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HomeMy WebLinkAboutS2021-0251 - Permitswt> City of Newport Beach - Building Division *S2021-0251* POOLPermit : S2021-0251 _ 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2581-2021 Permit Counter Phone (949)644-3288 ti 3 n tom. Inspection Requests Phone (949)644-3255 Job Address: 19 CARMEL BAY DR Floor: Suite: Bldg: 1 Description of Work:SFR NEW SPA 60 SF Inspector Area: 6 Plan Check No: 2581-2021 Code Edit: 2019 W a Legal Description: N TR 7510 LOT 23 O O ©00033 Owner: PHARRIS JOHN/PAMELA Contractor: INSTANT POOLSCAPES Architect: Address: 19 CARMEL BAY DR Address: 833 DOVER DR #24 Address: NEWPORT BEACH CA 92625 NEWPORT BEACH CA 92663 p°oa Phone: Phone: 949-795-0648 Phone: State Lic: Jaa 3 Applicant: WRIGHT JC Con State Lic: 1009644 Engineer: THOMPSON MATTHEW Address: 833 DOVER DR #7 Lic Expire: 12131/2021 Address: 12021 N TUSTIN AVE • °° ° NEWPORT BEACH, CA 92663 Bus Lic: BT30053469 ANAHEIM CA 92807 ° eca° Phone: 949-795-0648 Lic Exp Date: 12/31/2021 Phone: 714-630-6100 State Lic:C-086051 oa a 000�oo » oa Building Rear: Worker's Compensation Insurance Special Conditions: • ° ° J ° Setbacks: Front: Carrier: WC EXEMPT Left: Policy No: (NO EMPLOYEES) Right: Expiration: Issued Date: 11/0212021 Construction Type FEES Construction Valuation: $40,000.00 Building Permit Fee : $440.00 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: $2.00 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 Dep Plan Check: $396.00 $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 : $844.00 PROCESSED BY: ZONING APPRO\j Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : 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 fort 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). 12021 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 ownereof 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 exempffrBm liZensure under the Contractors' State License Law for the following reason: UrPys0nature Ilelow 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 legal sBll a stlacture Nlet.l.feive 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.govlcalaw.htmi. $ig%6rb of Property Owner or Authorized Agent Da LIFEI)ISED CQN"%CTOR'S DECLARATION l.h2t byy``aaffirm undespenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f Iv on 3f e Business and P Ions Code, and my li nse is in full force and effect. License Glass License No Date contractor Sign re W.QRKERS' C®fdIPE NSATION DECLARATION 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 A.TIONeOeAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -AV? penalty of perjuryone of the following declarations: eeese I haae and veill 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 =rio-Aance oflFTeev &I for which this permit is issued. Policy No. I 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 permit is issued. My workers' compensa surance carrier and policy number are: arrier Policy Number Expiration Date of Agent I certify that, in the performance the work f h is 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 E Ia , hould become subject 1 he wo pen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant - Da, t IECLARATION REG N CT' 1 NN GENCY hereby affirm under penalty o p u re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro001'salf. I have read this application and the information I have t.I agree to comply with all applicable city and county ora laws relating to building construction.111I authorize representatives of this city or courtly to en ified property for inspection purposes. n /�� , ,try {ionature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name b V \ l Dat ACTION DATE BY V F COMPL ERAL FOR OFFICE USE ONLY ✓ - TIONS PART Bl OFT LE TI40AND AQMD RULE All required alarms,latches 1403 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO gams & fenceS Which serve as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in PERMITCANCELLED EPA PERMITEXTENDED AQMD POOLALARMS ASBESTOS NOTIFIC ION IS NqQP4FPLICABLE TO INSTALLED 96ROSE D OLI oN. place & be maintained for SIGNATUR . the Ilfpof the pool a x ,U PERMITFINAL