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Home My WebLink AboutS2022-0054 - Permits.y, City of Newport Beach - Building Division IIIIIIII�IIIIIIIIIIIIIIIIIII'IIIIIIII II POOLPermit : S2022-0054 P 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 5 4 Project No: 0544-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .lob Address: 2401 WINDWARD LN Floor: Suite: Bldg:1 Description of Work:SFR POOL & SPA 420 SF & YARD DRAINAGE Inspector Area: 3 Plan Check No: 0544-2022 Code Edit: 2019 Legal Description: N TR 5178 LOT 9 Owner: VISTA PARK PROPERTIES LLC Contractor: STEELE BRET/STEELE POOLS Architect: Address: 2401 WINDWARD LN Address: 4921 E LEEDS Address: NEWPORT BEACH, CA 92660 ORANGE CA 92867 Phone: Phone: 714-496-1427 Phone: State Lic: Applicant: ELLISON PAUL Con State Lic: 923975 Engineer: THOMPSON MATTHEW Address: 24642 VIA RAZA Lic Expire: 1013112022 Address: 12021 N TUSTIN AVE LAKE FOREST CA 92630 Bus Lic: BT30042162 ANAHEIM CA 92807 Phone: 949-683-9861 Lic Exp Date: 0212812023 Phone: 714-630-6100 State Lic:C-086051 Building Rear: Worker's Compensation Insurance Special Conditions: Setbacks: Front: Carrier: WC EXEMPT Left: Right: Policy No: Expiration: NO EMPLOYEES =A Issued Date:��,.a �' C- Construction Type : 9 ` , i FEES Construction Valuation: $45,000.00 Building Permit Fee : $440.00 Record Management: $6.00 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: $0.00 Building Green Fee: $2.00 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 : $1,280.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,2 PROCESSED BY: 4J1 ®• • ... ... ROM CHECkED SY:: ZONING APPROVAL: < p°• o • o• o A^r fZv OVFW-,,TO1q,8UE: PERMIT EXPIRES 180 DAYS AFTER PSSUFNCsE OReLkS m.VRLIpINSPECTION 0 O V Bg dap V p OO• BB VVB 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). 12021 N TUSTIN AVE ' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70144, Business and Professions Code: The Contractors' State License Law does not apply 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). ❑ 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 year prior to completion of the improvements covered by this permit, I cannot legal sell a structure 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, Section 7044 of the. Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leciinfo.ca.gov/calaw.html. 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 Se io 70C and effect. License Class License No D NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PI COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: 3 of the Business and L Contractor Signa AND CIVIL FINES UP TO ONE HUNDRED Date in full force DOLLARS ($100,000), IN ADDITION TO and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direct gir of Industrial Relations as provided for by Section 3700 of the Labor Code, for ce of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. My workers' compensa carrier and policy number are: ie of Agent certify that, in the p, , if I should become nature of Applicant Policy Number Expiration Date permit is issued, I shall not employ any person in any i provisions of Section 3700 of the Labor Code, I shall CLARATION REGARDING QUJgT CTION�L6MBIftG AGENCY areby affirm under penalty of p th (e Is a construction lending agency for the performance of the work for lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on tod-p—rNiperty owner' ben have read this application and the informati(toy"to have r ed i torte I agree to comply with all applicable city andnty o nances nd ate IS relating to building construction I authorize representatives of this city or cou e r the ab v Identifi y for inspection purposes. of Property Owner or Authorized so as to become subject to the workers' compens do laws of California, and agre h comply with those provisions. Date �. 'L 7/ i this permit is issued (Section 3097, Civil Code). ACTION DATE BY \\ DEEtARATION OF COMPLIANCE WITH CODE OF FEDERAL . FOR OFFICE USE ONLY All re wired alarms.latches REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 4 1403 _ • _ •.. ... .. gates & fences which serve PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED POOLALARMS INSTALLED LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO . • V. PROPOSED DEMOLITION SIGNATURE: .' _• _ _ _ _ barrier, shall be in place prior to approval io fill pool/spa & shall remain in place & be maintained for th x KA