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Home My WebLink AboutS2022-0021 - PermitsCity of Newport Beach - Building Division 11piIII ��III1111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1937 PORT PROVENCE PL Floor: Suite: Description of Work:SFR 528 SF POOL & SPA W/ DRAINAGE Inspector Area: 4 Legal Description: N TR 6624 LOT 59 Owner: GIRARD ROBERT Address: 1937 PORT PROVENCE PL NEWPORT BEACH, CA 92660 Phone: 949-795-4881 Applicant: WRIGHT JC Address: 833 DOVER DR #7 NEWPORT BEACH, CA 92663 Phone: 949-795-0648 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $45,000.00 Bldg: 1 Plan Check No: 0160-2022 Code Edit: 2019 Contractor: INSTANT POOLS LLC Address: 116 SENCILLO PL RANCHO MISSION VIEJO CA 92694 Phone: 949-795-0648 Con State Lic: 1009644 Lic Expire: 07/31/2023 Bus Lic: BT30053469 Lic Exp Date: 12/31/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: Building Permit Fee : $440.00 Record Management: Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee Building Green Fee: $2.00 Drainage Plan Check: Plan Dept Plan Check: $0.00 Grading Consultant Fee Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Additional Fee Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: FEES Architect: Address: Phone: POOLPermit : S2022-0021 Project No : 0160-2022 Inspection Requests Phone (949)644-3255 State Lic: Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions Issued Date: 05/03/2022 $8.00 Water Quality --- Building Dept Inspection Fee: $0.00 $237.00 Water Quality Dept Insp Fee: $152.00 $199.00 Building Dept WQ Plan Check: $0.00 $0.00 Others $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1 PROCESSED BY: _ aex eec e c e c PLAN CHECKED BY:: -N S961 �IC' o o a ZONING APPROVAL. `,' e 9 J ° APPROVAL TO ISSUE: eoo co PERMif EkP'I E,S`1,80cLgYS AFT€k 4SSUANCE OR LAST VALID INSPECTION 0 o � 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do I_) 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 lega111 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.html. 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 70Qtf Dialsion.3 ofnthe Business and Prof sio -e and my licens in full force and effect. License Class License No to P V L �-2ontractor Signal WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR OU OLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: that, in the performance of ould become subject tope Policy Number Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and I pmwsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant DKe2 CLARATION REGAR G C G AGENCY LA Ireby affirm under pen p 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 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 I in construction. I authorize representatives of this city or county to enter the - entlfied pro or inspection purposes. nature of Prooertv Owner or Authorized Agent _ Print Property Owners or Authorized Agent's Name'Vr V �' ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND A( RULE All -s-ZZ- S3zz PERMIT EXPIRED U I S U B M ITTED ASBESTOS NOTIFICATION TO a • • • • • • • • 9".. .v,....... ••••• •----- • a : • 0 • • • • • as part of a pool / spa DEPA • • • • PERMITCANCELLED • barrier, shall be in place +•� prior to approval to fill poo lspa & shall remain in PERMITEXrENDED OMD ••• POOLALARMS OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. ••� • ••• •• place& be maintained for SIGNATURE: • ••• ••• the ft if epo0►/spa e e e e s o e + o ec o e PERMITFINAL a 000 oa oo e o 000 00