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Home My WebLink AboutS2022-0114 - PermitsCity of Newport Beach - Building Division 111111III 1�111p111111111111111�11p11111p11111111111POOLPern it : S2022-0114 �A 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 1 4 Project No : 1315-2022 Permit Counter Phone (949)644-3288 e' Inspection Requests Phone (949)644-3255 Job Address: 2412 WINDWARD LN Floor: Suite: Bldg: 1 Description of Work:SFR REMODEL (E) POOL & ADD 49 SF NEW SPA Inspector Area: 3 Plan Check No: 1315-2022 Code Edit: 2019 Legal Description: N TR 5178 LOT 12 Owner: WIDERAJOHN/LESLIE Address: 3016 JAVA RD COSTA MESA CA 92626 Phone: Applicant: WILLIAMS PAUL Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-423-0179 Building Rear: Setbacks: Front: Left: Right: Construction Type : VB Contractor: ALAN SMITH POOLS Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Con State Lic: 571196 Lic Expire: 0613012023 Bus Lic: BT00012422 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12545404 Expiration: 04/01 /2023 Architect: Address: Phone Engineer: THOMPSON MATTHEW Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 0512012022 State Lic: State Lic:C-086051 CD 0 1 1 0 FEES Construction Valuation: $50,500.00 Building Permit Fee : $834.00 Record Management: $12.00 Water Quality- -- Building Dept Inspection Fee: $0.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $3.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $o.00 Grading Consultant Fee : $0.00 Others : $0.00 Building Dep Plan Check: $725.58 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,574.58 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,674.58 PROCESSED BY: ZONING PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSLIANC-E OR L AST 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 is 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 permitsubjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1201 N TUSTIN AVE I, 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, Iusiness 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 lega11, 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.gov/calaw,html. 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 7 0) of Division 3 of the Business and Prof ss ode, license is in full force nd effect. License Class License No Da t 2 T7 Contractor Si natur t VORKERS' COMPENSATION DECLARATION '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: I 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 erfo p� nce of the work for which this permit is issued. Policy No. Xhave and will m5atain, 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' compensatio nsurance carrier a policy umber are4- , farrierExpiration Date Jame of Agent Phone# �I certify that, in the rformance of rk fo 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 hat, if I should become subj t to t work rs' cam ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. qq signature of Applicant -�1�_ - zo— ZZ- )ECLARATION REGAR NG C S I rION LENDING AGENCY hereby affirm under pe Ity of pe 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 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to an the o e ' e tified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ✓ W, Avr- a S-Z�"2Z ACTION DATE BY ECLARA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches 1403 9 fences whirh Serve PERMIT EXPIRED LJ 15UBMITTED ASBESTOS NO'IFICA11nN TO EPA --- Bitter - as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in PERMITCANCELLED PERMIT EXTENDED _ _ _ LJAQMD POOLALARMS EI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. place & be malntalne r 1 TURF: the hf 001 X � II v // PERMIT FINAL �_