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Home My WebLink AboutS2021-0166 - PermitsCity of Newport Beach - Building Division 111111III 11111p11111p11111111111p1111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 1 6 6 �., �.. Permit Counter Phone (949)644-3288 � e Job Address: 16 CAPE FRIO Floor: Suite: Bldg: 1 Description of Work:SFR POOL REPLASTER/RETILE 425 SF Inspector Area: 5 Legal Description Owner: MAROUF GHANIM Address: 16 CAPE FRIO NEWPORT BEACH, CA 92657 Phone: Applicant: SUNSET POOLS & SPAS Address: 1400 E KATELLA AVE STE 217 ORANGE, CA Phone: 714-538-9438 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $10,000.00 Building Permit Fee : $249.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $216.63 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: Plan Check No: 1592-2021 Code Edit: 2019 Contractor: SUNSET POOLS AND SPAS INC Address: 1400 E KATELLA AV #217 ORANGE CA 92869 Phone: 714-538-4393 Con State Lic: 473735 Lic Expire: 02/28/2023 Bus Lic: BT30074691 Lic Exp Date: 03/3112022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Architect Address: Phone POOLPermit: S2021-0166 Project No : 1592.2021 Inspection Requests Phone (949)644-3255 Engineer: THOMPSON MATTHEW Address: 12021 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 0812612021 Record Management: $6.00 Water Quality --- Building Dept Inspection Fee: Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee : $0.00 Others : Additional Fee : $0.00 PROCESSED BY: ZONING APPROVAL:�� Plan Check Fee : $216.63 PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXOIFES 1A0 IrA"S AFTER ISSUANCE OR LAST VALID INSPECTION State Lic: State Lic: C-086051 Fee Due at Permit Issuance 0- 7, $0.00 $0.00 $0.00 $0.00 $0.00 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 Iicensure 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 ❑ 1, 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, 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). ❑ 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). ❑ I am exempt from Iicensure 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 legall) 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f 'v'si 3 of the Business and Profess' o de, a s is in full force and effect. License Class License No Dat Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. :1I have 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' compensatioi nsura carrier and policy number are: V) r" r Policy Number Expiration Date e c Agent Phone # I e if t, in the perfo ance e o f hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens ion71a s of California, and agre should become su ject t e w r rs' mpensation pr ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of Applicant )ECLARATION REGA O CTION LENDING AGENCY hereby affirm under Pena ty 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 ceto each of the following: I am the property owner or authorized to act on the erty owner's behalf. I have read this application and the information I ve p ovided isp ct. I agree to comply with all applicable city and co my or4Rt nce a state s relating to building construction. I authorize representatives of this city or count to the b e-i Ified inspection purposes. paln, 3i nature of PropertOwner or Authorized Agen Print Property Owners or Authorized Agents Nam a Date ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EMENDED 13AQMD POOLALARMS ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION.