HomeMy WebLinkAboutS2021-0163 - Permitsw , City of Newport Beach - Building Division III III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II POOLPermit : S2021-0163
100 Civic Center Drive, Newport Beach, CA 92660 II� S 2 0 2 1 0 1 6 3 Project No : 1566-2021
Permit Counter Phone (949)644-3288
�.< Inspection Requests Phone (949)644-3255
Job Address: 411 IRVINE AVE Floor: Suite:
Bldg: 1
Description of Work:SFR NEW POOL & SPA 350 SF
Inspector Area: 3
Plan Check No:
1566-2021
Code Edit:
2019
Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 29 LOT 22
Owner: MANAVI BEHNAM S
Contractor:
SUNSET POOLS AND SPAS INC
Architect:
Address: 411 IRVINE AVE
Address:
1400 E KATELLA AV #217
Address:
NEWPORT BEACH, CA 92663
ORANGE CA 92869
Phone:
Phone:
714-538-4398
Phone:
State Lic:
Applicant: SUNSET POOLS AND SPAS INC
Con State Lic:
473735
Engineer:
LACHER TODD
Address: 20131 E CHAPMAN AVE
Lic Expire:
Address:
1201 N TUSTIN AVE
ORANGE CA 92869
Bus Lic:
ANAHEIM CA 92807
Phone: 714-538-4398
Lic Exp Date:
Phone:
714-630-6100 State Lic:C-067656
Building Rear: Worker's Compensation Insurance Special Conditions:
Setbacks: Front: Carrier: -
Left: Policy No:
Right: Expiration: Issued Date: 0711212021
Construction Type : V-B-SPR
11
FEES
Construction Valuation: $48,000.00
Building Permit Fee :
$440.00
Record Management:
$8.00
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:
$152.00
Building Green Fee:
$2.00
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:
$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: $998.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance: $9!
PROCESSED BY:
PLAN CHECKED BY:: 5641
ZONING APPROVAL:
y�/�
Or �
APPROVALTOISSUE:
PERMIT EXPIRES 180
DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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)
action 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
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 aesin- 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 penal[ of
more than five hundred dollars ($500). 1201,N TUSTIN AVE
L.I I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the
Business and Professions Code: The Contractors'State License Law does not apply to an owner of property who, through em
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet
improved for the purpose of sale). -
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pt
❑ 1 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 must have resided for at least one yea
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.�
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D
and effect. License Class License No Date7-
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty 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
erformance 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 pe
isurance carrier and policy number are:
Policy Number
of Agent
rtify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so
la , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
ignature of ApplicanX /-
�ECLARATION RE RDIN ONSTRUCTION LEN AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which It
ender's Name Lender's Address
y 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 "er the above -identified p;Qperty for inspection purposes.
ACTION
DATE
BY "
DECLARATION OF COMPUArr4CE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMITEXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LJEPA
PERMIT EXTENDED
LIAQMD
POOLALARMS
UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
1�
'(ram yp!
SIGNATURE:
PERMIT FINAL
G-24-22
1u.�.,...
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of t11e Improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Professi Clod`, and my license is in force
4— Contractor Signatura,
n 13
IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and agre
iply with those provisions.
*---] -A(--?- ice_
permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY X
All required atarms,latches
pates & fences which serve
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain in
place & be maintained for
the life of the pool/spa
x TQ•O{- ! J�way