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Home My WebLink AboutS2018-0186 - PermitsCity -of Newport Beach - Building Division,.-_�I�IIIIId�I�IIIPIIII9III!I�II�IIII�I��IIIIII II a't o 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 o • • • • • - •o .� • • • 0® a „� ••e •• • •e boa oa .lob Address: 2501 SIERRA VISTA Floor. Description of Work:SFR - POOL & SPA 176 SF Inspector Area: 3 Legal Description: N TR 1801 LOT 4 Owner: DAVID DON Address: 2501 SIERRA VISTA NEWPORT BEACH, CA 92660 Phone: Applicant: ELLISON PAUL Address: 29512 ANA MARIA LAGUNA NIGUEL CA 92677 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $30,000.00 Building Permit Fee : $405.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 11 TOTAL FEE : yk5l.00 PROCESSED BY: ZONING APPROVAL: Suite: Bldg: 1 00 ya b 0p �• • O •• O 00p a b Plan Check No: 2046-2018 Code Edit: 2016 Contractor: LANDCRAFTERS INC Address: 29512 ANA MARIA LANE LAGUNA NIGUEL CA 92677 Phone: 949-249-1086 Con State Lie: 754071 Lie Expire: 09130/2018 Bus Lie: BT30039467 Lie Exp Date: 0513112019 Worker's Compensation insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WC589703104 Expiration: 12101 /2018 FEES Architect Address: POOLPermit : S2018-0186 Project No: 2046-2018 Inspection Requests Phone (949)644-3255 Phone: - State Lie Engineer: LACHER TODD Address: 1201 N TUSTIN AVE. ANAHEIM CA 92807� Phone: 714-630-6100 State LiaC-067656 Special Conditions Issued Date: 10/19/2018 Record Management: $4.00 Water Quality-- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Additional Fee ; ($365.00) $0.00 $0.00 Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : OWNER -BUILDER DECLARATION •• ••• • . '•. ". 0:. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State L4censd Lawlor;Ile mplon(s)'�ndicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a p" to ornsirumt, miter, imr.ove demolish,. or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions 6f tfle Confractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 more than five hundred dollars ($500). 1201 N TUSTIN AVE 1, as owner of the property, or my employees with wages as their sole compensation! wil" (r) ill df or'yJ' pprttmilof $*a work, and the structure is not intended or offered for sale (Section 7044, liness and Professions Code: The Contractors' State License Law does not applyto an no of Vropent who, throegh gmployees' or personal effort, builds or improves the property, provided that the ,rovements are not intended or offered for sale. If, however, the building or improWent [s$old within cr.%year of cornplpflon, the Owner -Builder will have the burden of proving that it was not built or ,roved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 71 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contn I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least c ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .1 signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 70( nd effect. License Class License No ate COMPENSATION DECLARATION IpRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire e ante of the work for which this permit is issued. Policy No. h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for Is ce carrier and policy number are: :arr' r Policy Number ie of Agent _ certify that, in . if I should be eermit is issued, I shall not employ any person in any provisions of Section 3700 of the Labor Code, I shall nature of Applic CLARATION RE ARD NSTR CTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ider'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 owners behalf I have read this application and the inform ' n I e pr ' 'ad is e . I agree to comply with all applicable city a d coun nanc an t e laws lating to building construction. I authorize representatives of this city or co er th a id ntifie rop for inspection purposes. nature of Prooertv Owner or Authorized Agen Property Owners ACTION PERMITEXPIRED PERMITC,4NCELLED PERMIT EXTENDEQ POOLALARMS INSTALLED BY(/XN %60ATION CbAaUKNCE WITH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION IS NOT PROPOSED DEMOLITION. SIGNATURE: TO Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and �of Ivi ion 3 of the Business andrfeo�'d' , an yJie rr a is in full force Contractor Sig ,LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date o as to become subject to the workers' co ripensation laws of California, and agre comply with those provisions. D to S this permit is issued (Section 3097, Civil Code). USE ONLY ` t _ v✓�[J(T'� Date as aff�h of / spa art in place prior tal to fill ollspremain in Rtained for WX Mid i�ifLJGfI