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HomeMy WebLinkAboutS2018-0169 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 % Permit Counter Phone (949)644-3288 _ Job Address: 4 VIA AMBRA Floor: Suite: Bldg: 1 Description of Work:NEW POOL & SPA 546 SF W/DRAINAGE Inspector Area: 6 $380.00 Plan Check No: 2253-2018 Investigation Fee: $0.00 Code Edit: 2016 Legal Description: $0.00 Building Dep Plan Check: $338.00 Owner: MINGXIANG HAN Contractor: WONDERFUL POOLS & SPAS Architect: Address: 4 VIA AMBRA Address: 475 S REXFORD STREET Address: NEWPORT COAST CA 92657 RIALTO CA 92376 Phone: 714-630-6100 Phone: 951-823-6829 Phone: Applicant: OROZCO JUAN Con State Lic: 902812 Engineer: Address: 475 S REXFORD ST Lic Expire: 08131/2019 Address: RIALTO CA 92376 Bus Lic: BT30065029 Phone: 951-823-6829 Lic Exp Date: 11/30/2019 Phone: P001 -Permit: S2018-0169 Project No : 2253-2018 Inspection Requests Phone (949)644-3255 State Lic: BIEDENBACH CHRISTOPHER b 1201 NTUSTIN io•••o 0 ANAHEIM CA 92807 714-630-6100 State Lic:C-074003 0 Building Rear: Worker's Compensation Insurance Special Conditions: •0b• Setbacks: Front: Carrier: STATE COMP • ° 0 Left: Policy No: 9038717 Right: Expiration: 01101/2019 Issued Date: 11 /0 512 01 8 Construction Tvpe : • ° Construction Valuation: $45,000.00 Building Permit Fee : $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED ZONING APPI FEES Record Management: $10.00 Water Quality- -- Building Dept Inspection Fee: Drainage Permit Fee : $293.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee : $354.00 Others: Additional Fee : $0.00 Plan Check Fee : $338.00 PLAN CHECKED BY::. APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : Jam b o m ^ e000 mo ° •b m $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 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 'rofessions-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 lot more than five hundred dollars ($500). 1201 N TUSTIN ❑ , 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 Ind Professions Code: Thq 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 Ipply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 yell 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 )rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjurKthat I am licensed under provision of tEtp 9 co mencing with Section 7000) f ivis! n 3 f the Business and Pro ssi s Code, and !cans is i rce Ind effect. License Class C� h ?i License No � Date / 0 l Contractor Signature VORKERS' OC'IMAENSATION DECLARATION %®r}rJI.4 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 I$100,00DI, IN ADDITION TO THE :OST OFFOMPENJ;JT�% DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. here4y affirm under penalty of perjury one of the following declarations: 101•ITave 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 thI edoiynance otAg Wolk for which this permit is issued. Policy No. • .... I ve and V:11*maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit 's issued. My workers' compensatior T J%ce carrier RnripQli�cykllu�.mber e: r� / �n g .'2rflBr �,9 '• �. �1 �. Policy Number �© 13Y F %2 Expiration Date , � _,g / Idrfid Df Agent Phone # -1I Certify lhaf, it M91)erfo ante of the work f_ or which this permit is is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire ,a?, `{I should perope�CONSTRUCTION s�j�c_omMpa�lns�lat!on prod/viiJpNnns�offSSection 3700 of the Labor Code, I shall forthwith comply with those provisions. gna . . signature of ApplicantDatDECLARATION RE LENDING AGENCY hereby affirm under penalty 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 ly 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 comy ordinances stat laws I ting to building construction. I authorize representatives of this city or counlyVer the abo dent] Arty for inspection purposes, of Prooertv Owner or Authorized ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED POOL ALARMS INSTALLED FINAL DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY Name