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Home My WebLink AboutS2022-0039 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II POOLPermit : S2022-0039 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 3 9 Project No : 0302-2022 Permit Counter Phone (949)644-3288 r•"i n+'`' Inspection Requests Phone (949)644-3255 Job Address: 2001 SEADRIFTDR Floor: Suite: Bldg:1 Description of Work:SFR POOL & SPA 355 SF W/ YARD DRAINAGE Inspector Area: 2 Plan Check No: 0302-2022 Code Edit: 2019 Legal Description: N TR 2813 LOT 17 Owner: MAYA Contractor: SWAN POOLS OF SOUTHERN CA Architect: Address: 2001 SEADRIFT DR Address: 24512 BRIDGER ROAD Address: CORONA DEL MAR, CA 92625 LAKE FOREST CA 92630 Phone: Phone: 949-859-8466 Phone: State Lic: Applicant: ELLISON PAUL Con State Lic: 440333 Engineer: THOMPSON MATTHEW Address: 24642 VIA RAZA Lic Expire: 03/31/2022 Address: 12021 N TUSTIN AVE LAKE FOREST CA 92630 Bus Lic: BT96008994 ANAHEIM CA 92807 Phone: 949-683-9861 Lic Exp Date: 07/31/2022 Phone: 714-630-6100 State Lic:C-086051 Building Rear: Worker's Compensation Insurance Special Conditions:�,�,�.,,� Setbacks: Front: Carrier: STATE FUND,_ d.� d D Left: Policy No: 9228545 Right: Expiration: 04/01/2022 Issued Date: 02/04/2022 .onsuucnon Construction Valuation: $40,000.00 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 : $1,430.00 FEES Record Management: $4.00 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: $0.00 Fee Due at Permit Issuance : $1,4 PROCESSED BY: - - ZONING APPROVAL: M PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXP7AES 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 ie 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 'rofessions 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 at more than five hundred dollars ($500). 12021 N TUSTIN AVE 1 I, 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, lusiness 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 nprovements 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 nproved 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 pply 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 Iicensure under the Contractors' State License Law for the following reason: Iy 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.htmi. signature of Property Owner or Authorized Agent Date ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di I 3 f the Business and Prof si de, rise is in full force nd effect. License Class License No Date Contractor Signat WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 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 the performance of the work for which this permit is issued. My workers' compensa carrier and policy number are: Policy Number ie of Agent Date certify that, in the galtyof of th ork r w ' 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 agre t, if I should becombilehe,wor ' co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date �� CLARATION REGANSTRUCTION LENDING AGENCY �reby affirm under pjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on t roperty owner' half. have read this application and the informatio ha Ide c ect. I agree to comply with all applicable city an goun ordina s d state I relating to building construction. I/ // I authorize representatives of this city or c- nt enter t ova III ed property for inspection purposes./Y/ ACTION DATE it4 J7 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED L-I I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED EIEPA PERMITEXTENDED ❑AQMD POOLALARMS INSTALLED / 1 EIASBESTOSNOTIFCATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: