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Home My WebLink AboutS2022-0007 - PermitsBuilding Setbacks: Construction �rr,.wlq,4 City of Newport Beach - Building Division 'S2022-0007* POOLPermit : S2022-0007 k F 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0055-2022 + Permit Counter Phone (949)644-3288 INS;D � u k r"'�rrnwN'^00 r��S4vR�� Inspection Requests Phone (949)644-3255 ��\v Job Address:. 2015 SABRINA TER Floor: Suite: Bldg: 1 } �aQ ®( Description of Work:SFR REMODEL POOL & ADD 54 SF SPA & BAJA S -LF X n"oOiC Inspector Area: 2 w� aV Plan o: 0055-2022 1 I C dit: 2019 Legal Description: N TR 2813 LOT 128 �0 Owner: FOX PETER ntractor B Architect: Address: 2015 SABRINA TER Address 4 Address: CDM CA 92625 W> «sr p•"�a Phone: Applicant: ISLAS RJ Address: 1806 W 9TH UPLAND .40 Phone: 909- 151u N!y�, RSP , Construction Valuation: 0,000V Building Permit Fee :,- $ .00 Permit Issuing Fee: $ 00 Investigation Fee:: $0. Building Green Fee: $2.0 Plan Dept Plan Check: $52.00 Building Dep Plan Check: $704.70 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE : $1,736.70 PROCESSED BY: ZONING APPROb .Phone: •-219111��-'w.. Phone: ARCHER TODD Con State Lic.O/B�'+� En ur Lic Expire -es Ads��JJJJ••" 01 N TDSTIN F€. v Bus Lic e�AHEIM CA OMI Lic Exp Date Pfion§i 1' 714-630-61 Worker's Compensation Insurance ,,.�+. i .Special Conditi ygej• v Carrier: 1,�Q \�\t\a'O/B,� Policy Na: \\ Expiration: Is d DD®j�,Q• 01/26 R 7d�'a q0h r ' ee PN@r YQ`Fee rainagk Check: rading Consultant Fe Additional Fee �V FEES > e ater Quality -- Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $152.00 $ . 0 Building Dept WQ Plan Check: $0.00 $0 - Others $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,736.70 PLAN CHECKED BY:: APPROVAL TO ISSUI \tateic: ,,-State Lic:C-067656 ATTACHED• 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 rea (s) indicated (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alte prove, demolist the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contract State License Law I Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemptio ny violation of Sectio Z by the checkmark(s) I have placed next to the applicable item(s) r air any structure, prior to its issuance, also requires the applicant for )pt 9 (commencing with Section 7000) of Division 3 of the Business and .5 by y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1 I 1 N TUSTI rN I, as owner of the property, or my employees with wages as their soZccmpensatlon,ion, w' o U all og ) po� QbQ thework,a heBusiness and Professions Code: The Contractors' State License Law do owner f rty w d,�htoughemply rpeimprovements are not intended or offered for sale. If, however, the builment is sq��lthin oryy rofcompleti the Owneimproved for the purpose of sale).\\t� ��' `I, asowner of the property, am exclusively contracting with licensedo condtruct t g�rj�ct (Section 4,Business and Pr a�Eoan owner of property who builds or improves thereon, an he proje�i a license f tractor pursuant to the I I am exempt from licensure under the Contractors' State ly my signature oclow I acknowledge that, except for my pe ell a structure th.a::::ave built. as an owner -builder if it has�r !�c'ess'ons Cod^, is available upon request when t plir lig natty e of Prupeny Gwner or Authorized Agent :,LENSED CONTRACTOR'S DECLA O heruLy affirm under penalty of perjury t am li n Ed effect. Li=se bass , is not intended or offered for sale (Section 7044, it, builds or improves the property, provided that the riO have the burden of proving that it was not built or ust have residWfor at least one year prior to completion of the Iirety by Iik9sed contractors. I understand that a copy of the al Illowing;Web site:http://www.leginfo.ca.gov/calaw.html..soa The Contractors' State License Law does not 6 License Law). provisions of Chapter (commencing with Section 7000) of Division 3 of the'BTSiness and Pro .nse No Date Contractor Signature YVf \CRJ I.VIYIr mn' I u 4y AR IUD` _r,N. : FAILUR_' TO SEC JRE RKERS' C P ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL.F.IN�S UP TO ONE EST OF COMPENd 1`1oN, D GES AS PROM FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm and enalty of perju one of thI declarations: 4. I have and �t{II 'na c�Nan:a certificate of consents -to self -insure for workers' compensation issued by the Director ottridustrial Rea s ase�aC¢ PrferMince of thli�worK for which this permit Is Issued. Policy No, ++�.�Q� ��tt��`q`�' I Lave and will nalrtaln workers the compensation Insurance, as required by Section 3700 of Labor.Code fatthe perform a of�tph eWork&fol Isurance carrier and policy number are: _Policy Number me of Agent I certify that, in the performance of tl It. if I should became 4ulaiect tc thes°i Inature of Applican hereby affirm under penalty of pe ju that there is a cc ender's Name rxa ly my signature below, I certify to each the f am the property owner or authorized act I have read this application and the infor anon hay I agree to comply with all applicable city a county I authorize representatives of this city or co ty t; e ACTION PERMIT EXPI RED PERMIT CANCELLEL PERMITEXTENDED POOL ALARMS INSTALLED PERMIT FINAL DATE I BY Date Section 7044 of and my license is in full force IE100,0001, IN ADDITION TO THE Section 3700 of the Labor Code, for this permit is issued. My workers' permit is issued employ any person in y manner a become subject to the workers' compensation laws of Ca'fornia, and ogre t provisions of ct 700 of the Labor Cod shall fo ply with those provisions. v/ 2 � Date CF AGEN - iaS�io,(Zle ding's for the p rmance a for which this permit is issued (Section 3097, Civil C de). Le is Addr :tt 0 r behalf o disc IT . 1 n es a to law let o building construction. t a a = miffor inspection purposes. �i Print Property Owners or Authorized Agent's Name Da i !� IAT10 F PLIANCE ITH CODE OF FEDERAL FOR OFFICE USE ONLY NS.P9AT 61 OF TITLE 40 AND AQMD RULE '1'6MITTED ASBESTOS NOTIFICATION TO EPA AQMD SESTOS NOTIFI IS NOTAP II (ABLE TO