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Home My WebLink AboutS2021-0092 - PermitsCity of Newport Beach -Building Division 111111111111111111111111111111111111111111111111111111 0� G 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 0 9 2 �. Permit Counter Phone (949)644-3288 ci $ c'rciyritiNia Job Address: 626 SEAWARD RD Floor: Suite: Bldg: 1 Description of Work:SFR - POOL REPLASTER Inspector Area: 5 Plan Check No: 0773-2021 Code Edit: 2019 Legal Description: TRACT NO 1237 LOT 164 AND TRACT NO 14795 LOT 18 Owner: UEBERROTH JOSEPH J Contractor: SMITH ALAN POOL PLASTERING Address: 626 SEAWARD RD Address: 227 W CARLETON AVE CORONA DEL MAR, CA 92625 ORANGE CA 92867 Phone: 949/903-9146 Phone: 714-628-9494 Applicant: SMITH ALAN POOL PLASTERING Con State Lie: 571196 Address: 227 W CARLETON AVE Lie Expire: 06/3012021 ORANGE CA 92867 Bus Lie: BT00012422 Phone: 714-628-9494 Lie Exp Date: 08/3112021 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $50,000.00 Building Permit Fee : $799.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $695.13 Building PC Investigation : ,som Plan check Ext. Fee : $0.00 WQ Compliance Insp Fep: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO\, Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWC12645402 Expiration: 04/01/2022 Record Management: Drainage Permit Fee Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $2.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : Architect: Address: Phone: Engineer: Address: Phone: Special Conditions: Issued Date: Water Quality- — POOL -Permit: S2021-0092 Project No: 0773-2021 Inspection Requests Phone (949)644-3255 State Lie: State Lie: 04109/2021 " Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED APPROVALTOI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at $0.00 $0.00 $0.00 $0.00 $0.00 $1,498.13 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 .he 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 crofessions 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 iot 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, 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 mprovements 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 m 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). ❑ I 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 70" 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.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm -irder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro es 'eln z 'tense is in full force and effect. License Class License No Date -i-•z Contractor Signature _ INORXERS' COMPENSATION DECLARATION NARNI:IG: FAILURE TO EeCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNG ED THOUSAND DOLLARS ($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. iiereuy affirm under penalty of perjury one of the following declarations: Q 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 thl p%regVance of the work for which this permit is issued. Policy No. „y hav and'wRl 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 irsv•rl carrier and policy number are: Cs•rs-. Policy Number Expiration Date e CF Agenf Phone # ' 1 cerify that, in the. d=rtormance a rk for w Is 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 agre th•u', If i should become subject he rk sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGA DI CONSTRUCTIO NDING AGENCY I hereby affirm under p of perjury that th a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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. �u e✓` I have read this application and the information I have provided L Cor I agree to comply with all applicable city and county o ' a s st aws relating to building construction. I authorize representatives of this city or count o er ve-iden' i .pert ' pection purposes. r-(-9'z'l Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam ACTION DATE BY 'DECLAR ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND) RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT C4NCELLEO UEPA PERMIT EXTENDED LJAQmD POOLALARMS INSTALLED ? VZ J �rpi � ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL I_