)644-3288 ect No: 1648-2016 r u �a `%..ti1NC�s 9 Inspection Requests Phone (949)644-3255 ,lob Address: 2712 WAVECREST DR Floor: Suite: Bldg: 1 b Description of Work:NEW SPA 40 SIF Inspector Area: 4 Plan Check No: 1648-2016 - Code Edit: 2013 Legal Description: N TR 6113 LOT 26 Owner: CLASTER WILLIAM D Contractor: CONTEMPORARY POOLS & SPAS Architect: Address: 2712 WAVECREST DR Address: 8 CALLE AMENO Address: CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92672 Phone: - Phone: 949463-0569 Phone: State Lic: Applicant: CONTEMPORARY POOLS Con State Lic: 456476 Engineer: LACHER TODD Address: 8 CALLE AMEND Lic Expire: 02/2812017 Address: 1201 NTUSTIN AVE SAN CLEMENTE CA 92672 Bus Lic: BT30052747 ANAHEIM CA 92807 Phone: 949-830-0905 Lic Exp Date: 10/31/2016 Phone: 714-630-6100 State Lic:C-067656 m° Building Rear: Worker's Compensation Insurance Special Conditions: re c c Setbacks: Front: Carrier: STATE FUND 00 ° 0000 Left: Policy No: 1016832 0 °O0° 00000 Right: Expiration: 04101/2017 Issued Date: 07/22/2016 Construction Type 0 FEES Construction Valuation: $19,000.00 Building Permit Fee : $334.00 Record Management: $6.00 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: $37.50 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $290.58 $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: $669.08 Plan Check Fee : Fee Due at Permit Issuance : PROCESSED BY: PLAN CHECKED BY:: y�%� U / ZONING APPROVAL: �'/ I. 1 tl l APPROVAL TO ISSUE: A_r' 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) 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 ie 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 ofthe 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 1, 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, 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 itwas not built or nproved for the purpose of sale). 1 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 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: ly 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 legally 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:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirfi yDtler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) Of.Divi 'on 3 of the Business and Prof ode �icense is in full force nd effect. LjcengP. Mass License No Date 71ZZ /o Contractor Signature .... VORKERS:6OMPENSATION DECLARATION FARM : FAILURE j0 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 EST OTCOMPENSATION4 DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herby affirm. ender lenalty of perjury one of the following declarations: f Aave and Will waintain 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, rmance of Lhg'wdrk for which this permit is issued. Policy No. ' 2ve and will.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' compensatior F • carn and policy number are: tamer ..... Policy Number Expiration Date , ahk'g7 Agent .... Z 'JI ce..rtify that,'i. .n tF2'perf man of the wo or w ' h Is mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree khat, if I should become s j�ct to rs' c p s n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat 742—lk )ECLARATION REG & NDING AGENCY hereby affirm under pen t y 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'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 b f. 1 have read this application and the information I he ovided is rrect I agree to comply with all applicable city and cou y ordi ce nd s e laws relating to building construction. I authorize representatives of this city or count o ant ov d d property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's me G to C7 ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBM ITTED ASBESTOS POOTALLARMS PROPOSEDDEMOLITIONION IS NOTAPPLICABLE TO I I 4N - az ow Ey FL (K HylID ot Z 0) LU 0 r- 00 x 0, ul 0 Aci my a: -to 0 G LLJ CL I I FL �o my z Cd V, o 10 Z W W CL y LN r Z O tQ- G W LL M (n N W U° �U U x fV LLI ULU ri `r O Uy M U w W Ix V z Q (0 N M a 0 O N µOj LL -Ae- ti O Nr-• � x c Z Z IJP : �t t` t0 8 M M(0 O 0,0in O. -4F Z. 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