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Home My WebLink AboutS2022-0040 - Permits$wt�, City of Newport Beach - Building Division 'S2022-0040" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 h v S e�trpaiN�> Job Address: 1220 BAY AVE W Floor: Suite: Bldg: 1 Description of Work:SFR NEW ROOF TOP POOL (PREFAB STAINLESS STEAL) 240 SF Inspector Area: 1 Plan Check No: 0312-2022 Code Edit: 2019 Legal Description: TR 626 LOT 8 BILK 3(AND SELY 30 FT LOT 7 BILK 3 Owner: SENIZERGUES PIERRE ANDRE Contractor: FLUID DYNAMICS POOL & SPA Architect: Address: 2912 LAFAYETTE AVE Address: 620 E WALNUT AVE, #B Address: NEWPORT BEACH, CA 92663 FULLERTON CA 92831 Phone Applicant: FLUID DYNAMICS POOLS Address: 620 E WALNUT #B FULLERTON, CA 92831 Phone: 949-408-8676 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $16,920.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $453.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: $1 PROCESSED BY: ZONING Phone: 714-213-8047 Phone: Con State Lie: 809954 Lie Expire: 12/31/2022 Bus Lie: BT30055899 Lie Exp Date: 07131/2022 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5049838 Expiration: 0811212022 FEES Record Management: $34.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 POOLPermit : S2022-0040 Project No : 0312-2022 Inspection Requests Phone (949)644-3255 State Lic: .. . Engineer: COX STEVEN . . Address: 1219 FLYNN RD STE 203 CAMARINO, CA 93012 Phone: 805-484-4115 State Lic:C-048940 ' Special Conditions: Issued Date: 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 PLAN CHECKED BY:: APPROVALTO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : 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 items) 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). 1219 FLYNN RD STE 203 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, 3usiness 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 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). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not Ipply to an owns- Df 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 exemp; -rom licensure under the Contractors' State License Law for the following reason: 3y mv'signature belcv 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 ;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 'rofecsions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3igra!6re 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 ivi ion 3 of the Business and Prof io e, and m is in full force Ind effect. LILenan Class License No Dat Contractor Signature NORKERS' COMPENSATION DECLARATION DARNING: 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 :UI,T OF COMPENa-.TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urc'er penalty of perjury one of the following declarations: I have and will ma-ntain 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< iertormance of the wori<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' lance carrier and policy number are: Policy Number Expiration Date of Agent Phone # I certify 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 d, if I should becom s bje a workers' C mp n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant �-v / Date CLARATION REGA 1 ONSTR T N LENDING A ENCY sreby affirm under pena y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil C de). Tder'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 o s and s I s re ing to building construction. I authorize representatives of this city or county t er bove-i ant' ed pro rty for inspection purposes. �% �/�q �� j mature of PfODertv Owner or Authorized Anent kz ' Print Prooertv Owner's or Authorized Anent's Nam2X 6,�7 ff � 2�/ ate / ACTIONt BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1403 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO W IC Serve as part of a pool / spa PERMIT CANCELLEEPA barrier, shall be in place PERMIT EXTENDEAQMD prior to approval to fill POOLALARMS ESTOS N TI ATION IS NOT LI LE TO pool/spa & shall remain in INSTALLED PRO PO D E j place & be maintained for SIGNATUR l� the Iifapf-tbe pool/spa PERMIT FINAL v /I- L. 7 )