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HomeMy WebLinkAboutS2020-0208 - Permits9 City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIII P001 -Permit: S2020-0208 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 2 0 8 Project No : 2332-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ,lob Address: 1718 NEWPORT HILLS DR W Floor: Suite: Bldg:1 y� Description of Work:POOL & SPA W/DRAINAGE 512 SF f � f CTO f U tri Inspector Area: 4 Plan Check No: 2332-2020 Code Edit: 2019 Legal Description: N TR 7032 LOT 13 Owner: HARRISON Contractor: INSTANT POOLSCAPES Architect: ` Address: 1718 NEWPORT HILLS DR W Address: 833 DOVER DR #24 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 0 • o ° o m Phone: 949-795.4881 Phone: 949-795-0648 Phone: State Lie: ° • ° m ° ° °. ° Applicant: INSTANT POOLSCAPEIJC Con State Lie: 1009644 Engineer: BIEDENBACH CHRISTOPHER ° Address: 833 DOVER DR #7 Lie Expire: 12/3112021 Address: 1201 N TUSTIN • • m ° • „ NEWPORT BEACH CA 92663 - Bus Lie: BT30053469 ANAHEIM CA 92807 m m Phone: 949-795-0648 Lie Exp Date: 12131/2020 Phone: 714-630-6100 State Lic:C-074003 0 ° • ° ° ° ° ® m ° ° oe c Boom o ° Building Rear: Worker's Compensation Insurance Special Conditions: • • ° ° Setbacks: Front: Carrier: WC EXEMPT . •s000 Lek: Policy No: (NO EMPLOYEES) 00 o m o 0 Right: Expiration: Issued Date: 1211612020 Construction Type: mm°moo FEES Construction Valuation: $40,000.00 Building Permit Fee: $430.00 Record Management: $10.00 Water Quality --- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $278.00 Investigation Fee: $0.00 Drainage Permit Fee : $232.00 Water Quality Dept Insp Fee: $120.00 Building Green Fee: $2.00 Drainage Plan Check: $195.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee: $0.00 Others Building Dep Pian Check: $387 $0.00 Building PC Investigation : .00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee' $0.00 TOTAL FEE : $1, 4.00 - Plan Check Fee : $0.00 ee Due at/PerCmit Issuance : $1,654.00 PROCESSED BY: tf PLAN CHECKED Yr. I �� L1 C ZONING APPROVAL: l'ir YVI �li�J APPROVAL TO ISSU i PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penally 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) ;action 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 e 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 -ofessions 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 It more than five hundred dollars ($500). 1201 N TUSTIN ❑ as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business Id 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 Iprovements 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 I roved for the purpose of sale). 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 )ply 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: 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 III 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 "ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. gnature of Prouft.QIner or Authorized Agent te'— ICENSVD CONTRACTOR'S DECLARATION )QRDf Affirm underRally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7��000)yy����i�jSID (� �oof fheBusiness an ro ode, and my It ense 1 I� effect. License lass License No Date Contractor Signatur ` PJi L -RS' COMPENSATION DECLARATION VA$NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED Q IO?QOMPENSATIOR,4*MAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tereb9 affirm untjgr penalty of perjury one of the following declarations: ADDITION TO THE •�� .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 Ie ce of the work for which this permit is issued. Policy No. ' I Tlav and wiRm i rinin 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' compensa isura a Carrier as policy number are: Policy Number is of Agent •••• Date certify that, in the pertormanc f the work for whichtk' 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 agree I, if I should become subject t he workers' compensat' f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �n _ nature of Applicant Date C� CLARATION REGAR ING cpmwrFTUCTI N LENDING AWRCY :reby affirm under penalty of pe t -there -I - s ruction4anding or the performance of the work for which this permit is issued (Section 3097, Civil Code). Idler'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 owner's behalf. I have read this application and the information I have provided a I agree to comply with all applicable city and county ordinan sand state awsul ing construction. 'U I authorize representatives of this city or county n r the bove- d ope y action purposes. nature of Prooertv Owner or Authorized Aoen Print rty Owner's or Authorized Agent's Name`{-�'� ACTION PERMIT EXPIRED PERMIT CANCELLED DATE I BY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE I SUBMITTED POOLALARMS /�J/rye /{r/(Qj UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. i ,_ SIGNATURE: FOR OFFICE USE ONLY All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for