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Home My WebLink AboutS2022-0068 - Permitsvt.x City of Newport Beach - Building Division 'S2022-0068' POOLPermit : S2022-0068 �+ 100 Civic Center Drive, Newport Beach, CA 92660 9—.,>.�,_� Project No : 0725-2022 Permit Counter Phone (949)644-3288 pp % 9— %' ,• B Inspection Requests Phone (949)644-3255 .lob Address: 441 ISABELLA TER Floor: Suite: Bldg: 1 Description of Work:NEW POOL & SPA 720 SF W/ DRAINAGE .... Inspector Area: 5 Plan Check No: 0725-2022 mamm Code Edit: 2019 Legal Description: N TR 1237 LOT 161 Owner: OSBORNE MICHAEL Contractor: STEELE BRETISTEELE POOLS Architect: Address: 441 ISABELLA TER Address: 4921 E LEEDS Address: • °„° a CORONA DEL MAR, CA 92625 ORANGE CA 92867 Phone: Phone: 714-496-1427 Phone: State Lie: Imo°•� m°°°• Applicant: OSBORNE MICHAEL Con State Lie: 923975 Engineer: KOLODZIEJ KENNETH J ° mm000m Address: 441 ISABELLA TER Lie Expire: 10/31/2022 Address: 400EESTHER PLACE CORONA DEL MAR, CA 92625 Bus Lie: BT30042152 PLACENTIA CA 92870 Phone: 559-960-8364 Lie Exp Date: 02/28/2023 Phone: 714-996-1219 State Lic:C-064768 Building Rear: 6 Worker's Compensation Insurance Special Conditions: Setbacks: Front: 15 Carrier: WC EXEMPT Left: 6 Policy No: NO EMPLOYEES Right: 6 Expiration: Issued Date: 05/1912022 Construction Type FEES Construction Valuation: $85,000.00 Building Permit Fee : $440.00 Record Management: $32.00 Water Quality- -- Permit Issuing Fee: $0.00 - Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: $237.00 Water Quality Dept Insp Fee: $152.00 Building Green Fee: $4.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $396.00 $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: $1,460.00 Plan Check Fee : $595.00 Fee Due at Permit Issuance : $865.00 PROCESSED BY: t,-S PLAN CHECKED BY:: ZONING APPROVAL: MSW -- - APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION "�-r- 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 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 penalty of of more than five hundred dollars ($500). 400 E ESTHER PLACE ❑ 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, lusiness 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 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 thg'pbtpos a of sale). I, aro owner dfl?f@property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not gpry4Q an owner-ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a I am exempt frd'n1 licensure under the Contractors' State License Law for the following reason: limy 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 ttrat 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 srofessions Cddd; VIvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Proprty Owner or Authorized Agent Date ML` %SED (iON�•T�RACTOR'S DECLARATION "Cloy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Divisi n 3 of the Business and Prof ssions icense is in full force md.Btfect. License Class License No Date S Contractor Signature YORKERS'COM90&NSATION DECLARATION 9ARN Mi: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;Q%TA COMPEJAA ".DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _ hereby affirm Crider penalty of perjury one of the following declarations: - 1 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 MO of t4 Labor Code, for th performance of the work 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' ragce carrier and policy number are: )6 of Agent certify that, in the performer if I should become subject Policy Number Date 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 wow' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant v Date/` �'�/_f )ECLARATION REGA DIN STRUCTIO G AGENCY / 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 ender's Name Lender's Address ly 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 o Inances and state laws relating to building construction. I authorize representatives of this city or county to a the b -identified property for inspection purposes. Sionature of ProDertv Owner or Authorized Aoent —s Print Property Owner's or Authorized Agent's Name PERMIT EXPIRED POOLAtARMS INSTALLED DATE I BY bECCARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PROPOSED NOTIFICATION TO APPLICABLE TO Civil Code). FOR OFFICE USE ONLY All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the Dool/soa PERMIT FINAL