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Home My WebLink AboutS2022-0055 - Permits{k#� City of Newport Beach - Building Division IIIII�IIIIIII�IIIIIIIIII�IIIIIIIIIIIIIIII II POOLPermit : S2022-0055 .� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 5 5 p Project No : 0567-2022 V � Permit Counter Phone (949)644-3288 ��,z841A�a^ 9 Inspection Requests Phone (949)644-3255 Job Address: 16 TURNBERRY DR Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA W/ DRAINAGE 403 SF Inspector Area: 4 Plan Check No: 0567-2022 Code Edit: 2019 Legal Description: TRACT 15387 LOT 8 POR OF LOT AND POR OF LOT 7 Owner: BOMAN CHRISTOPHER J TR Contractor: PREMIER POOLS ORANGE CTY Address: 16 TURNBERRY DR Address: 22 SAN RAPHAEL NEWPORT BEACH, CA DANA POINT CA 92629 Phone: - Phone: 626.422-6426 Applicant: ELLISON PAUL Con State Lic: 798298 Address: 24642 VIA RAZA Lic Expire: 0313112022 LAKE FOREST, CA 92630 Bus Lic: BT30071442 Phone: 949-683-9861 Lic Exp Date: 03/31/2022 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $42,000.00 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: PROCES ZONING Workers Compensation Insurance Carrier: STATE COMP Policy No: 9158204 Expiration: 05/03/2022 FEES Record Management: $8.00 Drainage Permit Fee : $237.00 Drainage Plan Check: $199.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: Phone: State Lic: Engineer: LENEHAN KYLE A Address: 1024 ]RON POINT ST 100-1486 FOLSOM CA 95630 Phone: 916-287-1445 State Lic:C-082227 Special Conditions: LANDSLIDE AREA Issued Date: 03/04/2022 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others: $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit (Issuance : $1,282.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000ma o • 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 items) (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 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 not more than five hundred dollars ($500). 1024 ]RON POINT ST 100-1486 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 -Builder will 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 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: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at 1%aSt ERe year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contraclorg.d 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 $ae:btjd//wwwjeginfe.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent • Date LICENSED CONTRACTOR'S DECLARATION • •, , • • I hereby affirm under penalty of perjury that I am licensed under provisioof Cpapter 9 (commencing with Section 0) of Ivi on 3 of the Business and Professions Codg,agd my license is in full force and effect. License Class License NoJ� 1$�S' Date � 2 Contractor Signature YORCERS' QQ VPENSATION DECLARATION IAF" QG: FAILURE Ty, DSF%C.IRE 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 QSTMICOMPENSA ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,7ere4yaffirm under penalty of perjury one of the following declarations: I se and wily 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 thl I ante of the work for which this permit is issued. Policy No. ,• • e and 1Ailb QI'ainiai0 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 i carrier and policy number are: ier Policy Number Expiration Date Jame of Agent Phone # I certify that, in the performance of the or ch 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 agree hat, if I should becom j t t th o e c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date 31VI2, Z )ECLARATION REGA DIN CO ST AGENCY J hereby affirm under penalty di 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 pro erty owner's behalf. I have read this application and the information I hav pr vid d is r act. I agree to comply with all applicable city and county ordi ces n stat la relating to building construction. 2&.I authorize representatives of this city or count n a -ide I d property for inspection purposes. l - �+� Da 3ignature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY V kECb0RATIOi!_0F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMITTED ASBESTOS NOTIFICATION TO Air requilTid alarms,latMes PERMIT CANCELLED EPA gates & fences which serve as part of a pool / spa PERMITEXTENDED AQMD barrier, shall be in place POOLALARMS 7 /1 07- ASBEST SV)TIF1,[CN ISN A ICABLE TO prior to approval to AD INSTALLED W RO OSED pool/spa & shall remain in SIGNATUR . place & be maintained for PERMIT FINAL /L 7Q � _ th f P rei�h Doolisoa