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Home My WebLink AboutS2019-0091 - Permits�1'0,1111. WI:raM City of Newport Beach - Building Division II II II II IIIII III IIIII�III IIIIIIIII I II a4 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 0 9 1 Permit Counter Phone (949)644-3288 c'�41Pe14�� Job Address: 906 BELLIS ST Floor: Suite: Bldg: 1 Description of Work:NEW GUNITE POOL AND SPA 437 SF Inspector Area: 8 Plan Check No: 1150-2019 Code Edit: 2016 Legal Description: N TR 4893 LOT 14 Owner: DENNIS KENNETH L Contractor: OUTDOOR CONCEPTS Architect: Address: 906 BELLIS ST Address: 28241 CROWN VALLEY PKWY, F293 Address: NEWPORT BEACH CA 92660 LAGUNA NIGUEL CA 92677 Phone: 949-307.1711 Phone: 949-363-7932 Phone: Applicant: LOUGABRIEL-OUTDOOR Con State Lie: 83137E Engineer: Address: 28241 CROWN VALLEY PKWY Lie Expire: 0212BI2020 Address: LAGUNA NIGUEL CA 92677 Bus Lie: BT30060506 Phone: 949-363-7932 Lie Exp Date: 0913012019 Phone: Building Rear: Setbacks: Front: , Lett .. ' Rigid: Corstruction Type,.: 11 Coqstmaion Vapiauon: $34,000.00 Building Permit -ec : $405.00 Permit issuing Fee: $0.00 1'nvestination Fee: $0.00 Building Green fee: $2.00 PI^.r Onrt Plan Check $0.00 building'Jep Plan Check: $361.00 Building PC Inv6stigatioa : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $772.1 PROCESSED BY: ZONING APPROI POOLPermit : S2019-0091 Project No : 1150-2019 Inspection Requests Phone (949)644-3255 State Lie BIEDENBACH CHRISTOPHER 1201 N TUSTIN ANAHEIM CA 92807 714-630-6100 State Lic:C-074003 Worker's Compensation Insurance Special Conditions: - Carrier: BENCHMARK INS CO Policy No: CST6013017 Expiration: 0611812019 Issued Date: 0513012019 , FEES Record Management: $4.00 Water Quality -- $0.00 Building Dept Inspection Fee: 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 $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $772.00 PLAN CHECKED BY:: v ' ` v APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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). 1201 N TUSTIN ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 improved 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 legall, 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 70 0) q(D bislon of the Business and Profes o ode, and my license is in full force and effect. License Class License No D ? o' Contractor Signatu JYORKERS' 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 (5100,000), IN ADDITION TO THE 30ST 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: 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 )erf ante of the work for which this permit is issued. Policy No. �I ha a 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. M=y'xvorknrs' comren:^tiol nsuran a carrier and policy number are: 'am Policy Number Expiration Date Vame of Agent Phone # ❑1 certify that, in the performs a the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws, of California. and ogre hat, if I should become sct ubjet workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Da )ECLARATION REGAFMIN17CMSTRUCTION LENDINGAGENCY hereby affirm under penalty of perjury that there is a con ruction lending age y for the performance of the work for which this permit is issued (Section 3097, Civil ode). -ender's Name Lender's Address 3y 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 count ordinances and state laws relating to building construction. I authorize representatives of this city or co ty to h bove-identified property for inspection purposes. / 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY RATION OF COMPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY J✓ 7 REGULATIONS PART BIO TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED UAQIVD POOLALARMS L1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO INSTALLED _ PROPOSED DEMOLITION.