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Home My WebLink AboutS2021-0167 - PermitsCity of Newport Beach - Building Division *S2021-0167* 100 Civic Center Drive, Newport Beach, CA 92660 r-r % Permit Counter Phone (949)644-3288 ,lob Address: 880 IRVINE AVE Floor: Suite: Bldg: 1 Description of Work:NEW POOL AND (2) SPAS "EIGHT 80" Inspector Area: 3 Legal Description: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH NORTH LP Address: 1745 SHEA CENTER DR #200 HIGHLANDS RANCH CO 80129 Phone: Applicant: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO STE A SAN JUAN CAPISTRANO CA 92675 Phone: 9491493-9548 Building Rear. Setbacks: Front: Left: Right: Construction Construction Valuation: $340,000.00 Building Permit Fee : $2,704.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $14.00 Plan Dept Plan Check: $52.00 Building Dep Plan Check: $2,352.48 Building PC Investigation : $0.00 Plan check Ext. Fee : $68.00 WQ Compliance Insp Fee: $0.00 11 TOTAL FEE: $5,232.48 PROCESSED BY: ZONING POOLPermit: S2021-0167 Project No: 1599-2021 Inspection Requests Phone (949)644-3255 9w Plan Check No: 1599-2021 Code Edit: 2019 ti Contractor: AQUATIC TECHNOLOGIES Architect: �' o °° °• _ •• ° Address: 32232 PASEO ADELANTO #A Address: .. ° °• ° ° SAN JUAN CAP CA 92675 • , ° , ° Phone: 949-493-9548 Phone: State Lic: • ° ° °O ° o•o°c• ° Can State Lic: 744177 Engineer: CANFIELD JEFFREY • °°p ° °� Lic Expire: 12/31/2023 Address: 1050 CAMPANILE •°°. ; Bus Lic: BT97021623 NEWPORT BEACH CA 92660 °O° ° Lic Exp Date: 06/30/2022 Phone: 714-623-6962 State Lic:C-063595 oa ° oac°oo Worker's Compensation Insurance Special Conditions: Carrier ZURICH AMERICAN" ,°® •® •OBp•° Policy No: WC450355509 ° °• Expiration: 1010112022 Issued Date: 0211712022 FEES Record Management: $42.00 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: $2,352.48 Fee Due at Permit Issuance : $2,880.00 PLAN CHECKED BY:: APPROVALTOISSUE: 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 applicable item(s) iection 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 e 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 7t more than five hundred dollars ($500). 1050 CAMPANILE 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 id 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 iprovements 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 iproved for the purpose of sale). I 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 3ply 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 eydM M1rpm [!censure under the Contractors' State License Law for the following reason: y my signalise 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 Iegalh : 1:i structure thebl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 11 understand that a copy of the applicable law, Section 7044 of the Business and rofessionS �pde,is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date IMNSED CONTRACTOR'S DECLARATION hereby affA*mder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 f Div, s on 3 of the Business and Prode, and lice��is in f rca ndeffeGt. License Class License No Date Contractor Signature ,tl7a,,r A_ z s, (QRKERS' COMPENSATION DECLARATION AFjr OG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. feMy affimwundetpenalty of perjury one of the following declarations: crave anct Uil 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 =rfolmancepithet�+jprk for which this permit is issued. Policy No. pave and will mai ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thi performance of the work for which this permit is issued. My workers' compensatioi a: and carrier and policy number are: Policy Number of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any it, if I should become slabiect t41ft workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant i' CLARATION REG DIN-CSTRUCTION LENDING AGENCY =,reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for ider'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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t e g� t e above -id property for inspection purposes. mature of Prooertv Owner or Authorized ADent I /,,,t/LFR to A Print Property Owners ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED POOLALARMS INSTALLED PERMIT FINAL DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBM EPA ISNOTAPPLICABLE TO Date so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. Date 47/20�- i this permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY Name All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place &fie maintained for 2-23