HomeMy WebLinkAboutS2022-0148 - PermitsT
City of Newport Beach - Building Division *S2022-0148*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
,lob Address: 75 MONTECITO DR Floor: Suite: Bldg: 1
Description of Work:SFR POOL & SPA REPLASTER. R/R (4) LIGHTS & DRAIN COVERS.
Inspector Area: 6 Plan Check No: 1647-2022
Code Edit: 2019
Legal Description: N TR 7844 LOT 48
Owner:
GEILER SANDRA
Contractor:
ALAN SMITH POOLS
Address:
75 MONTECITO DR
Address:
227 W CARLETON AVE
CORONA DEL MAR, CA 92625
ORANGE CA 92867
Phone:
949-683-5879
Phone:
714-628-9494
Applicant:
WILLIAMS PAUL
Con State Lic:
571196
Address:
227 W CARLETON AVE
Lic Expire:
06/30/2023
ORANGE, CA 92867
Bus Lic:
BT00012422
Phone:
714-423-0179
Lic Exp Date:
08/31/2022
Building Rear: 65
Setbacks: Front: 6
Left: 5
Right: 5
Construction
Construction Valuation: $22,771.00
Building Permit Fee: $470.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$52.00
Building Dep Plan Check:
$408.90
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:
ZONING APPROV
Worker's Compensation Insurance
Carrier: ARCH INS. CO.
Policy No: ZAWC12545404
Expiration: 04/01 /2023
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Special Conditions:
Issued Date:
POOLPermit : S2022-0148
Project No : 1647-2022
Inspection Requests Phone (949)644-3255
State Lic:
State Lic:
LANDSLIDE ZONE
06/29/2022
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Record Management:
$4.00
Water Quality --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others:
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee : $0.00
J - PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance : $935.90
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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 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).
I, 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
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 70I 4, Business and Professions Code: The Contractors' State License Law does not
apply to an own %r" pmprty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Q I amexempt ffdttf frcensure under the Contractors' State License Law for the following reason:
B,V"?6-ianature b0o"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 IegaII3
sell a structure tlatl"ve 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
P,raf*ss'pns Code, 1p available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Slgneate of Prop.erty O. ner or Authorized Agent Date
LJCf WIED C®NT RAICTOR'S DECLARATION
l4mreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, a d ml cense is in full force
ande#¢ct. LicwMCI4ss License No Date �G'Z9-1z-. Contractor Signature
WOR449RS' CCUPENSATION DECLARATION
V RNWS.+FA1LURE 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
dbST OF COMPENSATION,57.1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
PVl;Ebj, ffirm under penalty of perjury one of the following declarations:
f.kave and will malptain a certificate of consent to self -insure for workers' compensation, issued by the DirectoY of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
ierformance of th2Worh' for which this permit is issued. Policy No.
Z3I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. My workers' compensatiol
isurance carrier and policy number are:
:arrier Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mangy er so as to become subject to the workers' compensation laws of California, and agre
hat, if I should become subject to
w rkers' mpensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
iignature of Applicant ltte % � � i Date/y
� �o 'Z9 - 22
)ECLARATION REGA DING TRUCTION LENDING AGENCY I
hereby affirm under penalty of rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 ordina s and state laws relating to building construction.
I authorize representatives of this city or county to enter e a ve-d 'fed property for inspection purposes. .! X
iignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 7 ` I 'A Date
ACTION DATE BY DE&AR4TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY All required alarmS,IatCheS
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 gates & fences which serve
PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO as P3barrier, shall be in place
PERMITCANCELLED EPA prior to approval to fill
PERMITEXTENDED 0AQMD pool/spa & shall remain in
POOLALARMS ASBESTOS NOTIFICAT I OTA ICABLE TO place & be maintained for
INSTALLED PROPOSED DEMOUTIO the life Of the po pa
SIGNATURE: 2< X Q