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Home My WebLink AboutX2022-1789 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1789 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 7 8 9 Project No : 1620-2022 w Permit Counter Phone (949)644-3288 ) u Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : 06/28/2022 Inspection Area : 3 Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays 20281 BAY VIEW AVE NB BLOCK WALL FOR POOL EQUIPMENT 60" HIGH X 12 LF INSIDE P/L a N TR 1507 LOT 19 '+me+ + ROBINS JAMES M 20281 BAY VIEW AVE NEWPORT BEACH, CA 92660 BACKBAY CUSTOM POOLS 2153-B SAN MICHEL COSTA MESA CA 92627 949-412-0447 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Contractor: BACKBAY CUSTOM POOLS Address: 2153-B SAN MICHEL COSTA MESA CA 92627 Phone: 949-412-0447 Con State Lic: 813938 Lic Expire: 10/3112020 Bus Lic: BT30055011 Lic Exp Date: 10/31/2019 2019 Worker's Compensation Insurance Carrier: WC EXEMPT U Policy No: (NO EMPLOYEES) 0 Expire: 0 Building Setbacks Rear: 25 Front: 20 Left: 5 Right: 5 Construction Valuation: $900.00 Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $206.70 PROCESSED BY: GRADING APPROVAL: Architect Address: Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Designer: Address: Phone Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee : $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $206.70 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 to 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 L) 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 soldwithin one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). •••e I, as ownersf the jnoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not �p.pl Loren owner orproperty who builds or improves thereon, and who contracts for the projects with a licensed contractor pursuant to the Contractors' State License Law). .,•. I arlf exempt fmm licensure under the Contractors' State License Law for the following reason: By my signature belt& 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 cel%,tIucture 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, SeAon 7044 of the Business and Professions Code, issaailabla upon request when this application is submitted or at the following Web site:http:// w .leginfo.ca.gov/calaw.html. 15ign.atune of Property owner or Authorized Agent ! a e LICEFJSED CONTEtA.CTOR'S DECLARATION l hereby affirm LpBer , rally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of i 'Sithe Business and Prof io de, an license is in full force M*e}fect. License Class License No Date Cb r `e Contractor Signature VAMERS' CjMUNSATION DECLARATION WARNING: FAILUF%Tp*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 CGS! SRCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 4mP9by affirmOnder'p'enalty, 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, performance of the work for which this permit is issued. Policy No. I 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' compensatior insurance carrier and policy number are: Carrier Policy Number i Expiration Date Name of Agent Phone # rtity that, in the performance oahwor 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 should became subject to ther compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. G �/ Signature of Applicant Date DECLARATION REGA D CONSTRUCTION LENDING AGENCY I 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, C vie 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 is correct. f I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 7 i�' ( Z'Z I authorize representatives of this city or county, e er the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam I..r. Dat ACTION DATE BY ;kbkRATION OF C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAR 610E TLE 40AN AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION 0 PERMIT CANCELLED EPA PERMITEXTENDED _ AQMD PERMITFINAL 'e�``��J �Q SBESTOSINOTIFICATI I5 NOT PPLICABLE TO CERTIFICATE OF 17 -( -� PROPOSED D � LITION OCCUPANCY ISSUED SIr,NATI IRF-