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Home My WebLink AboutS2020-0035 - Permitsi ¢ City ofcDrive, Newport Be a eh - B Aildi og Division 10I IIY�IIll��l�all�l� l0�lll03ll�l5ll II Permit Counter Phone (949)644-3288 POOLPermit : S2020-0035 Project No : 0421-2020 Inspection Requests Phone (949)644-3255 Job Address: 46 SEA TERRACE Floor: Suits: Bldg: 1 Description of Work:SFR REPLASTER (E) POOUSPA & YARD DRAINAGE Inspector Area: 6 Plan Check No: 0421-2020 Code Edit: 2019 Legal Description: N TR 14581 LOT 37 i Owner: SWARTZ DAVE & KIMBERLY Contractor: LEESE DAVE CONCRETE Architect: Address: 46 SEA TERRACE Address: 16801 ROCKFIELD BLVD Address: NEWPORT COAST, CA 92657 IRVINE CA 92618 Phone: Phone: 949-677-2835 Phone: State Lic:1 Applicant: ELLISON PAUL Con State Lic: 656338 Engineer: FORBES DALE L� iY Address: 24642 VIA RAZA Lic Expire: 10/31/2022 Address: 1800 E 16TH ST #B LAKE FOREST CA 92630 Bus Lic: BT30058837 SANTA ANA CA 92701 �1 Phone: 949-683.9861 Lic Exp Date: 04130/2021 Phone: 714-835-2800 State Lic:C-030407 Building Rear: Worker's Compensation Insurance Special Conditions: - Setbacks: Front: Carrier: SECURITY NATIONAL Left: Policy No: SW51000052 Right: Expiration: 0511412021 Issued Date: 02112/2021 Construction Type: VB FEES Construction Valuation: $12,000.00. Building Permit Fee : $280.00 Record Management: $4.00 Water Quality- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $232.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $195.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0,00 Grading Consultant Fee : $0.00 Others : Building Dep Plan Check: $243.60 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $66.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,021.60 PROCESSED BY: ZONING APPRO� Plan Check Fee: csc o+• cos O 4 PCANrHECKED BY:: s �AWPRQVAL TO ISSUI PERMIT EXPIRES 180 DAU AFTER 1€9111ANCE GR LA-�iT`,VALID INSPECTION a _ O P f T O V bo i. Pot DP Po 9 Ei ALa Of.P Fee Due at Permit Issuance : 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 applicableetem(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 malty of not more than five hundred dollars ($500). 1800 E 16TH ST #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 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 'mproved 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' Stale 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 legally 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.htmi. 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 0 ) o ivi on 3 of the Business and Pro ss ode, y license is in full force and effect. License Class License No Date S Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: 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 (E100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 oe rmance of the work for which this permit is issued. Policy No. ve 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 suran .cam\ nd policy n a are: Carrier licy umber Expiration Date Name of Ag Phone # ❑I certify that, in the perfor o he for wh' 's 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 afire that, if I should become su act t e r ' co a ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant areby 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). rder's Name Lender's Address 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 pro ' ed is corre . I agree to comply with all applicable city and county or nan a nd ate I s r ng to building construction.l— I authorize representatives of this city or county to th ove= a ad art ' spection purposes. mature of Prooerly Owner or Authorized Agent Print Pro ertOwners or Authorized Agent's Name) ACTION DATE BY DEI ARATTG-N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches 1403 •.• ..♦ ... • gates & fen ;.; which aANP PERMIT EXPIRED U I SUBMITTED ASBESTOS NOHIFICAd10N TO . • , ` as part of a pool / spa barrier, shall be in place prior to approval to fill PERMIT CANCELLED EPA PERMIT EXTENDED QMD pool/spa & shall remain in POOL ALARMS ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO place & be maintained for INSTALLED PROPOSED DEMOLITION. ,•� "� ••• •`• ` •�• the pa SIGNATURE: " 0` ` ` • X- r