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Home My WebLink AboutS2011-0091 - PermitsCity of Newport Beach Building Division Pool Permit No: S2011-0091 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 6 SCENIC BLUFF Floor: Suite: Bldg: 1 Description of Work:REMODEL SWIMMING POOL/SPA TO ADD WATER FEATURE & (2) KOI Inspector Area: 6 Plan Check No: 1766-2011 Code Edit: 2010 Legal Description: N TER 15818 LOT 13 '�hl Owner: SANTORO CHRIS Contractor: TITAN POOLS INC Architect: Address: 6 SCENIC BLUFF Address: 5765 SANTA ANA CANYON RD Address: NEWPORT COAST, CA 92657 - ANAHEIM CA 92708 Phone: Phone: 714-458-7177 Phone: State Lic: Applicant: TITAN POOLS Con State Lic: 784874 Engineer: NADASDI KRISTOF Address: 5765 SANTA ANA CYN RD Lic Expire: 09/30/2012 Address: 1201 N TUSTIN _ ANAHEIM CA 92807 Bus Lic: ANAHEIM CA 92807 , Phone: 714.458-7177 Lic Exp Date: Phone: 714-630-6100 State Lic:C-064525 , Building Rear: Worker's Compensation Insurance Special Conditions: , Setbacks: Front: Carrier: STATE COMP Left: Policy No: 618-0000553 Right: Expiration: 03101/2012 Issued Date: 09/08/2011 Construction Type FEES Construction Valuation: $38,000.00 Building Permit Fee: $560.59 Record Management: $7.00 Water Quality --- $0.00 Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $22.80 Investigation Fee: $0.00 Grading Permit Fee : $0,00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $2.00 Grading Plan Check: $0.00 Building Dept WQ Plan Check: Plan Dept Plan Check: $60.50 Grading Consultant Fee : $0.00 Others $0.00 Building Dep Plan Check: $403.62 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee : $0.00 Green Funds: $2.00 WQ Compliance Insp Fee: $34.20 TOTALFEE: PROCESSED BY: ZONING APPRO\ Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 ie 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 7 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 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) f Division 3 of the Business and Professi s de, y lice a is in full forece n,l i1fect. '.^. ,fV�ZL icense Class License No Date Contractor Signature X. IIORKERS' COVPENSATION DECLARATION '1PP'R'C' 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 (E100,000), IN ADDITION TO THE DST OF COMPENSAI ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ui.der penalty of perjury one of the following declarations: 7 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 th, P. *fence of the work for which this permit is issued. Policy No. A 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' compensatio u ce carrier and policy number are: arner Policy Number Expiration Date ame of Agent ____ Phone # ]I certify that, Ir th �erforman o the work for which this p rmlt is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio la7,;;`f California, and agre fat, if I should become subjet tote rker satin roJisions of Section 3700 of the Labor Code, I shall forthwith com with those rovisions. ignature of Applicant I P Y P Date l a,/ 11 ECLARATION REGARDING CONSTRUCTION L#NDING AGENCY 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 y 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 ordi nce and a ws r Sting to building construction. I authorize representatives of this city or county tp ejlter��,eve= entif d p r inspection purposes. �� Y 'T LLar Ll J ,/f(j ignature of Property Owner or Authorized Agent �ri /R Print Property Owner's or Authorized Agent's Name c L /—, �fyyl j r r `V Date ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. Paet f}C/1l�'%%t6 /dlll'}-a-1�/. yy1Us� l6 PERMITEXMRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: - YYLfit+.r f-Mu - A"� At * Z— ✓/r L4✓.St.e. PERMIT CANCELLED ❑ EPA ❑ AQMD y2S PERMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMR'FINAL "' CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: