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Home My WebLink AboutS2022-0107 - PermitsCity of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIII�I'lllllllllllll II 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 0 7 Permit Counter Phone (949)644-3288 cr Kr 4F41%�� Job Address: 1411 LINCOLN LN Floor: Description of Work:SFR POOLISPA 504 SF Inspector Area: 3 Legal Description: N TR 3851 LOT 23 Owner: OLSON/MATTEI Address: 1411 LINCOLN LN NEWPORT BEACH, CA 92660 Phone: Applicant: SCHWARZ TOM Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 949-872-0450 Building Rear: Setbacks: Front: Left: Right: VB Construction Valuation: $90,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $998.00 PROCES ZONING Suite: Bldg:1 Plan Check No: 1211-2022 Code Edit: 2019 Contractor: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 714-241-7665 Con State Lic: 967325 Lic Expire: 09/3012022 Bus Lic: BT30038738 Lic Exp Date: 03/31/2023 Worker's Compensation Insurance Carrier: BENCHMARK INS CO Policy No: CST5020416 Expiration: 10/29/2022 FEES Record Management: $6.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: Phone: POOLPermit : S2022-0107 Project No: 1211-2022 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 06/06/2022 Water Quality- -- 9 •+.• • • State Lic: '++• 000o a+a+o• o• •a+• State Lic:C-067fi56 • • a • OY6• + + B• • �J O • • a +0000 +• . + aoaoo • oo��mc oa a + a a• �a�a• Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $152.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 Plan Check Fee : $396.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : 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 applicablewtem(s) , - ction 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 applicam"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). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portiol usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of iproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor rofessions Code, is available upon request when this application is submitted or at the following Web site:http://wwo ignature of Propari)i.Owner or Authorized Agent ICENSED GUNIBACTOR'S DECLARATION oigrp�l affirm upderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7l nd effect. License fass License No Date go /QR?(ERS' COJAPENSATION DECLARATION ARNIIQG: FAILURE jjQQ CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST QF COMPEN_ RA. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hcrre4/affinn Ater penalty of perjury one of the following declarations: •1MTave and owit"aTntain a certificate of consent to self -insure for workers' compensation, issued by the Direr wicsrslance of the work for which this permit is issued. Policy No. Haug and M6 ma"ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for isurance carnLrp rtl policy number are: Rrti01• • Policy Number Cf Agent* * * of the work, and the structure is not intended or offered for sale (Section 7044, gh employees' or personal effort, builds or improves the property, provided that the )mpletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). ie year prior to completion of the improvements covered by this permit, I cannot I understand that a copy of the applicable law, Section 7044 of the Business and Date lipio 3.o6the Business and Profe s' d my license is in full force Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED, HOUSANO DOLLARS ($100,000(, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date I certify that, in the performance of a work f 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 ub' ct t rker nsation provisions of Section 3700 of the Labor Code, I shall fo Signature of Applicant 1'� hwith complywith those revisions. ` p Dat /Y! DECLARATION REGADItXQONSTRON LENTANG AGENCY T I 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, ivil Code). Lender's Name Lender's Address By 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' Correct. I agree to comply with all applicable city and count ordi c and state laws relating to building construction. I authorize representatives of this city or coun -identified property for inspection purposes. T r 0 z Signature of Property Owner or Authorized Agen Print Property Owner's ]or Authorized Agent's Name to ACTION DATE BY DE ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY req d alarms, latches A CATIONS PART 61 OF TITLE 40 AND AQMD RULE gates & fences W hlch 1403 Serve PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO barrier, shall he in place prior t0 app'Cval t0 fill pOOI/Spa & Shall remain In place & be maintained f f PERMITCANCELLED EPA PERMITEXTENDED AQMD POOLALARMS BESTOS NOTIFICATION NOT APPLICABLE To INSTALLED OPOSED the D the OOUs SIGNATU X ,