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HomeMy WebLinkAboutS2021-0137 - PermitsCity of Newport Beach - Building Division d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .lob Address: 1819 PORT STIRLING PL Floor: Description of Work:SFR NEW POOL & SPA 480 SF Inspector Area: 4 Legal Description: N TR 7027 LOT 4 Owner: HEWKO KATHY MRUCKER LLOYD Address: 260 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA, CA 92799 Phone: 949-872-0450 Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $75,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 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: $828.00 Suite: Bldg:1 *S2021-0137* INSP-ECTOR Plan Check No: 1330-2021 Code Edit: 2019 Contractor: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 714-241-7665 Con State Lic: 967325 Lic Expire: 09130/2022 Bus Lic: BT30038738 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expiration: FEES Record Management: $8.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: POOLPermit : S2021-0137 Project No: 1330-2021 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions Issued Date: Water Quality- — Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others: Plan Check Fee : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $828.00 PROCESSED BY: - �7p/J PLAN CHECKED BY:: ZONING APPROVAL:_ APPROVAL TO ISSUE: --- - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION a •coeo 0 o0 •• J • • oo' o . 000JJ OGiOJ uo••oo • • o 0 0 000J• 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) ;action 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 e 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 ofessions 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 A more than five hundred dollars ($500). 1201 N TUSTIN as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business Id 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 Iprovements 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 (proved 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 )ply to an oNAer 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 eRdrllpt from licensure under the Contractors' State License Law for the following reason: i my signeh re Delow 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 legally rll a str*tura 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 Ofessions Qode, 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 J ICENS6D0"19TRACTOR'SDECLARATION j f.� I iereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio �D'jrjsiof the Business and Pr srons� , an my-1ieense is in full force idea act.•Lfcanse Class License No Da c Contractor Signatu ORKERS'COMPENSATION DECLARATION `\\ %RNING: FAILURE TOy� ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOU h,d DOLLARS ($100,000), IN ADDITION TO THE SSfOF COM:BNSQI�IQIJ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rereby affirrrrdndef penalty of perjury one of the following declarations: • T (nave arylwo4aintain 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 :ttorr xayU of the work 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: Policy Number of Agent Date I certify that, in the performance o e) w,# 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 agree It, if I should become ubjec he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �} Inature of Applican /1.9zr.�--�--b Da (G IliC 2 :CLARATION REGA ING CON TRUCTION LENDING AGENCY d' ' ereby affirm under p a f p�rjury t - at there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , IT;1,11 Code). rider's Name Lender's Address By my signature below, I Certify to each of the following: %p I am the property owner or authorized to act on the property ownelrs`blAhalf. I have read this application and the information I have provided -isrcor ct. I agree to comply with all applicable city and count ordinahc �nd s e laws relating to building construction. s i 1 authorize representatives of this city or county nteh abdve IdaaeLd�rop=rty for inspection purposes.j3� ® ®ff/ Signature of Property Owner or Authorized Agent I Print Property Owners or Authorized Agent's Na An a Pam" ACTION DATE BY DEC OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 All required alarms.latches PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA g PERMIT EXTENDED AQMD POOL ALARMS INSTALLED BESTO�NOjICTTI+NS NOT APPLICABLE TO 0 ED D 1T 0 ,I as part of a pool! spa barrier, shaft be in place prior to approval to M pool/spa & shall remain in place & be maintained for the fife off tl$e,pool/spa FINAL