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Home My WebLink AboutS2022-0051 - Permitswro City of Newport Beach - Building Division itfi. A 100 Civic Center Drive, Newport Beach, CA 92660 r: Permit Counter Phone (949)644-3288 v � � x 'urazu�" Job Address: 3061 CAROB ST Floor: Suite: Bldg: 1 Description of Work:SFR POOL REPLASTER, LED LIGHTS AND ALL DRAIN COVERS Inspector Area: 4 Legal Description: N TR 5018 LOT 35 Owner: SPROWL DAVID A Address: 3061 CAROB ST NEWPORT BEACH, CA 92660 Phone: 9491295-1004 Applicant: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $15,295.00 Building Permit Fee: $351.00 , Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $52.00 Building Dep Plan Check: $305.37 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $713.37 PROCESSED BY: ZONING *S2022-0051* POOLPermit : S2022-0051 Project No : 0505-2Q27 i r Inspection Requ_e8ts Phone (949)644-3255 A Plan Check No: 0505-2022 Code Edit: 2019 Contractor: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Con State Lie: -571196 Lie Expire: 06130/2023 Bus Lie: BT00012422 Lie Exp Date: 08131/2022 Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12645402 Expiration: 04101 /2022 FEES Record Management: $4.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Plan Check Fee: Architect: Address: Phone: Engineer: Address: Phone: Special Conditions: Issued Date: Water Quality- -- 02125/2022 Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED BY: APPROVALTO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION State Lie: State Lie: i Or d�. a. • a • • •• $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $713.37 a • asooa • a•a•a a a¢a•• aa•aa• a a > • o•.a • aaaa 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 :he 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 iot more than five hundred dollars ($500). I, 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 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 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 COaJ&ACTOR'S DECLARATION I hereby affirm Lmdapenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Divi ion 3 of the Business and elf,ssi de, a y license is in full force andefeet. Lice*se Class License No Date Contractor Signature INORKLRS' COMPENSATION DECLARATION NARNINS: 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 ($100,000), IN ADDITION TO THE *ST QE COMPENSATDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Viler d*alty of perjury one of the following declarations: 1117 )lave 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 ante of Fe:N46 for which this permit is issued. Policy No. T9®e and will raintain 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' compensatiol insurance carrier and policy number are: Qanner • • •: Policy Number Expiration Date C .Agent if I that, 10n tkle• performance of the work for 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 California, and agre ould become subject a rkera/?ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date CLARATION REGARDINONSTRUCTION LENDING AGENCY :reby 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: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordain s ands a laws relating to building construction. I authorize representatives of this city or count er the ove-i tified property for inspection purposes. (nature of Pronertv Owner or Authorized ADen icr Print Property Owner's or Authorized Agent's Name 11. ACTION DATE By/ REGULATIONS PART0MPLIANCE WITH CODE OF 610 OF 40 AND QMD RULE RAL PERMIT EXPIRED i i I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA POOLALARMS "7 ,11/nry /�J/�! LI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED ! "�(� J PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL 77 29,hn1 FOR OFFICE USE ONLY Civil Code).