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Home My WebLink AboutS2021-0011 - PermitsCity of Newport Beach -Building Division 11111111111111p11111p11111111111p111p11111p111111 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 0 1 1 Permit Counter Phone (949)644-3288 r'JLlYf11iH1� Job Address: 4 VENETO Floor: Suite: Bldg: 1 Description of Work:POOL & SPA 455 SF WIDRAINAGE Inspector Area: 3 Legal Description: N TR 15078 LOT 11 Owner: SACCO JOHN Address: 4 VENETO NEWPORT COAST, CA 92657 Phone: 415-754-9961 Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $55,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee WQ Compliance Insp Fee: 4$0.00 TOTAL FEE : PROCESSED BY: ZONING APPRO% Plan Check No: 0067-2021 Code Edit: 2019 Contractor: DREAMSCAPES BY M G R INC Address: 1901 NEWPORT BLVD#350 COSTA MESA CA 92627 Phone: 949-480-3420 Con State Lic: 694588 Lie Expire: 10/3112021 Bus Lie: BT30052223 Lie Exp Date: 01/31/2022 Worker's Compensation Insurance Carder: STATE FUND Policy No: 9265436 Expiration: 12/28/2021 FEES Architect: Address: Phone POOLPermit : S2021-0011 Project No : 0067-2021 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 01108/2021 Record Management: $10.00 Water Quality --- Building Dept Inspection Fee: Drainage Permit Fee : $232.00 Water Quality Dept Insp Fee: Drainage Plan Check: $195.00 Building Dept WQ Plan Check: Grading Consultant Fee: $0.00 Others: Additional Fee : $0.00 Plan Check Fee : $0.00 PLAN CHECK D BY:: APPROVAL T ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID I T State Lie: 0 0 C0no., State Lic:C-067656 • - -- $278.00 $120.00 $0.00 $0.00 $0.00 Due at Permit Issuance : ER -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 ie 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 of more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 Cade: The Contractors' State License Law does not pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature oelow 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 legail7 cl: L .structure :hat I ;lave 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.govtcalaw.htmi. �Igndture of Property Owner or Authorized Agent Date .IGENSED CONTRACTOR'S DECLARATION hereby affim, under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 o Di is' n 3 of the Business and Prof ssio D a� f�i 17 in full force nd effect. License Class License No Date Z Contractor Signature CCGKERS' COMFENSATION DECLARATION 1114-1 ':.RN.NG: 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 OSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm anden Penalty of perjury one of the following declarations: . ,ribyve 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 PWPWnce or *hs-v'crk for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent Phone # . certify that, in the performan of a ork f hich t ' ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and agre t, if I should become s01ty jt th rk pe on provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. / L nature of Applicant - Dat v 2 CLARATION REGARCO N LENDING AGENCY rreby affirm under pen perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). 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 owner's behalf. I have read this application and the information I have provide correct. /) / ,fR�'' I agree to comply with iv applicable city and county ordina s n to specti n purpos s. �[�V ' ` /��I authorize representatives of this city or count to en e-id ti' !,re,!� s inspection purposes. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized ADent's Name �� Da e ACTION DATE BY DECrRATT0N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG LATIONSPART61OFTITLE40ANDAOMDRULE All required alarms,latches 1403 gates-& fences which serve PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for PERMITCANCELLED UEPA PERMIT EXTENDED LIAQmD POOLALARMS ASBESTOS NOTIFICATION IS NOT TO INSTALLED PROPOSED DEMOLITION. the life Of the p /spa SIGNATURE: x .V PERMIT FINAL - y -.1'3 �/