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Home My WebLink AboutS2021-0045 - PermitsCity of Newport Beach - Building Division 111111III 11111p11111p11111111111p111p1111111111111 POOLPermit : S2021-0045 0 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 0 4 5 Project No : 0347-2021 ! Permit Counter Phone (949)644-3268 n, Inspection Requests Phone (949)644-3255 ook INSPECTOR .lob Address: 18 CRUISERS BLUFF Floor: Suite: Bldg:1 Description of Work:REPLASTER POOL & SPA Inspector Area: 5 Plan Check No: 0347-2021 Code Edit: 2019 Legal Description: . . Owner: ANDERSON PETER & CHASE Contractor: SMITH ALAN POOL PLASTERING Architect: Address: 18 CRUISERS BLUFF Address: 227 W CARLETON AVE Address: , NEWPORT BEACH CA 92657 ORANGE CA 92867 - Phone: 949-554-8711 Phone: 714-628-9494 Phone: State Lic: Applicant: SMITH ALAN POOL PLASTERING Con State Lic: 571196 Engineer: .. _ . Address: 227 W CARLETON AVE Lic Expire: 06/3012021 Address: ORANGE CA 92867 Bus Lic: BT00012422 Phone: 714-628-9494 Lic Exp Date: 0813112021 Phone: State Lic: Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $30,000.00 Building Permit Fee : $559.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: 0.00 Building PC Invest igat $0.00 Plan check Ext. Fe . $0.00 WQ Compliance 11 sp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO� Worker's Compensation Insurance Special Conditions Carder: ARCH INS. CO. , , Policy No: ZAWC12545401 Expiration: 04/01/2021 Issued Date: 02/1612021 ' FEES Record Management: $2.00 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 : $0.00 Others $0.00 Additional Fee: $127.50 $0.00 Plan Check Fee : $0.00 / \ Fee Due at Permit Issuance : $690.50 PLAN CHECKED BY::. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID OWNER -BUILDER 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(:) 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 permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 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, Business nd 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 licensors under the Contractors' State License Law for the following reason: iy my signature b=lo,v 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 '-ofessic ns Code, is available upon request when this application is submitted or at the following Web site:http:ttw .leginfo.ca.gov/calaw.html. I-gnamre of Property Owner or Authorized Agent Date ,ICENSED CONTRACTOR'S DECLARATION �lerehv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Diviln 3 of the Business and Pr s ' f , a a is in full force nd effect. License Claas �--� 3 License No S 7"/ 9C D �--( _z( Contractor Signature CORKERS' COMPENSATION DECLARATION IARNING: FAILURE TU aer.URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO OR INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 'AST OF COMPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYSFEES. hereby affirm under penalty of perjury one of the following declarations: Cdgavave and WE; mair,tain 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 the C,, rrrnce of the :vork for which this permit is issued. Policy No. I h� 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' compensatior Isur ce c rier and po(;cy number are: .arner �'� Policy Number "�9L 6�C "Z;Z 4 _ oZ Expiration Date of Agent -FGn 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 agree if I should become subjecttttg/h�%vy�rker mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 1 Iature of Applicant Z!//�Dat%<�) hereby affirm under realty 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 correct. . I agree to comply with all applicable city and county ordinances an at aws relating to building construction. I authorize representatives of this city or county to e t 0 a ified property for inspection purposes. signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO s All required es aril serve gates &fences which serve as part of a pool / spa barrier, shall be in place prior to approval t0 fill pool/spa $ shall remain In PERMIT CANCELLED EPA PERMIT EXTENDED UAQMD POOLALARMS INSTALLED R ZL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL '1