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Home My WebLink AboutS2019-0083 - PermitsCity of Newport Beach - Building Divisionmm NI�dI�h�IN�HH��l�l�� II A' 100 Civic Center Drive, Newport Beach, CA 92660 m ° H } Permit Counter Phone (949)644-3288 o ° e • e • o n e e at e° o• o o n o o o $?'Ltl6e moo e e • es• ms o moo Job Address: 5 HALF MOON BAY DR Floor: Suite: Bldg: Description of Work:SFR POOL RE -PLASTER. INCL LIGHTING & COPING Inspector Area: 4 Legal Description: N TR 7510 LOT 42 0 0 n e oom e m o m o ° 0 0 °ee e m m m m m e ee -eme ee. Plan Check No: 1060-2019 Code Edit: 2016 Owner: MAYER ALFRED J Contractor: SMITH ALAN POOL PLASTERING Address: 5 HALF MOON BAY DR Address: 227 W CARLETON AVE Building Dep Plan Check: CORONA DEL MAR,CA 92625 Building PC Investigation : ORANGE CA 92867 . Phone: $0.00 Phone: 714-628-9494 Applicant: ALAN SMITH POOLS Con State Lie: 571196 Address: 227 W CARLETON Lie Expire: 06130/2019. $0.00 ORANGE CA 92867 Bus Lie: BT00012422 Phone: - Lie Exp Date: 08/31/2019 Building Rear: Setbacks:. Front: Left: Right: Construction Tvoe : Construction Valuation: $17,000.00 Building Permit Fee $344.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $299.28 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $942.2$ ,f PROCESSED BY:_ Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12645401 Expiration: 04101/2020 FEES Architect Address: POOLPermit : S2019-0083 Project No : 1060-2019 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: 05109/2019 Record Management: .$4.00 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: $294.00 $0.00 Plan Check Fee $0.00 Fee Due at Permit Issuance: PLAN CHECKED BY:: " APPROVAL TO ISSUE: 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 Liceasa Lav? fpr the:reggbn(s) /ndicaled 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 tdg*sJryT, alter, improve, demclish, 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 Licefise IM (Chapter 9 (commencing with Section 7000) of Division 3 of the 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 ($500). , , , , 1201 N TUSTIN AVE ❑ I, as owner of the property, or my employees with wages as their sole compensation, A Jo J all Of Ir (e) rtorgonya of t� work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an2Aner 4f property who, through emp:oy$es' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvementta said within osis year of corfiplbtiQr), the Owner -Builder will have the burden of proving that it was not built or im 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 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 legalh 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 Professions 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 7000) of Division 3 of the Business and Profess' na i e is in full force and effect. License Class License No Date 9—/ 9 Contractor Signature WORKERS' COMPENSATION DECLARATION 6K L -IT NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, 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: 1 have and will 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 th e@rformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: AP_6' ,L 1 S`NSU (Z,4A14 _ Policy Number �� w C 2 [ 5�C0 Expiration Date of Agent I certify that, in the performance of the wor for which !>10fmit is issued, I shall not employ any person in any manner so as t0 become subject to the workers' compensation laws of California, and agre that, if I should become b' a rs' com ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applic DECLARATION RE NGC UCTION LENDING AGENCY I hereby affirm un er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ivil Code). Lender'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 correct. I agree to comply with all applicable city and county ords and sUre laws relating to building construction. I authorize representatives of this city or county to oventified roperty for inspection purposes. ,SCr �4. I �e ✓� Signature of Property Owner cr Authorized A ent Print Property Owner's or Authorized Agent's Namq Date ACTION DATE BYDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED l I I V I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION.