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Home My WebLink AboutS2021-0098 - PermitsCir of Newport Beach - Building Division iIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIII a ;< 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 0 9 8 '. Permit Counter Phone (949)644-3288 S2oZ� -0(3 s 2 Do \ Vyl1 .r -Te V, Job Address: 1512 DOLPHIN TER Floor: Description of Work:SFR INSTL 154 SF SPA Inspector Area: 2 Legal Description: N TR 1701 LOT 51 Owner: HULL FAMILY TRUST Address: 1512 DOLPHIN TER NEWPORT BEACH, CA 92625 Phone: Applicant: WRIGHT JC Address: 833 DOVER DR # 7 NEWPORT BEACH CA 92663 Phone: 949-795-0648 Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $40,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : PROCESSED BY: ZONING APPROb Suite: Bldg:1 Plan Check No: 0855-2021 Code Edit: 2019 Contractor: INSTANT POOLSCAPES Address: 833 DOVER DR #24 e NEWPORT BEACH CA 92663 Phone: 949-795-0648 Can State Lic: 1009644 Lic Expire: 12/31/2021 Bus Lic: BT30063469 Lic Exp Date: 12131/2021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: FEES Architect Address: Phone POOLPermit : S2021-0098 Project No : 0855-2021 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714.630.6100 Special Conditions: Issued Date: 04/20/2021 m.e• • $4.00 e eu• m • ° e•0000 eooe • o State Lic: •• •••°m° ° ° ° ee e • o e eeso e ° °• o °mom •moo°o State Lic:C-067656 • ° ° ° ° ° cm a ommocm o ® eomeoo 00000m ° 0 0000° Record Management: $4.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $8: �jr� PLAN CHECKED BY:: APPROVAL TO ISSUE: 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) .ction 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 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 subjects the appltcanl 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :mess 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 Irovements 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 rcoved 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 exemptfrolii licensure under the Contractors' State License Law for the following reason: my signafb4a balow 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 Iegalll aestructuge trot 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 �"sions od%is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date 'FNSED CONTRACTOR'S DECLARATION freby affing Tinrlarpenalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of.Qlv'sion 3 f the Business and Pro ss ns Code in full force I �Bect. LicEnse Class License No D — ` d � Z ` Contractor Signature 5hrtKERS'1CONISiENSATION DECLARATION .. MING: FAILUREf(f SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D), IN ADDITION TO THE iYOF COMPENSASION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. F&bJ affirm u ltd er penalty of perjury one of the following declarations: I have and u4m 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 fdrlhance oft � w qiS for which this permit is issued. Policy No. have 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' compensatiol trance carrier and policy number are: Policy Number Date of Agen _ r•none a rtify that, in the performance of work for w this e s a no emp oy rson in any manner so as to become subject to the workers' compensation laws of California, and agre t if I should beco a ubject to t workers' co on prow ' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applica—Z L• r Z Date CLARATION RE ARD NG CONSTRU �r :reby affirm under penally 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 properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have vl is correct. I agree to comply with all applicable city and county rdin s ate laws relating to building construction. I authorize re rtee.s.e.,n.t.a._t_iv_e_s_ of thiscity .or count terthea ei tified ro artfor inos .aactDio.,n. purposes. nat1:7e DATE BY DECLARPrMN OF COMPLIANCE WITH CODE OF FEDEf REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED UAQMD POOLALARMS OA5BESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED _ PROPOSED DEMOLITION. FINAL FOR OFFICE USE ONLYAllrequired alarmS.latches nates & fences which serve barrier. shall be in place prior to approval to fill pool/061 remain in plactamed for �//��/� theool/spa / � 2 � ly\ 3 10 mo 'E° m m m m m z "' .-i > 0 z z z z z E m m y « E •• � 6 A N E O b F E a — m T w i-- F 5 n E Z E .m. E N x E E F h z H u ai E Q rn a u° Z5 YC a F A cicr- v m N e Ifl VI Y�1 y�j it E E d b p J lO m n 5 0 m m m > c h r o i rd E = n n n N ry m m m 2 z N Z m n r W ^y T rtl 6 0 U n v ¢ a a F F• m � N ry •E N tV N W ✓Fyi � 1\O V Q d N N N c E a a a e - E w 6 5 E� u° 2 N N T Al