HomeMy WebLinkAboutS2021-0176 - PermitsCity of Newport Beach - Building Division 111111III 11111p11111p11111111111p111111111111111111
r 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 1 7 6
Permit Counter Phone (949)644-3288
v k.,
Job Address: 303 DRIFTWOOD RD Floor:
Description of Work:SFR SPA 67 SF
Inspector Area: 5
Legal Description
Owner:
CARLTON
Address:
303 DRIFTWOOD RD
CORONA DEL MAR, CA 92625
Phone:
Applicant:
TOMISCHWARZ POOLS
Address:
PO BOX 28437
SANTA ANA CA 92704
Phone:
949-872-0450
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type : VS
Construction Valuation: $30,000.00
Building Permit Fee 7 $440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00 .
WQ Compliance Insp Fee:
$0.00
TOTAL FEE:
PROCESSED BY:
ZONING APPRO\�
Suite: Bldg:1
Plan Check No: 1718-2021
Code Edit: 2019
Contractor:
SCHWARZ POOLS
Address:
PO BOX 28437
SANTA ANA CA 92799
Phone:
714-241-7665
Con State Lic:
967325
Lic Expire:
09/30/2022
Bus Lic:
BT30038738
Lic Exp Date:
03/31/2022
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expiration:
FEES
Architect
Address:
POOL -Permit: S2021-0176
Project No : 1718-2021
Inspection Requests Phone (949)644-3255
Phone: State Lic
Engineer: BIEDENBACH CHRISTOPHER
Address: 1201 N TUSTIN
ANAHEIM CA 92807
Phone: 714-630-6100 State Lic:C-074003
Special Conditions
Issued Date: 07/28/2021
Record Management:
$6.00
Water Quality --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$152.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee : $0.00
PLAN CHECKED BY::
APPRG JP '-TO ISSUI
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Due at Permit Issuance : $996.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that[ 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)
(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 far
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). 1201 N TUSTIN ❑
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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
im roved 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
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 Iegall�
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.gcv/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of 1's1'go of the Business and Pr fe io s n y license is in full force
and effect. License Class License No Date 1/ .Z) Contractor Signature
WORKERS' COMPENSATION DECLARATION
JJARNING: 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 THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 the
performance of the work for which this permit is issued. Policy No.
QI have and willRmotain workers' c5pWnsation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
nsurance carriernd p licy number a e
Oarrier olidy Niitll Expiration Date
game of Agent Phone #
❑1 certify that, in the performance of a rk 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 C lifornia, and agree
hat, if I should become su 'act t compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. y
Signature of Applicant �' 7 , v z /
3ECLARATION REGA DING ONST UCTIOSI LENDING AGENCY l
hereby affirm under nalty of 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 cor ct.
agree to comply with all applicable city and county ordinan ate laws relating to building construction. /
I authorize representatives of this city or coun ter a ified property for inspection purposes. /V �P yC(/% v� 7 2,
signature of Property Owner or Authorized Agent ""— Print PropertyOwner's or Authorized Agent's Nam O at
ACTION DATE BY DEC' 413krrZ5N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
I SUBMITTED ASBESTOS NOTIFICATION TO
POOL ALARMS 2 I ASBESTOS NOTIFICATION IS NOT APFLICABI E TO
INSTALLED l Jl� PROPOSED DEMOLITION. —�
n SIGNATURE:
gates & fences which serve
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain in
place & be maintained for
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