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HomeMy WebLinkAboutS2021-0163 - Permitsw , City of Newport Beach - Building Division III III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II POOLPermit : S2021-0163 100 Civic Center Drive, Newport Beach, CA 92660 II� S 2 0 2 1 0 1 6 3 Project No : 1566-2021 Permit Counter Phone (949)644-3288 �.< Inspection Requests Phone (949)644-3255 Job Address: 411 IRVINE AVE Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA 350 SF Inspector Area: 3 Plan Check No: 1566-2021 Code Edit: 2019 Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 29 LOT 22 Owner: MANAVI BEHNAM S Contractor: SUNSET POOLS AND SPAS INC Architect: Address: 411 IRVINE AVE Address: 1400 E KATELLA AV #217 Address: NEWPORT BEACH, CA 92663 ORANGE CA 92869 Phone: Phone: 714-538-4398 Phone: State Lic: Applicant: SUNSET POOLS AND SPAS INC Con State Lic: 473735 Engineer: LACHER TODD Address: 20131 E CHAPMAN AVE Lic Expire: Address: 1201 N TUSTIN AVE ORANGE CA 92869 Bus Lic: ANAHEIM CA 92807 Phone: 714-538-4398 Lic Exp Date: Phone: 714-630-6100 State Lic:C-067656 Building Rear: Worker's Compensation Insurance Special Conditions: Setbacks: Front: Carrier: - Left: Policy No: Right: Expiration: Issued Date: 0711212021 Construction Type : V-B-SPR 11 FEES Construction Valuation: $48,000.00 Building Permit Fee : $440.00 Record Management: $8.00 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: $152.00 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: $998.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $9! PROCESSED BY: PLAN CHECKED BY:: 5641 ZONING APPROVAL: y�/� Or � APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 items) action 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 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 aesin- and fessions 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 penal[ of more than five hundred dollars ($500). 1201,N TUSTIN AVE L.I I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the Business and Professions Code: The Contractors'State License Law does not apply to an owner of property who, through em improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet improved for the purpose of sale). - ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pt ❑ 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 yea sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde Professions Code, is available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.� Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D and effect. License Class License No Date7- COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL' DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of erformance of the work 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 pe isurance carrier and policy number are: Policy Number of Agent rtify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so la , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c ignature of ApplicanX /- �ECLARATION RE RDIN ONSTRUCTION LEN AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which It 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 and state laws relating to building construction. I authorize representatives of this city or county to "er the above -identified p;Qperty for inspection purposes. ACTION DATE BY " DECLARATION OF COMPUArr4CE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMIT EXTENDED LIAQMD POOLALARMS UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. 1� '(ram yp! SIGNATURE: PERMIT FINAL G-24-22 1u.�.,... k, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of t11e Improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 3 of the Business and Professi Clod`, and my license is in force 4— Contractor Signatura, n 13 IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre iply with those provisions. *---] -A(--?- ice_ permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY X All required atarms,latches pates & fences which serve barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool/spa x TQ•O{- ! J�way