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Home My WebLink AboutS2018-0115 - PermitsCity of Newport Beach - Building Division t 100 Civic Center Drive, Newport Beach, CA 92660 h ;r Permit Counter Phone (949)644-3288 ,lob Address: 1038 WHITE SAILS WAY Floor: Description of Work:SFR NEW POOL .& SPA 324 SF Inspector Area: 4 Legal Description: N TR 2202 LOT 33 Owner: 1038 WHITE SAILS LLC Address: 1038 WHITE SAILS WAY CORONA DEL MAR, CA 92625 Phone: Applicant: SAL/MSN POOL & PLASTERING Address: 15660 YOUNGWOOD DR WHITTIER CA 90603 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Valuation: $62,000.00 Building Permit Fee: $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: PROCESSED BY: ZONING APPROb Suite: Bldg:1 IIP!ILII0�IIIIII�II�II�I�III0III�IIII�I5III III Plan Check No: 1722.2017 Code Edit: 2016 Contractor: M SN POOL PLASTERING Address: 15660 YOUNGWOOD DR WHITTIER CA 90603 Phone: 562-756.3841 Con State Lic: 969647 Lic Expire: 01/31/2020 Bus Lic: BT30047389 Lic Exp Date: 05/3112019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9093061 Expiration: 03/21 /2019 Record Management Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES Architect Address: Phone P001 -Permit: S2018-0115 Project No: 1722-2017 Inspection Requests Phone (949)644-3255 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 Special Conditions Issued Date: 07/09/2018 $0.00 Water Quality --- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check $0.00 Others: $0.00 Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION State Lic: •eeo • m memo State Lic:C-036840 0 0 o° m oomo °oomo° • o0 c c ocom m o . 000mom 0 00 0 ° m 00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Due at Permit Issuance: $721.00 Ememc 0 0 c0000 0 ooeo 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). 1600 E 16TH ST UNIT B ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 notrjntended 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). 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 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 Iegall 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 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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Iv Ion 3 of the Business and Pr fe ions e, and my Iic e' full force and effect. License Class License No Dat Ila Contractor Sig natu WORKERS'.60NIPENSATION DECLARATION WARNING: FAILURE iO 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 COSTOF COMPNSATPV, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I'hePe'by affirm under penalty of perjury one of the following declarations: ave 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 IN e ante o;tjae yuork for which this permit is issued. Policy No. 41 R e and wiX maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this p it is issued. My workers' compensatior inse ce carrigrandyolicy number are: f] ley Policy Number!FOR30G ��' K Expiration Date �2/ 41! 1 OMM of Agent Phone # QI certify that. QytW%'performance of the w for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa ion laws of California, and agree that, if I should becomt subject to the wo ' compensation prisi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .•••• Bjg VJ&e of Appliear* e DECLARATION RCUA NG CO RUCTION LE ING GENCY 1 hereby affirm under pen erjury that there 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinan s and state laws relating to building construction. dla I authorize representatives of this city or county to enter above -identified op for inspection purposes. ca,..,. +— of er..nmo i n,.,ner nr A„lhnri7od Ancntj / a Print Property Owner's or Authorized Agent's N? . C� 4 / If Date Zq DATE BY - CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED I I I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD POOLALARMS Q ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED tq PROPOSED DEMOLITION. �% 1� SIGNATURE: