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Home My WebLink AboutS2021-0042 - PermitsCity of Newport Beach - Building Division c7� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2312 LA LINDA PL Floor: Suite: Bldg: 1 Description of Work:SFR POOLISPA 524181 SF WIYARD DRAINAGE Inspector Area: 3 Legal Description: N TR 5615 LOT 17 Owner: ADAM MARY Address: 2312 LA LINDA PL NEWPORT BEACH, CA 92660 Phone: Applicant: SCOTTIPETERSON POOLS Address: 31715 CORTE ROSARIO TEMECULA CA 92592 Phone: 951-265-4175 Building Rear: Setbacks: Front: Lek: Right: Construction Tvoe : VB Construction Valuation: $65,000.00 Building Permit Fee: $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 II TOTAL FEE: PROCESSED BY: ZONING APPROVAL:_ Plan Check No: 0334-2021 Code Edit: 2019 Contractor: PETERSON POOLS Address: 31715 CORTE ROSARIO TEMECULA CA 92592 Phone: 951/255-4175 Con State Lic: 842241 Lic Expire: 07/31/2022 Bus Lic: BT30073625 Lic Exp Date: 1113012021 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expiration: Record Management: Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $12.00 $232.00 $195.00 $0.00 $0.00 Plan Check Fee: Architect: Address: POOLPermit: S2021-0042 Project No : 0334-2021 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions COSTA MESA SANITATION Issued Date: 0311212021 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 Fee Due at Permit Issuance: $717.00 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(3) 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 )rofessions 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 lot more than five hundred dollars ($500). 1201 N TUSTIN ❑ , as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business Ind 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 mprovements 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). 7 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 Ipply 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: 3y 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 legalll ,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:hftp://w .leginfo.ca.gov/calaw.htmi. >ignature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Cmmencing with Section 700 f Division 3 of the Business and Professions Co my license is in full force Intl effect. License Class G —S'> License No %1. 1 Dat 3 'L% Contractor Signature 4:; VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SE^.!IRE 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: J I have and will mgimain 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 the edormence of the work for which this permit is issued. Policy No. have and will maintsin 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' mnce carrier and policy number are: srner Policy Number Expiration Date ame Jlf Agent Phone # Trtify that, in the performance of the work for 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 �f I should becomee �ubje o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. adld,e of Applicant Dated .;! 1A ATION R-E1,aROI1bRIi5E0NSTRUCTION LENDING AGENCY :reby affirm under peualt 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). 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 behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance d-etateya relating to building construction. authorize representatives of this city or county Rk� above -identified or for inspection purposes. ' /� nature of Prooertv Owner or Authorized Print Prooertv Owner's or Authorized ADent's Name / "CV Date _ _ZA5k1Z ACTION DATE Br DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool I spa PERMITCANCELLED UEPA barrier, shall be in place prior to approval to fill poollspa & shall remain in PERMIT EXTENDED QMD POOLALARMS UAS13ESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. place & be eIn IJ2SIGNATURE: th0 llf X f PERMIT FINAL ' /