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HomeMy WebLinkAbouts2022-0104 - Permitsyw r, City of Newport Beach - Building Division *S2022-0104` 100 Civic Center Drive, Newport Beach, CA 92660 ,, =v Permit Counter Phone(949)644-3288 .lob Address: 20 COLONIAL DR Floor.Suite: Bldg: 1 Description of Work:SFR POOL REPLASTER AND DRAINAGE. Inspector Area: 4 Legal Description: N TR 15389 LOT 44 Owner: PIETSCH DAVID Address: 20 COLONIAL DR NEWPORT BEACH, CA 92660 Phone: 808-282-2313 Applicant: ARTISAN OUTDOOR / ARIA Address: 1653-B SUPERIOR AVE COSTA MESA, CA 92627 Phone: 949-235-8058 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $2,600.00 POOLPermit : S2022-0104 Project No : 1156-2022 Inspection Requests Phone (949)644-3255 Plan Check No: 1156-2022 Code Edit: 2019 Contractor: ARTISAN OUTDOOR LLC Address: 1653-B SUPERIOR AVE COSTA MESA CA 92627 Phone: 949-424-5870 Con State Lic: 1001086 Lic Expire: 02128/2023 Bus Lic: BT30055442 Lic Exp Date: 06/3012022 Worker's Compensation Insurance Carrier: TECHNOLOGY INS Policy No: TWC3954494 Expiration: 02/06/2023 Building Permit Fee : $130.00 Record Management: $4.00 Permit Issuing Fee: $0.00 Investigation Fee:. $0.00 Drainage Permit Fee : $237.00 Building Green Fee: $1.00 Drainage Plan Check: $199.00 Plan Dept Plan Check: $52.00 Grading Consultant Fee : $0.00 Building Dep Plan Check: $113.10 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $736.10 PROCESSED BY: �--� (1��� ZONING APPROVAL: lfi FEES Architect: Address: Phone: State Lie: Engineer: °Q• pB°vJ; ° Address: • Phone: State Lic • • • •• ° • • ° c°:tl• a on Special Conditions: • qP ° • •�••tl Issued Date: 05/06/2022 nq ® > O • O° iO«`•` ° • ° • p ••• Water Quality- -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 Plan Check Fee : $364.10 Fee Due at Permit Issuance : $372.00 PLAN CHECKED BY:: VC/ APPROVALTOISSUE: 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 the 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 Professions Code) or that he or she is exempt from icensure 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved 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 apply to an owrier of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legalh sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED COMT.RACTOR'S DECLARATION hereby�affirm u'wjp; penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivis on 3 of the Business and Profession e, Cans is in full f e y nc+eect. Ligeple Class License No Date Contractor Signature IIVORJKERS' d0%PI!NSATION DECLARATION r �ARNIN& FAILURE Tp 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 COST 8F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ireby affirm �e`rpenalty of perjury one of the following declarations: •-., 0 I lhave4nd AII,giaintain 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 �B,e,and nce cr tlTe wade for which this permit is issued. Policy No. •• wig 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' compensatioccarrigr aV policy number are: r:arriar '__• • Policv Number Expiration Date is of Agent. certify that; Ih the pI if I should become of ice 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' compensation laws of California, and agre to kers' compensat on rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 77Date _ JONS UCTI L DI GENCY Ireby affirm under penalty 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to nter theme/,¢bove= le p rty for inspection purposes. / ��t1 �/I/I I nature of Property Owner or Authorized Aoent // _.. Print Property Owner's or Authorized Agent's Nal;, / 1 K;rA Y 1' w b) ACTION DATE BY REGULATIONS OART610 OF 40 AND AQ OF FEDERAL ULE AL FOR OFFICE USE PERMIT EXPIRED I__I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED ITEPA PERMIT EXTENDED 0AQMD POOLALARMS INSTALLED G( �/p U (••t �/1 '1� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL _ i