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Home My WebLink AboutS2021-0067 - Permits�wrgyk City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIII I II 100 Civic Center Drive, Newport Beach, CA 92660 P Permit Counter Phone (949)644-3288 �'rt irnMNia Job Address: 424 RIVERA TER Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA 444 SF Inspector Area: 5 Plan Check No: Code Edit: Legal Description: TR 1237 LOT 155 POR OF LOT(AND POR OF LOT 156 Owner: DOLO-rTA PETER/SUH SUNG-HEE Contractor: DE VORE POOLS & SPAS Address: 231 DRIFTWOOD RD Address: 32908 AVE DEL ROSAL CDM CA 92625 SAN JUAN CAPSTRNO CA 92693 Phone: Phone: 949-547-1366 Applicant: LARRY/DEVORE POOLS & SPAS Can State Lie: 401549 Address: PO BOX 828 Lie Expire: 04/30/2022 SAN JUAN CAPISTRANO, CA 92693 Bus Lie: BT97026761 Phone: 949-547-1366 Lie Exp Date: 11/3012021 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe Construction Valuation: $75,000.00 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: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : PROCESSED BY: ZONING APPRO\i Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1222520 Expiration: 11101 /2021 FEES POOLPermit: S2021-0067 Project No : 0538-2021 Inspection Requests Phone (949)644-3255 0538-2021 I N E31D E CTO R 2019 Architect: Address: Phone: State Lie Engineer: PETROV PLAMEN - Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 State Lic:C-066947 Special Conditions Issued Date: 03/11/2021 Record Management: $12.00 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 $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $832.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Cade: 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). 28161 CASITAS CT ❑ I, as owner of the p,gperty, 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, B, Isiness-and ProfJ�Ecns Cade: 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 inipruv6n,enls ar_ 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 rEroved for the ow pose 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' State License Law). ❑ . am exempt from iluensure 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 Iegalll sell a structure l,ia. 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 Pi o.-esjions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3ig:ictrs of Property Owner or Authorized Agent Date _ICENSED CGNTE ACTOR'S DECLARATION ' her=h,, affirm u,,Ger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and Pr f sions �d ,and my licen Is in full force and efftct. License Class License No Date./l? Contractor Signature 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 lh Der)ormance of the work for which this permit is issued. Policy No. have 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 su ce carrier and policy number are: ,artier Policy Number Expiration Date Jame of Agent Phone # ❑1 certify that, in the performance of 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' compensation laws of California, and agre hat, if 1 should beco ubject to t"orkers' compensation pro ' 'onsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant D Z-C )ECLARATION REGAF41DINCitONSTRUCTION LENDING AGENCY hereby affinn under p o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , ivil Code). -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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or cou enter th drove -identified perty for inspection purposes. q signature of Property Owner or Authorized A ent Print Pro ert Owner's or Authorized Agent's Name 7J4;I y �c_ Date ACTION DATE BY I J.DECLARATICIN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED NOTIFICATION TO PERMITEXTENDED QMD P INSTALLED RMS ASBESTO NgTIF_L NOT TO INSTALLED RO SED D 1 OL I d