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Home My WebLink AboutS2019-0140 - PermitsCity of Newport Beach - Building Division Civic Center Drive, Newport Beach, CA 92660 r~• �* , , n ermit Counter Phone (949)644-3288 S ewt+snu�`i" Job Address: 1220 BAY AVE W Floor: Suite: Bldg: 1 Description of Work:SFR NEW SPA & SEATING AREA 286 SF Inspector Area: 1 Legal Description: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BLK 3 Plan Check No: 1847-2019 Code Edit: 2016 POOL.Permit : S2019-0140 Project No : 1847-2019 Inspection Requests Phone (949)644-3255 Owner: SABO ELIAS Contractor: FLUID DYNAMICS POOL & SPA Architect: - Address: 1220 W BAY AVE Address: 620 E WALNUT AVE, #B Address: NEWPORT BEACH, CA 92661 FULLERTON CA 92831 Phone: 714-319-2917 Phone: 714-213-8047 Phone: State Lic: Applicant: SARAH/FLUID DYNAMICS Con State Lic: 809954 Engineer: COX STEVEN ' Address: 620 E WALNUT #B Lic Expire: 12131/2020 Address: 1219 FLYNN RD STE 203 FULLERTON, CA 92831 Bus Lic: BT30055899 CAMARINO, CA 93012 Phone: 714-213-BO47 Lic Exp Date: 07131I2020 Phone: 805-484-4115 State Lic:C-048940 . Building Rear: Worker's Compensation Insurance Special Conditions: Setbacks: Front: Left: Carrier: Policy No: INS CO OF THE WEST WSD5049838 LIQUEFACTION Nl^, , tr+,ONSTRUE�"IL.NO�', Right: Expiration: OB/12/2020 Issued Date: 11113E2015 Construction Valuation: $22,208.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp FSP, —$Eyo TOTAL FEV: $1 PROCESSED BY: ZONING APPRO% FEES ON THE WEEKEND Record Management: $14.00 Water Quality --- $0.00 Building Dept Inspection Fee: Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $236.00 Others $0.00 Additional Fee : $294.00 $0.00 Plan Check Fee : PLAN CHECKED APPROVAL TO I: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee'Que at Permit Issuance : $964.00 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 a4' "Ne 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 we applicant for the 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 Professions 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 not 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, 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, provided 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 -Builder will have the burden of proving that it was not built or i�m-yproved for the purpose of sale). LJ 1, as owner of the property, am exclusivelylcontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does 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). ❑ 1 am exempt 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell 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 Professions 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 Prop3rty Owner or Authorized Agent Date LICENSED CbNTRA.CTOR'S DECLARATION I h=,eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivisi n 3 of the Business and Pro s , and licens ull force and effect. Licta,se Class License No Date // Contractor Signature Q-- I'40RK5RS' COAAPENSATION DECLARATION NARNING: 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 CCST 0. COMPENCl T'CN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herc:y affirm under penalty of perjury one of the following declarations: I na,,e 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 thi ,;., .lance 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' carrier anu'pidicy number are: Policy Number roe rof Agent` Date A 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 iat, if I should become subje the workeys( compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Cn%�S/�/(—�z I Date IECLARATION REG�RD CONSTRUCTIO E ENCY hereby affirm under penal 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 Code). Ender's Name Lender's Address ly 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 ordi ces and state laws relating to building construction. I authorize representatives of this city or coun to ente t a id tified property for inspection purposes. BLOT., ignature of ProDertv Owner or Authorized Aaent i . / .� Print Prooertv Owner's or Authorized Anent's Name ACTION DATE BY I DECLARATION POF AR CMPLIA OFF TNTCE WITH LE 40 AND DE OF EDLERAL FOR OFFICE USE ONLY PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO nn ro4wlau dIdr1I s,IdRUne5 gates & fences which serve as part of a pool J spa barrier, shall be in place prior to approval to fill pool/spa & shall remain In place & be maintained for PERMIT CANCELLED EPA PERMITEXTENDED OAQMD POOLALARMS INSTALLED DASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: