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HomeMy WebLinkAboutS2022-0057 - Permits (2)City of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II D.- • 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 5 7 Permit Counter Phone (949)644-3288 ii Job Address: 1620 KINGS RD Floor: Suite: Description of Work:NEW POOL 8. SPA 422 SF Inspector Area: 3 Legal Description: N TR 1221 LOT 12 Owner: SOLTANI ROCKY R SUNNY Address: 1620 KINGS RD NEWPORT BEACH, CA 92663 Phone: Applicant: BLATARIC SARAH/STEEL POOLS Address: 4921 LEEDS Av ORANGE CA 92867 Phone: 714-496-1427 Building Rear. Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $25,000.00 Building Permit Fee: $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Delp Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING Bldg: 1 Plan Check No: 0616-2022 Code Edit: 2019 Contractor: STEELE BRETISTEELE POOLS Address: 4921 E LEEDS ORANGE CA 92867 Phone: 714-496-1427 Con State Lic: 923975 Lic Expire: 10/31/2022 Bus Lic: ST30042152 Lic Exp Date: 02/28/2023 Worker's Compensation Insurance Carrier WC EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Record Management: $10.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: POOLPermit : S2022-0057 Project No : 0616-2022 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: 0311512022 Water Quality- — • •omm• m e m •'m. m m om m e mm m m mmmmm• m m mmm m m mme • • mme• mm m o��co m 000mmm 00 o m oroom � m oomeoo om o o o m ooum m om Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $152.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 Plan Check Fee : $396.00 Fee Due at Permit Issuance : - PLAN CHECKED BY:: I— L APPROVAL TO ISSUE: Ei4f —I 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 applicA,'_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 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). 1201 N TUSTIN 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). 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 legalll 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 Co(jE,193vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date hK304ED CONTRACTOR'S DECLARATION I hereby affirm undec penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f DivI n of a Business and Prdfe ie , ed. d my license is in full force alTc.effept. Licence Class License No Date ntractor Signature �ICARERS' COMPENSATION DECLARATION YHRNING.FAILURE TO SERE 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 ROSTVF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Mvvebyaffirm Iirlderpanalty of perjury one of the following declarations: "Shave 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 V�pTrfijnce of the wgrk for which this permit is issued. Policy No. I have and 414 Airllain 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' compensatiol s *14b carrierand pplicy number are: Carrier Policy Number Expiration Date. �me of Agent Phone 9 I certify 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 It, if I should become je ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ]nature of Applicant �/i Datey :CLARATION RE TION LENDING AGENCY ereby affirm under enalty 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). nder'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.j� I agree to comply with all applicable city anjd-eoUff5D=*1IiHsesaiod state laws relating to building construction. I authorize representatives of this city or c, e-identified property for inspection purposes. mature of PrODertv Owner or Authorized ADe _ Print Property Owner's or Authorized Agent's _Date� ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE L FOR OFFICE USE ONLyII re wired alarms,latches __ Q REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE & fences which serve 1403 gates PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as part O f a pool 1 spa barrier, shall be in place PERMITCANCELLED EPA prior to approval to fill poollspa & shall remain in place & be maintained for PERMITEXTENDED r AQMD POOLALARMS SBES OTAPPLICABLE TO INSTALLED OPOSED ION. thefife of the pooilspa PERMIT FINAL