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Home My WebLink AboutS2022-0094 - PermitsCity of Newport Beach - Building Division *S2022-0094* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 -za to IR,fi�s-'r9 �"rs ":R'9 Job Address: 12 TASMAN SEA Floor: Suite: Bldg: 1 Description of Work:SFR POOLISPA 465 SF WIYARD DRAINAGE Inspector Area: 5 Plan Check No: 1057-2022 Code Edit: 2019 Legal Description: N TR 15857 LOT 6 Owner: MONTGOMERY RANDALLIJULIE Address: 12 TASMAN SEA NEWPORT COAST CA 92657 Phone: Applicant: SARAH/FLUID DYNAMICS Address: 620 E WALNUT #B FULLERTON CA 92831 Phone: 949-408-8676 Building Rear: 0 Setbacks: Front: 7120 Left: 3 Right: 3 wn Ju uclmu Iyp1 vD Construction Valuation: $65,000.00 Contractor: FLUID DYNAMICS POOL & SPA Address: 620 E WALNUT AVE, #B FULLERTON CA 92831 Phone: 714-213-8047 Con State Lic: 809954 Lic Expire: 12131/2022 Bus Lic: BT30055899 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5049838 Expiration: 08/12/2022 FEES POOL.Permit : S2022-0094 Project No : 1057-2022 Inspection Requests Phone (949)644-3255 Architect: Address: - o Phone: State Lic: , Engineer: PETERSON DAVID Address: 140 LOMAS SANTA FE DR 9202 SOLANA BEACH CA 92075 Phone: 858-720-1001 State Lic:C-058167 Special Conditions: LANDSLIDE AREA Issued Date: 05/13/2022 Building Permit Fee: $440.00 Record Management: $14.00 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: $3.00 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 Delp 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 : $1,289.00 PROCESSED BY: 3 75 ZONING APPROVAL: `'n r 1AJ Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : G 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 .he 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 Drofessions Code,` rr-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 Tot more than five hundred dollars ($500). 14C LOMAS SANTA FE DR#202 ❑ - 1, 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, ^rovided 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-Builderwill have the burden of proving that it ,vas I,c; built or improved for the purpose of sale). C ss 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 Jces 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). ❑ ' am exompt 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 "esVed for at leas: 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 �icenseu contractors. '-mderstand 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.levinfo.,:a.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 7000) of ivis n 3 of the Business and Professions Cod �m lic a Is In I force and effect. License Class License No Date S Contractor Signature �� /ARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 elfo mance of the work for which this permit is issued. Policy No. 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' compensatiol 1s rance carrier and policy number are: ie of Agent certify that, in the p if I should become Policy Number Date 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 agre npensaI provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dated Z, )ECLARATION REGAR ONSTRUCTION LENDING AGENCY / 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, 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 behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county orpirm1fas ands s relating to building construction. I authorize representatives of this city or county to Ent b," ntifie pr arty for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date S ACTION DATE BY RATION OF COMPLI NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches 1403 PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO a$ part of a pool / spa PERMIT CANCELLED EIEPA barrier, shall be in place PERMIT EXTENDED ❑AQMD prior toap v POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO p001/S 8 remain INSTALLED / PROPOSED DEMOLITION. plr e & „ Ilia ®! PERMIT FINAL