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Home My WebLink AboutS2017-0142 - Permitssit= City of Newport Beach - Building Division *S2017-0142* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 m'vC�xg2a4' Job Address: 1315 SANTIAGO DR Floor Suite: Bldg: 1 Description of Work:ADD BAJA BENCH TO EXISTING POOL, REPLACE/ADD COPING TO EXISTING POOL Inspector Area: 3 Legal Description: N TR 3851 LOT 48 Owner: HOULIHAN JAMES EDWARD III Address: 1315 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone: Applicant: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714.628.9494 Building Rear: Setbacks: Front: Left: Right: ,onscrucuon Construction Valuation: $10,000.00 Building Permit Fee : $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $37.50 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: 12001—Permit: S2017-0142 Project No: 1792-2017 Inspection Requests Phone (949)644-3255 Plan Check No: 1792-2017 Code Edit: 2016 Contractor: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Con State Lic: 571196 Lic Expire: 0 613 0/201 9 Bus Lic: BT00012422 Lic Exp Date: 08/3112017 Worker's Compensation Insurance Carrier: SECURITY NATL Policy No: SWC1148848 Expiration: 0410112018 FEES Architect: Address: Phone Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 0911012017 Record Management: $4.00 Water Quality -- mmm• Building Dept Inspection Fee: Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WO Plan Check: Grading Consultant Fee: $0.00 Others : Additional Fee : $0.00 Plan Check Fee : $0.00 t State Lic: mmm• o eeeo 0 0 oe a m•eeoo e m o m 0 ee e State Lic:C-067656 mm n o m 0000mm m o m o m n ee u 0000 0 0 000mo 0000 0 00000 0 o� ccommm moo 0 0 o m moomo mm $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $760.60 PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL. APPROVAL TO ISSUE:_ - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER 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 is 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 of more than five hundred dollars ($500). 1201 N TUSTIN AVE 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nprovements 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 n 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 pply 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 exempt from licensure under the Contractors' State License Law for the following reason: ly my signature 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 legal) ell a structure that I 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 applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm undArpl ty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divispn 3 of the Busine;s and Profession d "r d nse is in full force nd effect. Liceli%%goss License No ate .��/D[L7 Contrac (Signature dORKE2RS' COJAPXNSATION DECLARATION ITIRNING: RAILURE`I'Q %4&E 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 OST OF -COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm under penalty of perjury one of the following declarations: J'I, 2 and hill M2IIitain 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 the Pence of the work for which this permit is issued. Policy No. 19PI avaand wll,rrraiatain 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' compensation rstFaABe carrier aryl policy number are: Policy Number Fe Lry that, ip tl4eperformance of he wor r h this permit is issued, I shall not if I should become subject to t w ' C nsation provisions of Section 3700 latureof Aplicant Q�A/AT//AAI Date person in any manner so as to become subject to the workers' compensation laws of California, and agree r Code, I shall forthwith comply with those provisions. e. A --Ie ✓!,f a26WAGE2 ae_ d�/0�/7 IECLARATION REGARDTNSlCONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 relatin t I ding construction. I authorize representatives of this city or county to enter the above-' entified propertinspection purposes. ��' //�' innature of Pronertv Owner or Authorized.AGBut AAiA v.PA/ LA/2orwot S Print Prooertv Owner's or Authorized AgerttSwva G Civil Code). ACTION DATE ° BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY A REGULATIONS PART 61 OFTITLE 40ANDAQMD RULE - All required alarms,latches 1403 gates & fences which serve PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO aspan o a pool i spa barrier, shall be in place PERMIT CANCELLED UEPA prior to approval to fill PERMIT EXTENED QMD pool/spa & shall remain in place & be maintained for POOLALARMS 45�� % ASBESTOS NOTIFICATION IS NOTAPPLICA13LE TO INSTALLED PROPOSED DEMOLITION. the o e pool/spa SIGNATURE: X /i PERMIT FINAL