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Home My WebLink AboutS2022-0117 - Permits��wro City of Newport Beach - Building Division *S2022-0117* 0 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-32B8 x�ty INS rlruo Jab Address: 17 BOARDWALK Floor: Suite: Bldg: 1 Description of Work:SFR DEMO (E) POOL "CITY STANDARD METHOD B" & CONSTRUCT (N) 710 SF POOL W/ 81 SF SPA. Inspector Area: 4 Legal Description: N TR 15478 LOT 13 Owner: SACKS TERRI Address: 17 BOARDWALK NEWPORT BEACH, CA 92660 Phone: 951-963-4659 Applicant: ORTIZ AUSTIN Address: 5069 ARROYO LINDO AVE SAN DIEGO, CA 92660 Phone: 949-795-4884 Building Rear: 5 Setbacks: Front: 15 Left: 5 Right: 5 Construction Type : Construction Valuation: $92,622.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Delp Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 II TOTAL FEE : $1,302.00 PROCESSED BY: T � ZONING APPROVAL: f DR Nate: Jot Phone: 949-981-2722 a Con State Li . 162378 Lic Expire 11/30/2023 - Bus Lic. -, )}T30071421 .. Lic Exp Date: tt /31/223 POOLPermit : S2022-0117 Project No : 1352-2022 Inspection Requests Phone (949)644-3255 Plan Check No: 1352-2022 Code Edit: 2019 :,.,,a,,...R=�- --"-- __.--..-:•..... - >:- Worker's Compensittcn-ltl'surance ¢; Carrier: ACCREDITED SURETY Policy Nc 07222021 -, Expirations 0712212022 FEES Sca ni plan ecord Manag�eJytrk started 00 VFee Drainage Permit : $237.00 Drai age Plan Check: $199.00 ® Consul Additional Fee : $0.00 Architect: r, Address: 1t a;,piicable. . We, o 80% or ❑ 1009&6Qk!J Engineer: BIEDENBACH CHRISTOPHER Address: tOAAAWAAMDTI92807 Phone: 714-630-6100 State Lic:C-i Special Conditions: Issued Date: 06/02/2022 Lj u1scard plan Water Quality -(no Work Started) Building Dept Inspection Fee: Water Quality Dept Insp Fee: Plan Check Fee : $595X0 PLAN CHECKED BY: APPROVALTO Insp. initials: Fee Due at Permit Issuance : $707.00 5EC PERMIT EXPIRES 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) indicat d 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, demoli h, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License La (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). 12 1 INTUSTIN I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the wor., 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 rror mended 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 iimu oroved for the ppcsa of s 0 I, as owner of the pionerty, am exclu vely contracting with licensed C tractors to construct the project (Section 7044, B iness and Professions Code: The Contractors State License Law does not nd apppIv to an owner of p.cperty who builds r imp as thereon, ao a -is r PrCTFVith a licensed Contractor PL r ant to t fi e C r tors' State License Law). � I am exempt frori I Iicensure under the Cent this' State-LaseR IHg y my signature be:cn ' acknowledge th e" a structure that I h3„e built as an ow , except for my personal Be idence in which must have resided for at least one yea reo,rpto completion of the improveme is covered by this permit, cannot legal[, r-bui if. it ha not been constructed in its entirety by licensed contractors. unde to 00%cey f t e� I ,Lagaon 7044 of the Business and 'rofessiuns Code, is available upon requ st w n is plication is submitted or at the following Web site: httpJ/www. leginfo. a.gov/calaw.html. lyoa,urd of Property Droner or Authorize I Age Date 13EtiCED CONTRACTOR'S DECL L a:Eby 3'firm under penalty of perjury th RA 0 whom: - t I a nder provisions of Chapter 9 (co enci With Section 7 or Division 3 of the Business and Profe,�sjons de and my license is in full force nd effect License Class License No Date) l-L7, Contractor Signature .% 4 /CF! RS' COMPENSATION DEC ARAfikOW-- '= ------ " t. 'AR'V'L`, FAILURE TO SE^UPE WORKERS' COM NSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOE RS ($100,000), IN ADDITION TO THE PC DST OF COMPENSAT'J.l, DA.AAGES AS PROVID 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 f consent to self -insure for workers' compensation, issued by the Director of Ir Justrial Relations as provided for by Section 300 of the Labor Code, for IN eerformance of the work for which this pei iit is issued. Policy No. GLvhave and will maintain workers' com Isurance carrier and policy number are: nsa as required by Sectio 3700 of the Labor C th mance of the work or whic�this permit is as d. My workers' compensatioi il11 �q1 /G�( 1V11 1�^'�' 1�/1_,I�a�7 n S '.arrier i ulklaon 0 1 1 t..11 1 a�iO to lame of Agent 31 certify that, in the performance of the ark for which this Vivo is issued, I shall of employ any person in any manner so s to become subject to the workers' compensate n laws of California, and agre tat, if I should become subject to the wor gens�tion provisions of Section 3700 of the Labor Code, I shall forthwith c mply with those provisions. Signature of Applicant `' �G DECLARATION REGARDING CONSTRU TION LENDING CY I hereby affirm under penalty of perjury th there is a construction lending agency for the performance of the work for which tIr s ermiJ leh0fi8i&b97 CivilCDdeL Lender's Name I Lender's Address By my signature below, I certify to each of 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 en the b ve-identi d property for inspection purposes. � jC Si nature of Property Owner or Authorized Agent Print Property Owner's or Auth ized Agent's Name 'K ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U E ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED OM D POOLALARMS _ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED 5 GNATUREDEMgLITI AI