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Home My WebLink AboutS2022-0065 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II POOLPermit : S2022-0065 ❑ ��+ 100 Civic Center Drive, Newport Beach, CA 92660 s p Project No : 0697-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .lob Address: 1795 PORT CARLOW CIR Floor: Suite: Bldg: 1 Description of Work:SFR POOL ALTERATION. RESURFACE POOL & SPA, RPLACE DRAINS/LIGHTS Inspector Area: 4 -Plan Check No: 0697-2022 Code Edit: 2019 Legal Description: N TR 14533 LOT 10 Owner: WATKINS BRANDON Contractor: SMITH ALAN POOL PLASTERING Architect: Address: 1795 PORT CARLOW CIR Address: 227 W CARLETON AVE Address:. NEWPORT BEACH, CA 92660 ORANGE CA 92867 Phone: Phone: 714-628-9494 Phone: State Lic: Applicant: WILLIAMS PAUL Con State Lic: 571196 Engineer: Address: 227 W CARLETON AV Lic Expire: 0613012023 Address: ORANGE CA 92867 Bus Lic: ST00012422 Phone: Lic Exp Date: 08/31/2022 Phone: State Lic: Building Rear: Setbacks: Front: Worker's Compensation Insurance Carrier: ARCH INS. CO. Special Conditions: Left: Policy No: ZAWC12545402 i Right: Expiration: 0410112022 Issued Date: 03/17/2022 Construction Type : FEES Construction Valuation: $21,765.00 Building Permit Fee : $453.00 Record Management: $6.00 Water Quality- -- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Delp Plan Check: $394.11 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $854A1 Plan Check Fee : $854.11 Fee Due at Permit Issuance : $0.00 PROCESSED BY: `e �� s PLAN CHECKED BY:: ZONING APPROVAL ,"� " APPROVALTOISSUE: ' ,."oP ERrc11 oERP11Y'=S 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o e dJ o .s v 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 Iicensure 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). ❑ 1, 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 Iicensure 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 legall) 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 Code, is available 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectipn)7000) of Division 3 of the Business and Professions nd license i n full force and effect. License Class License No D6��r 3— /7^22 Contractor Signature s NORKERS' COMPENSATION 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 TH SAND DOLLARS 1$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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, kerformance 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: ie of Agent certify that, in the performance of the if I should become subject to the wo of Applicant Policy Number Expiration Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat94 3— 1?-2-2 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 Ender's Name Lender's Address 'y 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 s to relating to building construction. I authorize representatives of this city or count to enter the ove-I nt ,,pyr roperty for inspection purposes. 'gig nature of Property Owner or Authorized Agent V 1 / Print Prooertv Owner's or Authorized Agent's Name ACTION _ DATE BY V II REPULATIONS PA TO61 OF TITLE 40 AND AOMD RU ERAL FOR OFFICE USE ONLY Civil Code). L'I Date 'z— I PERMITEXPIRED LJ (SUBMITTED ASBESTOS NOTIFICATION TO �•' ••. .•c Y°° S•' PERMITCANCELLED EPq �m� "° a �� •im �'�"'�•�°` e ' PERMIT EXTENDED E1AQMD POOLALARMS ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. nn SIGNATURE: °�° �• s ee• e• ' d • •a ,�4 re e ° e a PERMIT FINAL