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Home My WebLink AboutS2021-0276 - Permits0& r, City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�I�IIII�IIIIIII II POOLPermit : S2021-0276 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 2 7 6 Project No : 2933-2021 ,W', a Permit Counter Phone (949)644-3288 ''fi:�� un`' Inspection Requests Phone (949)644-3255 Job Address: 33VERNON Floor: Suite: Bldg:1 Description of Work:SFR SPA 99 SF W/ 32" RAISED BOND BEAM. CITY STANDARD DRAINAGE Inspector Area: 6 Plan Check No: 2933-2021 Code Edit: 2019 Legal Description: N TR 15333 LOT 5 Owner: SIDEBOTHAM ERIC Address: 33 VERNON NEWPORT COAST, CA 92657 Phone: Applicant: JC WRIGHT Address: 833 DOVER DR #7 NEWPORT BEACH CA 92663 Phone: Building Rear: Setbacks: Front: Left: Right: Construction TVDe : Construction Valuation: $45,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1.231.00 Contractor: INSTANT POOLSCAPES Address: 833 DOVER DR #24 NEWPORT BEACH CA 92663 Phone: 949-795-0648 Con State Lie: 1009644 Lie Expire: 12/31/2021 Bus Lie: BT30063469 Lie Exp Date: 12/31/2021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: Record Management Drainage Permit Fee Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $4.00 $237.00 $0.00 $0.00 $0.00 Plan Check Fee : Architect Address: Phone Engineer: THOMPSON MATTHEW Address: 12021 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 12/15/2021 Water Quality Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : State Lie: State Lic:C-086051 $0.00 $152.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1.231.00 PROCESSED BY: PLAN CHECKED BYS ° C°'✓ ° ° °O ° m ® ° t � - o m • •• o 0 0 0 ZONING APPROVAL: �V APPROVAL %C 19WE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALIDEINSPECSICIN a o ° "°° °<° m o mm o o • °m ° o c c o c m o c mo moo o ° om •o omo OWNER -BUILDER DECLARATION I - 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 far 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 applicant to a civil penalty of more than five hundred dollars ($500). 12021 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 it 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 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). J 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 legs 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://www.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 700pf Djv' i4n-3 ofnthe Busines d Prof ssions ode, and my license is in full force nd effect. License Class License No Dale L � t �Contractor ig VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO 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 DST 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 the erformance of the work for which this permit is issued. Policy No. ]I 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' compensatior Isurance carrier and policy number are: Policy Number Date ertify that, in the perf0r ante of the wo k for whit his 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 t if I should became su ject to the work s' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ nature of Applicant D T CLARATION REGA DING ENDING AGENCY veby affirm under penalty of 'ury that there is a construGtion-I mg 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 owner's behalf. I have read this application and the informatio rovided is correct. I agree to comply with all applicable cit d county ordin ces and state I srelating to building construction. I authorize representatives of this cit or counts to enter the abo ntified property for inspection purposes. _ / `i ,1r \ ra� , n�/ ;7 —(` nature of Prooertv Owner or Authors d AoertOC Print Property Owner's or Authorized Agent's Na lr l L 1iu 1' ��" ` I Date ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED POOL ALARMS INSTALLED DATE I _—M"—`1D51:MATION OF COMPLIANCE WITH COTt-QE FEDERAL I FOR OFFICE USE ONLY .• ... 0wcna• •.. •.• • TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO 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 the life of the 000l/soa FINAL