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
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`"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
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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
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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 \
/
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL