Loading...
HomeMy WebLinkAboutS2021-0076 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 R =., Permit Counter Phone (949)644-3288 u Job Address: 1842 PORT SHEFFIELD PL Floor: Description of Work:SFR POOLISPA REMODEL 640 SF Inspector Area: 4 Legal Description: N TR 6620 LOT 8 Owner: PURDY COURT B Address: 1842 PORT SHEFFIELD PL NEWPORT BEACH, CA 92660 Phone Applicant: SUNSET POOLS & SPAS Address: 1400 E KATELLA ORANGE, CA 92867 Phone: 714-313-1389 Building Rear: Setbacks: Front: Lek: Right: Construction Valuation: $62,000.00 Building Permit Fee: $825.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check; $717.75 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO\, Suite: Bldg:0 Il��lSlltll0ll�ll�l�ul0�lll0 7 6�� II Plan Check No: 0604-2021 Code Edit: 2019 Contractor: SUNSET POOLS AND SPAS INC Address: 20131 E CHAPMAN AVE ORANGE CA 92869 Phone: 714-638-4398 Con State Lie: 473735 Lie Expire: 02128/2023 Bus Lie: BT30074691 Lie Exp Date: 03/31/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Record Management: $2.00 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: POOLPermit: S2021-0076 Project No: 0604-2021 Inspection Requests Phone (949)644-3255 f Ic-rn�c-rn� Issued Date: 03/18/2021 Water Quality Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others: PLAN CHECKED BY:: APPROVAL TO ISSUE •PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION State Lie: State Lie: .... ° °••°• • °• °• ° ° . 000eo 0 Fee Due at Permit Issuance : 00 ° ° • $0.00° .. $bM $0.00 $0.00 $0.00 o °ao°• • s °aeo• oo•oo• 0 0 0 0 0 ..°. 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 items) 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 ie 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 'rofessions 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 p€rally of of more than five hundred dollars ($500). ❑ 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 nd 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 nprovements 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 nproved 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 pply 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: ly 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 ell a structure that I have built as an owner -builder If d 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Pr s Code, and my li nse is in full Tome nd effect. License Class License No Cat —f 2 r Contractor Signature - VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSAT40W DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm undeD penalty of perjury one of the following declarations: jl a'va and Vill pla%ain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erjormpnce of tltewo* for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranCe carrier,tVpp§cy number are: Iec.' ' Policy Number Expiration Date Agent0 go .'." y that, in tl�e pf of Applean't ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,_ ( Date 3—I$—Z� YONSTRUCTION L D G AGENCY hLl@Lf affirm ufld&-MMalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 3097, v Code). Ender's 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 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 c n ordinances and state laws reAting to building construction. I authorize representatives of this city or coun en the above -identified pr arty for inspection purposes. Signature of Property Owner or Authorized Agent ! Print Property Owner's or Authorized Ag ACTION DATE BY DE TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG IONS PART 61 OF TITLE 40 AND AC(MD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED POOLALARMS INSTALLED NOTIFICATION TO IS NOT APPLICABLE Name ,4 rect,:`ed at. part of a pool / spa barritlr, shall be in place phcr to approval to fin ouspa 8 shall remain In flQmaintained for