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Home My WebLink AboutS2018-0030 - PermitsCity of Newport Beach - Building Division J11�1111 11111111111111111111111111111111111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 8 0 0 3 0 Permit Counter Phone (949)644-3288 Job Address: 429 ISABELLA TER Floor: Suite: Description of Work:NEW POOL & SPA 264 SF W/DRAINAGE Inspector Area: 5 Legal Description: N TR 1237 LOT 158 Owner: 429 ISABELLA TERRACE LLC Address: 429 ISABELLA TER CORONA DEL MAR, CA 92625 Phone Applicant: TOMISCHWARTZ POOLS Address: 3303 HARBOR BLVD COSTA MESA CA 92626 Phone: Building Rear: Setbacks: Front: Left: Right: V -B Construction Valuation: $40,000.00 Building Permit Fee: $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE : $1 PROCESSED BY: ZONING APPRO\o Bldg: 1 Plan Check No: 0422-2018 Code Edit: 2016 Contractor: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 714-241-7665 Con State Lie: 967325 Lie Expire: 09/30/2018 Bus Lie: BT30038738 Lie Exp Date: 03/31/2018 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9108043 Expiration: 0411812018 Record Management Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $10.00 $293.00 $0.00 $0.00 $0.00 Plan Check Fee : Architect Address: P001 -Permit: S2018-0030 Project No : 0422-2018 Inspection Requests Phone (949)644-3255 Phone: State Lie Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714.630-6100 State Lic:C-067656 Special Conditions Issued Date: 03/1412018 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED BY:: APPROVALTOISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ease e ooeoP o e m m 0o mm 0 m m 0000mo P 90bP P q C baonoc e om o m o e $0.00 e e $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : e m enPoxe o o e o e e ee o )OfGC G O O mmoor, 0 oeoc 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) (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 the 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 oft a Business and Professions 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 not more than five hundred dollars ($500). 1201 N TUSTIN AVE ❑ I, as owner of the property, or my. employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ 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 year prior to completion of the improvements covered by this permit, I cannot legally sell 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 iProfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 'Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7900 f Division 3 of the Business and Professio�C ! license is in full force and effect. License Class License No Da<<- Contractor Signature `-��-- WORKERS' CQMPJ=NSATION DECLARATION WARNING: FAILURETQ$F�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA LLARS ($100,000), IN ADDITION TO THE �gS�T.OF. OMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Pherebyaffirm under Density of perjury one of the following declarations: 13.1 tiaUe and wig 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 the ae nce of the work for which this permit is issued. Policy No. have and w11"J"iatain 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 Insurance carrigE gr;d policy number are: Carrier. _ • Policy Number Expiration Date ne of Agent Phone # ce0ify tha( PlIth a performance of the work r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of alifornia, and agree L ifl should become subje o the workers' c nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of AppGc•aht, Date_ 3 y CLARATIO14 R@GAR ING CONSTRCT N LENDING AGENCY Ireby affirm under penalty of perjury th ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address By 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 c act. 2JV I agree to comply with all applicable city and county ordina ces d laws relating to building construction. y Iauthorize representatives of this city or county to ant a .. entified property for�ins ADD. purposes. _ / 3 Signature of Property Owner or Authorized Agent '� Print Pro erty Owner's or Authorized A ent's Name % yv1 i��- YS Date ACTION ACTION DATE BY DECLARATIaOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO Jr�y1,. PERMIT CANCELLED EPA i 1 1 't✓ MS �Ag)//ej PERMIT EXTENDED 13AQMD POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO Cr� INSTALLED PROPOSED DEMOLITION. SIGNATURE: