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Home My WebLink Abouts2022-0073 - Permits1v, City of Newport Beach - Building Division *S2022-0073* 100 Civic Center Drive, Newport Beach, CA 92660 ..+ Permit Counter Phone (949)644-3288 c�tnrasa�`� POOLPermit : S2022-0073 Project No : 0782-2022 Inspection Requests Phone (949)644-3255 .lob Address: 17 SAN MATEO WAY Floor: Suite: Bldg: 1 Description of Work:SFR POOL ALTERATION. PLMB/ELEC, TILE & COPING. RESURFACE Inspector Area: 6 Plan Check No: 0782-2022 Code Edit: 2019 Legal Description: N TR 7844 LOT 24 Owner: TOCCI BOB Contractor: GARDNER POOL PLASTERING Address: 17 SAN MATEO WAY Address: 600 W FREEDOM AVE CORONA DEL MAR, CA 92625 ORANGE CA 92865 Phone: Phone: 174-630-6300 Applicant: FOSTER MIKE Con State Lie: 896061 Address: 600 W FREEDOM AV Lie Expire: 05/31/2023 ORANGE CA 92865 Bus Lie: BT30018497 Phone: 909-263-6344 Lie Exp Date: 01/31/2023 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $20,000.00 Building Permit Fee : $419.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $52.00 Building Dep Plan Check: $364.53 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO\ Worker's Compensation Insurance Carrier: DEPARTMENT OF INDUSTRIAL Policy No: 4503-118 Expiration: FEES Architect Address: Phone: State Lie: °,,,•• Engineer: Address: °"• °' •� e s Phone: State Lie: a °. •� Special Conditions: •"• °• ° "a•.• Issued Date: 03/24/2022 a• e • oo� o • P 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 : $0,00 $0.00 S ". Plan Check Fee : $0.00 PLAN CHECKED BY:: APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : 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 ie 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). as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business nd 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 nproved 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). 3 1 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 legally 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://w .leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Agent Date .ICENSED C6NM4CTOR'S DECLARATION hereb,Aaffirm uddef Qenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divislopp 3 of the Business and Profess'Ipa , and my li full force AamOect. Li/Tnseglass License No Date s'lL�//LL Contractor Signatures ILORKERS' CONIPENSATION DECLARATION IAI NIM4C.. FAILURE T8 SECURE 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 'DST OF COMPENSATIOfy DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t Rregyaffirm %del penalty of perjury one of the following declarations: �.I•tyave and"ifl i'naintain 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 , rmnce 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' carrigta%& IIcy number are: • • • Policy Number Expiration Date ag3f Agenf,• •• certify that, in .. the performance of the work for which this . if I should become subiect tialheidykers' compepsatlo of I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre :ctiGrr3700-of the Labor Code, I shall forthwith comply with those provisions. Date CLARATION REGARD NG CONSTRUCTION LENDING AGENCY areby 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 ider's Name Lender's Address my signature below, I certify to each of the following: 1 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 ord' ces anastate laws relating to building construction. < I authorize representatives of this city or countyntove-ideytified property for inspection purposes. PERMIT EXPIRED DATE BY ` DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED TO PERMIT EXTENDED L_IAQM D POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL 9.2 n Name FOR OFFICE USE ONLY Civil Code). Alt recuired atarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill poolispa & shall remain in ptace & be maintaln4for tht- life of the pool/