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Home My WebLink AboutS2021-0139 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1853 PORT SHEFFIELD PL Floor: Description of Work:SFR NEW SPA 72 SF Inspector Area: 4 Legal Description: N TR 6620 LOT 10 Owner: FRAZIER BRYAN & CHRISTIIE Address: 1853 PORT SHEFFIELD PL NEWPORT BEACH, CA 92660 Phone: 714-865-5567 Applicant: PROMONTORY POOLS Address: 174011RVINEBLVD #B TUSTIN, CA 92780 Phone: 714508-0557 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $0.00 Building Permit Fee : $0.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $0.00 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 APPRO% Suite: Bldg:1 *S2021-0139* U r Plan Check No: 1334-2021 Code Edit: 2019 Contractor: PROMONTORY POOLS INC Address: 17401 IRVINE BLVD STE B TUSTIN CA 92780 Phone: 714-993.0554 Con State Lic: 404194 Lic Expire: 0313112023 Bus Lic: BT30043247 Lic Exp Date: 0513112022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Architect Address: POOLPermit : S2021-0139 Project No : 1334-2021 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630.6100 State Lic:C-067656 Special Conditions Issued Date: 06/1412021 Record Management: $8.00 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 m••• • • o eme• om••om ••• • • o • • m ••• a • •• a • oa•ao •••• • m••am • a••oo ma • a • m • • mm ••oo • •m m o•• oo®• m••m 7 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $395.00 - t PLAN CHECKED BY:: I 1 - 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) (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 Rcensure 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). 1201 N TUSTIN AVE ❑ 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). ❑ 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 apply to an o'yp%rpf 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.1l Iicensure under the Contractors' State License Law for the following reason: FWJy signatgre 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) sell a structerekhat4 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 Cocre is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sjglfature of Pfbperty Owner or Authorized Agent Date LIC,ENSEQrsQUTRACTOR'S DECLARATION Irpfeby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0. ( Di jsi n 3 of the Business and Pr e�:n D , an y eense is in full force and effect. .Iaiiia se Class License No Date /� Contractor Signature gPRKERS' Ef3MPENSATION DECLARATION NARNING: 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 Cads• OF COMPIEENSANN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hefbby aff rrr,ubdor penalty of perjury one of the following declarations: Q ;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 th peformance of t1le:vork for which this permit is issued. Policy No. 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' carrier and policy number are: Agent Policy Number Expiration Date Phone # I c ify that, in the performance 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 should become(p{Ibject �nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' Signature //YY\\ Dat�(, Z' DECLARATION REGAVDINO-OCINSTRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 ter th ve-id 'fled property for inspection purposes. i j G Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam �� 4 �:h te� 04 ACTION DATE BY VJ DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ,,,,, Aft,e•Guired alarmsJatches PERMIT EXPIRED t..I I SUBMITTED ASBESTOS NOTIFICATION TO � o as part of a pa01 /spa Carrier, shag be in place prior to approval to ftil pc •.-1/spa & shall remain In `face & be maintained fOr the)If }ham pOouspa �� 7 _ PERMIT CANCELLED UEPA PERMIT EXTENDED QMD POOLALARMS INSTALLED PAISBESTO NO FICATI N IS NOTAPPLICABLE TO PROPOSED D LIT SIGNATURE: PERMIT FINAL A 2