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HomeMy WebLinkAbouts2020-0143 - PermitsCity of Newport Beach - Building Division IIuIIIVIIIIVIIVIIIIIIIIVIIIVIII�IIIIIIIIIIIIIN II POOLPermit : S2020-0143 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1673-2020 Permit Counter Phone (949)644-3288 0s5. y `"t i$'�'& Inspection Requests Phone (949)644-3255 Job Address: 1801 SABRINA TER Floor: Suite: Bldg: 1 Description of Work:/CAISSON SUPPORTED POOL AND SPA (647 SF) Inspector Are a:✓ Z Plan Check No: 1673-2020 INSPECTOR i Code Edit: 2019 Legal Description: N TR 2813 LOT 111 Owner: ARONOFF BARRY Contractor: DE VORE POOLS & SPAS Architect: Address: 151 KALMUST DR STE H10 Address: 32908 AVE DEL ROSAL Address: COSTA MESA CA 92626 SAN JUAN CAPSTRNO CA 92693 Phone: Phone: 949547-1366 Phone: State Lie: • ° 0 Applicant: DEVORE POOLS AND SPAS Con State Lie: 401549 Engineer: PETROV PLAMEN .... Address: PO BOX 828 Lie Expire: 0413012022 Address: 28161 CASITAS CT ° ° ° ° • ° SAN JUAN CP CA 92693 Bus Lie: BT97026761 LAGUNA NIGUEL CA 92677 Phone: 949-547-1366 Lie Exp Date: 1113012020 Phone: 714-717-7542 State Lic:C-066947 o Building Rear Worker's Compensation Insurance Special Conditions: • • • � �' ° ' Setbacks: Front: Carrier: STATE COMP INS Left: Policy No: 1222520 ° Right: Expiration: 11/01/2020 Issued Date: 10119/2020 Construction Type: 00 0 3 ® 0 0 0 P J FEES a o ceuP Construction Valuation: $46,000.00 Building Permit Fee : $430.00 Record Management: $26.00 Water Quality - Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $2.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $92.50 Grading Consultant Fee: $266.00 Others Building Dep Plan Check: $387.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,203.50 Plan Check Fee: $1,185.00 Fee Due at Permit Issuance : $18.60 PROCESSED BY: PLAN CHECKED BY:: -ZONING APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 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 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 fessions 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 more than five hundred dollars ($500). 26161 CASITAS CT 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 irovements 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 (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' Stale License Law does not fly 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: 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 legalll 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 �fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CQjQ, RgCTOR'S DECLARATION ;reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 000 f Div" 'on 3 of the Businerks jKd Profession de, ?Id my I' rise is in full force i.effest. LiceRse.Glass License No Da Contractor FVnature )RKERS' COMrFASATION DECLARATION WINGPFAILURE TVSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNBAZEDTHOUSAND DOLLARS I5100,0001, IN ADDITION TO THE rr 6? COMPENSATION, 16AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tteb9.affirm IlitU2PpValty of perjury one of the following declarations: I 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 forlmance of t41¢.1Nork 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' Cartier and policy number are: • • Policy Number Expiration Date certify that, in ffie performance of the work for which . if I should become subiectltDthr; workers' coMpeee Of I is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1=Z IECLARATION REGAR"G CONSTRUCTION LENDING AGENCY V hereby 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, Civil Code). -enders Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordina es and state laws relating t�lding construction. I authorize representatives of this city or county to enter a�°ve- dentified pro r Inspection purposes. yg _ Signature of Property Owner or Authonze%&ent //f Print Property Owner's or Authorized nt's Name Jw/ ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED OMD POOLALARMS INSTALLED \ / _�� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL