The URL can be used to link to this page

Home My WebLink Abouts2022-0029 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 .F,.. - Permit Counter Phone (949)644-3288 �'czxa�uwta *S2022-0029* POOLPermit : S2022-0029 Project No : ,lob Address: 11 TIBURON BAY DR Floor: Suite: Bldg: 1 Description of Work:*RENEW EXPIRED PERMIT S2016-0094' SFR - POOL REPLASTER (CODE UPDATE NOT REQUIRED FOR FINAL) Inspector Area: (�) Plan Check No: Code Edit: 2013 Legal Description: N TR 7510 LOT 50 Owner: KATZ TERI Contractor: OWNER/BLDR Architect: Address: PO BOX 1175 Address: KATZ TERI Address: CORONA DEL MAR, CA 92625 Phone: Phone: 714-630-6300 Phone: Applicant: GARDENER POOL REPLASTER Con State Lic: O/B Engineer: Address: 1270 N. SUNSHINE WAY Lic Expire: Address: ANAHEIM, CA 92806 Bus Lic: Phone: 714-630-6300 Lic Exp Date: Phone: Building Rear: Setbacks: Front: Left: Right: Construction Type Worker's Compensation Insurance Special Conditions: Carrier: Policy No: Expiration: Issued Date: Inspection Requests Phone (949)644-3255 aaaaaa State Lic: ° o ° State Lic: RENEW PERMIT S2016-0094 ° ® a a ° LANDSLIDE RISK 01/3112022 ° °O FEES Construction Valuation: $0.00 Building Permit Fee : $0.00 Record Management: $0.00 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: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $0.00 $0.00 Building PC Investigation : $0.00 Additional Fee: $124.50 $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $124.50 Plan Check Fee : $124.50 Fee Due at Permit Issuance : $0.00 »z PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL: �� APPROVAL TO ISSUE:_ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER 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 t❑o a civil penalty of not 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 yoved for the purpose of sale). , 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). ❑ I 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure tgdtf lwe 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 th Busin ss and Ftofessipns Code* ggailable upon request when thi app a�qIon is ay Itted or at the following Web site:http:llv�.leginfo.ca.gov/calaw.html. .leginfo.ca.gov/calaw.html. y'g'rrafd'r8 of Pror,arty Owner or Authorized Agent /Y/12 Date ^ f �Z'�--- L?�EN� SD CONAf TOR'S DECLARATION ;-h4e, yciffirm uDFgr pr alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effgct. License Class License No Date Contractor Signature VIOfR.�RS' CQPJ`4f'� SATION DECLARATION WAVNINCi FAILURE �O,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 t1SiZOFf DMPENS"QK:AMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hcr2ly affirm unc ar ptralty of perjury one of the following declarations: i. h.�a,y5 and yaill mairitain 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 the perfom7ance of the«ro:k for which this permit is issued. Policy No. .. •ta �I ha+�re,and vyiL' m�y[Itain 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 carr%r� LI policy number are: Capri=.r,. ` Policy Number Expiration Date Name of Agent Phone# 01 certify that, in the 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 that, if I should become subject Po he workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant G Y�� DatezZ CLARATION REGARDIN CONSTRI. TION IfPNDING 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 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 laws relating to building construction. I authorize representatives of this city or county to enjer he above -id tifieed property for inspection purposes. (nature of Prooertv Owner or Authorized Agent K/Li/T' Print Property Owner's or Authorized Agent's Name x �f ACTION PERMIT EXPIRED PERMITCANCELLEI PERMIT EXTENDED POOL ALARMS INSTALLED PERMIT FINAL DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEf REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED NOTIFICATION 15 NOT APPLICABLE TO FOR OFFICE USE ONLY Civil Code). All require0 al2ml8daTCne5 gates & fences which sere as part of a pool / spa be., shall be in place p or to approval tofifl pCollspa & shall remain in place & be maintained for