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HomeMy WebLinkAboutS2021-0026 - Permits (3)City of Newport Beach - Building Division 11pil1111111111111111111111111111111111111111p111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 8 TORREY PINES LN Floor: Description of Work:NEW SPA (110 SF) Inspector Area: 4 Legal Description: N TR 7638 LOT 31 Owner: WILLIAM COSMO TAORMINA Address: PO BOX 820 ANAHEIM CA 92815 Phone: Applicant: LACHER JACK Address: 13 POINTE SUR LAGUNA NIGUEL CA Phone: 949-310-8001 Building Rear: Setbacks: Front: Left: Right: Construction TVoe : Construction Valuation: Building Permit Fee : $430 Permit Issuing Fee: $0 Investigation Fee: $0 Building Green Fee: $1 Plan Dept Plan Check: $0 Building Dep Plan Check: $387 Building PC Investigation : $0 Plan check Ext. Fee : $0 WQ Compliance Insp Fee: $0 TOTAL FEE : $818.00 PROCESSED BY: ZONING Suite: Bldg:1 Plan Check No: 1727-2020 Code Edit: 2019 Contractor: CABRERA POOLS AND SPAS INC Address: 1111 WALNUT STREET �'�=�4195TIN'CA-92780 """"ate Phone: 714-630-6100 Date, __ Con Stale I it AA2160 _ _ Lic Expire 08/31/2022 �us Lic 300Zr 159 .r r te Exp Date 10 0/202 OF x� Worker's Compensas(on Insuranikx `/ -•-- Carrier. EXEMPT NO EMPLOYEES Policy No:�-,t�, rums. Expiration.. -sF Architect: Address: S Z1Z0 - 6�4 POOLPermit : S2020-0148 Project No : 1727-2020 Inspection Requests Phone (949)644-3255 Phone: State Lc: AAPP1lC@0k@N, BACH CHRISTOPHER Address: 1201 N TUSTIN , rl 80% 6 H 1490"6refund ' Phone: 714-630-6100 State :C-074003 CONTRACTOR AUTH kTTACHED Issued Date: 10/29/2020 a€ Reoard Mi k _ lyI °� �� taR a 'A W�eR F�a d �� g e do F $0.00 $0.00 6..A So.. DraA e : $0.00 sp e. jFr e $0.00// Gr ohsnl$t�iY d� $0.00 ��'' ggyyp� tltle gg,, y�(aQp OthWQ WOIPKD Itct! LCe�,Check: Ld! LCu/ $0.00 $0.00 Note. Additional Fee: $0.00 — n $0.00 Insp. initials: '��/ J _ Fee_ ue at Permit Issuance : $0.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: `✓— PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 ($500). 1201 N TUSTIN ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from ' P r�nlr�-1 .1' efat .. f � c I>,Inyyng, 3y my signature bell I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I professions Code, is Eve built as an owner -builder if it has not been constructed in its entirety by licensed ppntractor . I under tend that a copy of the applicable law, Section 7044 of the Business and vaila�2quest when this application is submitted or at the followinD Web site:Http'.yov/calaw.html. signature of Propert Owner or Authorize gent Date LICENSED CONT CTOR'S DECLARATION (�7 Rio O ��o�•. dh -' hereby affirm under ena t I a ed lr er pr$Vlsions of ChapW 9;(cominenoing with tl'on ) v 3 of floe B sin Co d my license is in full force and effect. Livens,• ''ass License No =,:a Cont c r IVORKERS' COM I NS, � D = LARATICN• - -. i ho YARNING: FAILUR3 TO SECURE WOKE RS$LOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HUND THOUSAND DOLLARS ($100,00M), IN ADDITION TO THE :DST OF COMPENSF. ]ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES. hereby affirm under enalt of. perjury one of. the. following declarations: -. I have andwillntair 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 jerorm'ance of thew K for which this permit is issued. Policy No, -1I tEve and v: ill Ina chin t�.q�tceFs F pensafion-ihsurance�' as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior gsnra�ce carrier and olicy number are: 'rr-i^.r Policy Number Expiration Date (lame of Agent �' t, in thA. _�- _ 1 one # an i h his e t I shall not ploy any, er s to a bject to the works 'compensation laws of California, and agree should i,es 5rf s do o i f ection 3700 `-Labdr ode, she fo wi h compl ith those provisions. started 3ignature of Appli a no work p ]ECLARATION- T L DI G CY hereby affirm under n y o pe that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature belo I ertI to bAWFG Ire-Tol owing: I am the property Tuner or authorized to act on the propert wner's behalf. Insp. initials: _. I have read this a I to li ct- agree comply (� I authorize representatives of ' Ity or ounty e. a 'ad property for inspection purposes. 2A signature of Property Owner or rized A e Print Property Owners or Authorized A Name C/ Date ACTION DATE LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL f EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA PERMIT EMENDED LJAQmD POOLALARMS INSTALLED OASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL