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Home My WebLink AboutS2019-0120 - Permitsw City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII��IIIIII II POOLPermit S2019-0120 c: 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 6 1 2 6 Project No: 1549-2019 Y Permit Counter Phone (949)644-3288 '�+cigo'a Inspection Requests Phone (949)644-3255 Job Address: 17 CAMBRIADR Floor: Suite: Bldg: 1 Description of Work.NEW GUINITE SPA (64 SF) gg®® Inspector Area: 4 Plan Check No. 1549-2018 t�' po�Legal Description: H Code Edit: 20161G, TR 7844 LOT 99 - Y C P C2 4 R Owner. ENGLER GREGORY& MONICA Contractor: ADAMSON MARK Architect .Address: 2275 BLACKHEATH TRCE Address: 14196 UXBRIDGE ST Address: ALPHATETTA GA 30005 WESTMINSTER, CA 92683 Phone: Phone:. 714-376-6301 Phone: State Lie: Applicant: ADAMSON MARK. Con State Lia 590874 - Engineer: LACHER TODD Address: 14196 UXBRIDGE ST Lie Expire: `. 02129/2020 Address: 1201 N TUSTIN AVE WESTMINSTER, CA 92683. Bus Lie: BT30067889 ANAHEIM CA 82807 Phone:. 714-376-6307 - Lie Exp Date: 01/31/2020 Phone: 714.630-6100 State LiaC-067656 Building Rear: Worker's Compensation Insurance Special Conditions: ..m . °...00 Setbacks: - Front: Carrier: STATE. FUND Left: Policy No: 9225662 Right: Expiration: 0210212020. Issued Data: 07/10/2019 . 0 0 Construction Type.: m•.. m. FEES...... ® mom°� . Construction Valuation: $30,000.00 ° 00 c000 c< Building Permit Fee : $405.00 Record Management: $6.00 Water Quality--- ... 0.. o Permit Issuing Fee:. $0.00 Building Dept Inspection Fee: $40.. Investigation Fee $0.00. Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0KI Building Green Fee: $2.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check:.. $0.0b5 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $361.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $294.00 $0.00 Plan check Ext. Fee: .$0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE r $1,068.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,068.00 PROCESSED BY: PLAN CHECKED BY:: ZONINGAPPROVAL: F�U'- APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) ;action 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 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 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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: y 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, 1 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://www.leginfo.ca.gov/calaw.htmi. - ignature of Property Owner or Authorized Agent - Dat ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with so'o.7000) ( Di io 3 of the B siness and Prof at hs C e, and my lic in full force nd effect. License Class License No e / Co ctor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES IIP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO :OST OF COMPENS ATION.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: 0* 34.heue and.will ptpjntain a certificate of consent to self -insure for workers' er%rm2nce of:4E?work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for and will onaintain 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 pplicy number are: ""': Policy Number Expiration Date Agent of which this pe Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ripens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov(sien�'1Q -7/161/7 161 / f I;W affirm 4JIAQg74nalty f prjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section ivil Code). Ider's Name .... Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on t e property ner's behalf. I have read this application and the information I ave prov' a is correct. I agree to comply with all applicable city and co ty rdin a and state la ating to building construction. I authorize representatives of this city or cou a ter ove-id ed property for inspection purposes. nature of Property Owner or Auth A an — Print Property Owner's or Authori: TION DAT 7 BY DECIAR N OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE REGULATIONS PART 670F TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QM D POOLALARMS INSTALLED OASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool/spa