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Home My WebLink AboutS2021-0266 - Permitsnrpr City of Newport Beach - Building Division d� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'a[�ag4{it ,lob Address: 2621 ALTA VISTA DR Floor: Suite: Bldg: 1 Description of Work:SFR (N) POOLISPA 448 SF & 36 SF WI DRAINAGE Inspector Area: 4 Legal Description: N TR 4893 LOT 111 Owner: CNQST LLC Address: PO BOX 11176 NEWPORT BEACH, CA 92658 Phone: Applicant: AARONIPOOL LOGIC LA Address: 1276 E COLORADO BLVD PASADENA CA 91106 Phone: 626-261-0825 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : VB Construction Valuation: $30,000.00 Building Permit Fee: $570.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Delp Plan Check: $495.90 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1.519.90 PROCESSED BY: ZONING APPRO� II III I�IIIII0 I�III IIIV 0�II II�IIIII6I II Contractor: AIDEN POOLS Plan Check No: 2837-2021 Code Edit: 2019 Address: 1276 E COLORADO BLVD PASADENA, CA 91106 Phone: 626-261-0825 Con State Lic: 1053685 Lic Expire: 06131/2023 Bus Lic: BT30076622 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: EMPLOYERS PREFERRED Policy No: EIG282852703 Expiration: 04101 /2023 FEES Architect: Address: Phone: Engineer: Address: Phone: POOLPermit : S2021-0266 Project No : 2837-2021 Inspection Requests Phone (949)644-3255 4 SA{`� i ��pramo &s uDa 0 s o •••oo• State Lic: ° mm•• LACHER TODD ° °gym• 1201 N TUSTIN AVE s ANAHEIM CA 92607 714-630-6100 State Lic:C-067656 0•• •• mo 0 Special Conditions: • • ° • m• Issued Date: 04/14/2022 Record Management: $16.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $237.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee: $0.00 $0.00 .90 Fee Due at Permit Issuance : $1,024.00 PLAN CHECKED BY:: Ny�� APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • o amoemo o mom•• m o•mo• m°omoo 0 0 0 m • ooeaae m Plan Check Fee : 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 he 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 )rofessions 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 lot 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply to an owner dfQtgperty 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 ficensure under the Contractors' State License Law for the following reason: b'M§ Sonature`IJUW 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) ;ell a structure thaN-here 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 irofesslens Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 1gndMre of Property Owner or Authorized Agent Date JC.E $ED COiVTIMCTOR'S DECLARATION tlerebq affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section VQ0) of ivi on 3 of the Business and Profs on ode, and yiiB n P is in full force ".affect LicenseClass License No Date Z Contractor Signature NHM KERS' COMPENSATION DECLARATION M MIN6-FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;)St OF JOMPENSJkiIOW,VMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Pgr;epy.affirm unEEr pchalty of perjury one of the following declarations: �.1. pave and will waiatain 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 Ierformance of thtWorItfor which this permit is issued. Policy No. 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 p, rmit is issued. My workers' compensatiol sura carrier and policy umber are:,�ngI11 -„qt� i>> y Q ll /j ;arrier �i•.�,.,�¢+rf y%F� Pfof (�S •,1y >�ly�rf Policy Number L Ili Gv� J �G�{��7 Expiration Date / / Z Jame of Agent Y Phone # I certify that, in the performanc o 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 iat, if I should become s/ujj-t t th workers' compens n 3/'�ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 1 7� --�—— Date )ECLARATION REGA N `ONSTRUCTION LENDING AGENCY 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, CAI Code). .ender's Name Lender's Address ty 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 rdi ces and state laws relating to building construction. I authorize representatives of this city or county, nter a above-! an I roperty for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date.0 C Z ACTION DATE BY DtISLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches 11n1 nntPe A fences which serve PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as pan Of a pool I spa barrier, shall be in place PERMIT CANCELLED EPA prior to approval to fill PERMITEXTENDED AQMD place & a shall remain r place a be maintained for POOL ALARMS ASBESTOS N TIFICATI IS NOT AP LIC E TO INSTALLED ROP ED DE TION the)ye e of the pool/spa SIGNATURE: x __ PERMITFINAL 9-.12 A�%