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Home My WebLink AboutS2022-0105 - Permits�£w,rjh City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e'trrrix+''' ,lab Address: 2018 NAUTILUS LN Floor: Suite: Bldg: 1 Description of Work:NEW POOL AND SPA 240 SF WI CITY STANDARD DRAINAGE Inspector Area: 3 Legal Description: N TR 3763 LOT 74 Owner: EKEDAL RYAN Address: 2018 NAUTILUS LN NEWPORT BEACH CA 92660 Phone: Applicant: ELITE CUSTOM POOLS Address: 25871 VICAR WAY LAKE FOREST CA 92630 Phone: 7141606-4007 Building Rear: Setbacks: Front: Left: Right: . arib ruuuon Construction Valuation: $26,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 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 : $1,432.00 1111111111111111111111111111111111111111111111111111JillPOOLPermit : S2022-0105 S 2 8 2 2 0 1 0 5 Project No : 1169-2022 Inspection Requests Phone (949)644-3255 Plan Check No: 1169-2022 Code Edit: 2019 Contractor: ELITE CUSTOM POOLS & SPAS Address: 25871 VICAR WAY LAKE FOREST CA 92630 Phone: 714-606-4007 Con State Lic: 529870 Lic Expire: 0513112024 Bus Lic: BT30031210 Lic Exp Date: 03/3112023 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1137574 Expiration: 06/01/2023 FEES Architect: Address: Phone: State Lic: Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 S10«Ldp!kJ°0 oa'V Special Conditions: Issued Date: . 05/18/2022 Record Management: $6.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $237.00 Water Quality Dept Insp Fee: $152.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee: $0.00 $0.00 Plan Check Fee : $396.00 Fee Due at Permit Issuance : $1,036.00 PROCESSED BY: _ _ - ,: PLAN CHECKED BY::, ZONING APPROVAL: V 1 _ - - - Y, APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AF 7 ER ISSUAI`'CE OR LAST VALID INSPECTION 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 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 Iicensure 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). 1201 N TUSTIN AVE ❑ 1, 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 sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 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 Iicensure 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 legally 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.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 o Di ision 3 of the Business and Profes io de a my I" a is in full force and effect. License Class License No Date 9 Y Contractor Signa WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO 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 COSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thl p�bFqrmance of the work forwhich this permit is issued. Policy No. ar ve 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 nce carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the p=perjuryat man f which is 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 agrea t, if I should becomcomp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �zf nature of Applicant Da'tg_J Ia12 Z CLARATION REGAN LENDING AGENCY ✓' Ireby affirm under pre is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 the property owner's eh I have read this application and the informationj.ve ovided is me I agree to comply with all applicable city and unity ordi ces a d to laws relating to building construction. I authorize representatives of this city or cou [ t e the abo e ' entified property for inspection purposes. ,L /� _ r p ` •S,a/2L nature of Prooertv Owner or Authorized Agent , �"_ Print PrODertv Owners or Authorized ADent's Nam \_��(/L CI-Un Date ACTION I DATE I BY \ N DECII&A ION arCOMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA , PERMIT EXTENDED qM D I POOLALARMS ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED 7PkePOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY All required alarms,latches gates & fences which serve barrier, shall be in place prior to approval to fill Pool/spa & shall remain in place & be maintai d for the 'i, po X PERMITFINAL 6M