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Home My WebLink AboutS2021-0044 - Permits�xwt•„ � City of Newport Beach - Building Division 11111111111111p11111p1111111111111111p1111111111111 o'L ;'eft ,.dam 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 e 4 4 Permit Counter Phone (949)644-3288 C ,lob Address: 315 DRIFTWOOD RD Floor: Description of Work:NEW SPA 75 SF Inspector Area: 5 Legal Description: N TR 1116 LOT 33 Owner: FORTH Address: 316 DRIFTWOOD RD CORONA DEL MAR, CA 92625 Phone: Applicant: SCHWARZ POOLS/TOM Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 949-872.0450 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $30,000.00 Building Permit Fee: $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: 0 WQ Compliance Insp F $0.0 TOTAL FEV: PROCESSED BY: ZONING APPRO% Suite: Bldg:1 Plan Check No: 0340-2021 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: 03/31/2021 Workers Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expiration: FEES Architect: Address: POOLPermit : S2021-0044 Project No : 0340-2021 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: THOMPSON MATTHEW Address: 12021 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-086051 Special Conditions: EXTG DRAIDAGE Issued Date: 02/12/2021 Record Management: $8.00 Water Quality --- Building Dept Inspection Fee: $278.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $120.00 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 : PLAN CHECK BY, APPROVALT ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID Fee Due at Permit Issuance : a¢¢aa. ¢ a aea + o s > as a aa.¢a +aaaa as»aa a a r,++a 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) (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 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). 12021 N TUSTIN AVE ❑ I, 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 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 improved for the purpose of sale). ❑ 1, 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 1 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 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, !c available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/caiaw.html. Signature of Property Owner or Authorized Agent Daj I IC5NSED CONTRACTOR'S DECLARATION I hereby affirm J.Ider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! 00 o Divis' n 3 of the Business and Pr e , a d my license is in full force and affect. License Class License No Da /j I Contractor Signature �`-�A"^'�— VVORKERS' COMFENSATION DECLARATION :lARN,NG: 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 ($100,0001, IN ADDITION TO THE CUST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herehy of irnT under penalty of perjury one of the following declarations: ❑ 1 i,ave and wig 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 T^.r"crmance of the wr:<for which this permit is issued. Policy No. have and WE ,naintain 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' rai,Le carrier -and Dulicy number are: Policy Number Agent Date I ce ify that, in the performance wo or 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 VI should become subjec a wor rs' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGA ING STRUC ION LENDING AGENCY =.reby affirm under pe alty of "r4ST th there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property own s behalf. I have read this application and the information I have providegrilf correct. I agree to comply with all applicable city and county or and state laws relating to building construction. I authorize representatives of this city or county ove-identified property for inspection purposes. I.J Signature of Property Owner or Authorized At Print Property Owner's or Authorized Agent's Name / �JDate ACTION DATE BY I ATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED LIAQMD POOLALARMS INSTALLED �l7it'il �'t- ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: