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Home My WebLink AboutS2021-0038 - Permitsswe City of Newport Beach - Building Division I111111III IIIIIpIII IIpI1111111111p111p1p1111111111 0 :,� G� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 0 3 8 Permit Counter Phone (949)644-3288 U t Sr r.+carntiK�` Job Address: 1419 DOLPHIN TER Floor: Description of Work:SFR POOL & SPA 596 SF Inspector Area: 2 Legal Description: N TR 2334 LOT 10 Owner: HEUSER GEORGE Address: 1419 DOLPHIN TER CORONA DEL MAR, CA 92625 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $55,000.00 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 TOTALFEE: $1 PROCESSED BY: ZONING APPROu Suite: Bldg:1 Plan Check No: 0286-2021 Code Edit: 2019 Contractor: PACIFIC PARADISE POOLS Address: 3007 S HARBOR BLVD SANTA ANA CA 92704 Phone: 714-437-7665 Con State Lic: 522119 Lic Expire: 08/3112022 Bus Lic: BT30046344 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9123412 Expiration: 02101/2022 FEES Architect Address: Phone POOLPermit : S2021-0038 Project No : 0286-2021 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 04/21/2021 State Lic: State Lic: C-067656 SPE`5�f0?R Record Management: $4.00 Water Quality --- Building Dept Inspection Fee: $0.00 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 : $840.00 Others $0.00 Additional Fee: $0.00 $0.00 Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUI Fee Due at Permit Issuance 117z- f-v% +- ICI PEFR'IT 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) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ection 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 permit subjects 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 l_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). I 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 legal 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 a 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 Chap er 9 (commencing with Section 7000) of vis'6n 3 of the Business and Professions C e, Icense is in full force nd effect. License Class License No -.7 7 Dat 7- Contractor SignaturEl 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 I$100,0001, IN ADDITION TO TH' DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COUP, INTEREST, AND ATTORNEYS 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 tl e ormance of the work for which this permit is issued. Policy No. ave 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' compensatic Isu nce carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work for ch ' pe�,Jsuedj.%�all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if 1 should become subject to the workers'10 ec' n 3700 of the Labor Code, I shall forthwith comply with those provisions. - 31gnature of Applicant X Dat� Zl )ECLARATION REGA I G CONSTRU TION LENDING AG hereby affirm under penalty 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 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 corre I agree to comply with all applicable city and county ordinance n ate ws relating to building construction. I authorize representatives of this city or county enter the -i I property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED L_I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EpA PERMIT EXTENDED OMD INSTALLED UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION.