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Home My WebLink AboutS2022-0031 - Permits4�w�rrr4:: City of Newport Beach - Building Division *S2022-0031* r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �.s r s a VYV14H1 Job Address: 1591 ORCHARD DR Floor: Suite: Bldg:1 Description of Work:SFR NEW POOL & SPA W/ DRAINAGE 405 SF Inspector Area: 3 Plan Check No: 0254-2022 Code Edit: 2019 Legal Description Owner: FUSSWINKEL STEVEN Address: 1591 ORCHARD OR NEWPORT BEACH, CA 92660 Phone: 516-884-0228 Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $38,000.00 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 : PROCESSED BY: ZONING Contractor: PREMIER POOLS ORANGE CTY Address: 22 SAN RAPHAEL DANA POINT CA 92629 Phone: 626-422-5426 Con State Lic: 798298 Lic Expire: 03/31/2022 Bus Lic: BT30071442 Lic Exp Date: 03/31/2022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9158204 Expiration: 05/03/2022 FEES Record Management: $8.00 Drainage Permit Fee : $237.00 Drainage Plan Check: $199.00 Grading Consultant Fee : $aoo Additional Fee : $0.00 Architect: Address: POOLPermit : S2022-0031 Project No : 0254-2022 Inspection Requests Phone (949)644-3255 r, - 5+ - Phone: State Lic: - Engineer: LENEHAN KYLE A Address: 1024 IRON POINT ST 100-1486 ° o ` FOLSOM CA 95630 Phone: 916-287-1445 State Lic:C-082227 Special Conditions: - - Issued Date: 02101/2022 Water Quality Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 Plan Check Fee : $0.00 Fee A\Due lat Permit Issuance : $1,282.00 PLAN CHECKED BY:: [— " � APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE 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 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). 1024 IRON POINT ST 100-1486 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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). I, 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 epply 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). I 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by `icEisec contracto,s. 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.leg:n�r..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 provisiRns7of Cha�[pr54C mencing with Sectio 7 0Q) D' ision 3 of the Business and Professions Code, and my license is in full force and effect. License Class License NO � iCly 0 Dat L (Ly Contractor Cie„Lture iVC,RKF.RS' COMP`_'NSATION DECLARATION tiARNMG: FAILURE TO SEC' 'RE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE .'O4" or rOMPEN5ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. nere')" affirm underpe.lalty of perjury one of the following declarations: ave 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 thi )Is or ante of the work for which this permit is issued. Policy No. leave 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 artier and policy number are: Policy Number Expiration Date Vof Agent Phone # I certify that, in the Isbject anc t w for . h 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, hat, if I should becomth o rS' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. k ////,,3ignature of Applicant Date3/r ADECLARATION REGCTI N LENDING AGENCY hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behVtifiope lf I have read this application and the information I have vi d h corr ,� // /2 I agree to comply with all applicable city and county dine n tto building construction. `/7/ (/ I authorize representatives of this city or county o ter t abo -i r inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ` V "" Date ACTION DATE BY ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms latches PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO - asar part h ll pool I spa ` barrier, shall he in place prior to approval to fill pool/spa & shall remain in place & maintaine th 000 C-�.23 PERMITCANCELLED EPA PERMIT EXTENDED AQMD POOLALARMS INSTALLED ' BESTO N I N IS NOTAPPLICABLE TO PROPOSED D I IGN URE: