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Home My WebLink AboutS2021-0037 - PermitsCity of Newport Beach - Building Division 111111111111111111111p1111111111111111111p1111111111 ' P 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 t,�t+raiY��y POOLPermit : S2021-0037 Project No : 0274-2021 Inspection Requests Phone (949)644-3255 Job Address: 1220 BAY AVE W Floor: Suite: Bldg: 1 _ DescripInspecttion ofaW'rk:SFR POOL & BASIN 723 SF143 SF P plan Check No: 0274-2021 �� g O Code Edit: 2019 Legal Description: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BILK 3 Owner: SABO CAROLINE & ELIAS Contractor: FLUID DYNAMICS POOL & SPA Architect: Address: 1220 W BAY AV Address: 620 E WALNUT AVE, #B Address: NEWPORT BEACH, CA 92663 FULLERTON CA 92831 Phone: Phone: 714-213.8047 Phone: Applicant: PENTON DAVID Con State Lic: 809954 Engineer. COX STEVEN Address: 620 E WALNUT AV STE B Lic Expire: 12131/2022 Address: 1219 FLYNN RD STE 203 FULLERTON CA 92831 Bus Lic: BT30055899 CAMARINO, CA 93012 Phone: 714-319-2917 Lic Exp Date: 0713112021 Phone: 805-484-4115 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $54,003.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $834.00 PROCESSED BY: ZONING APPRO\� is Worker's Compensation Insurance Special Conditions: Carrier: INS CO OF THE WEST Policy No: WSD5049838 Expiration: 08/12/2021 Issued Date: FEES O .k-'; z z Stale Lic: > State Lic.C-0480 z LIQUEFACTION AREA z 02125/2021 , O (1) Record Management: $14.00 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 : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : $834.00 VL- 1-�- 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) ction 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 Business 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 penalty of more than five hundred dollars ($500). 1219 FLYNN RD STE 203 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 rovements 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 roved 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature uelo-I 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 p rmit, I cannot legall3 ell a structure :ha, , 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 applicab4Sec044 oft usi s nd 'rofescions Coc:e, is . vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Iignature of Pw,ogrty Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION he: sty affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivisio 3 of the Business and Promy ens is innd effect. Licans� C-ass License No Date Contractor Signature vortaERS' COMPENSATION DECLARATION G: FAILUR: TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TO ONE HUNDREARS (S100,000), IN ADDITION TO THE OST OF. OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ',J I have and will Inalntain 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 jqrforrop.nce of the work for which this permit is issued. Policy No. hire 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' compensatio ns ance carrier and policy number are: ;artier Policy Number Expiration Date Jame of Agent Phone # �I certify that, in the perfo anc oft wor r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens ion laws/oCalifornia, and agre hat, if 1 should become ct a orke ompensatio Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 r Signature of Applicant Dat 2 )ECLARATION REG D N TRU ION LENDING AGENCY hereby affirm under p nalty perjury the there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 411 Code). ,ender's Name er's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to actAvepr perter' be If I have read this application and the informatorre I agree to comply with all applicable city andnd St law relating to building construction. I authorize representatives of this city or coue-id tified roperty for inspection purposes. T V l �AJr& � Signature of Property Owner or Authorized Agen Print Property Owner'S or Authorized Agent's Name f J F— Date ACTION DATE BY RATION OFItOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PART61OPTITLE40ANDAQMD RULE 1 -14 An PERMIT EXPIRED I SUBMITTED ASBTONOTIF O require aarms,latches gates & fences which serve PERMITCANCELLED EPA as part Of a pool / Spa PERMIT EXTENDED k QMD barrier, shall be in place POOLALARMS ASBESTOS OTEI N N AP CABLE TO prior to approval to fill INSTALLED RO SE LI pool/spa & shall remain in SIGNATUR place & be maintained for