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Home My WebLink AboutS2019-0003 - Permitscwt City of Newport Beach -Building Division 100 Civic Center Drive, NewpoR $ taGh° bA.925641 ° ° ° s `• ' Permit Counter Phone (949)644-288 °.. °• ° ° ° ` ° ° •o• e • • eoe oe • o Job Address: 3632 BLUE KEY Floor: °.Suit(c• Description of Work:POOL 8: SPA 484 SF W/DRAINAGE Inspector Area: 4 Legal Description: N TR 6152 LOT 32 Owner: RESSLER BARRON Address: 3632 BLUE KEY CORONA DEL MAR, CA 92625 Phone: - Applicant:CAPACI JENNIFER Address:. 1345 EOLUS AVE ENCINITAS CA 92024 Phone: 949-645-8362 Building Rear: Setbacks: Front: Left: Right: ,onsrrucnon Construction Valuation: $40,000.00 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 TOTAL FEE : $2,120.00 • o00 0 0 eo a oo ° 0 0 e eo BIrlg: Ie c oooe se. i i2ii09iiiii 0 ilii 13001 -Permit: S2019-0003 Project No: 0070-2019 Inspection Requests Phone (949)644-3255 % ate ° 41n , ti M Plan Check No: 0070-2019 Code Edit: 2016 Contractor: CAPACI ENTERPRISES INC Address: 1345 EOLUS AVENUE Address: ENCINITAS, CA 92024 Phone: 949-945-8362 Con State Lie: 868248 Lie Expire: 0713112020 Bus Lie: BT30040251 Lie Exp Date: 10131/2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expiration: 03/06/2019 FEES Architect: Address: Phone: State Lie Engineer: LACHER TODD Address: 1201 N TUSTIN AVE . ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Special Conditions: Issued Date: 01/15/2019 Record Management: $6.00. Water Quality--- . - Building Dept Inspection Fee: - $269.00 Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $115.00 Drainage Plan Check: - $312.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee: $294.00 $0.00 Plan Check Fee: $1,011.00 Fee Due at Permit Issuance.: $1,109.00 PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL: V� 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, check ml arkjs) 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, dimslish, br $p'air §ny stfQ1ctpre,2)rior to its issuance, also requires the applicant for le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License'L9w'(Chapter 9 (cbmmencinywith Section 7000) of Division 3 of the Business and Irofessions 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 U all of or (_) portions•ofthe Werk, arir�t�le sirdcture is eolJntended or offered for sale (Section 7044, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through em4oye%s'.dT%rspnaI%ffa4, bt4ldC 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 ctgnplejift the Orherjjgiilder will have the burden of proving that it was not built or nproved 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury th[at I am licensed under provisions of Chapter .( mmencing with Section 00) of Divisi 3 of the Business and Pr fe ins ode, and my license is in full force nd effect. License Class r�3 License No X6k 2ii Dat T Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH ND DOLLARS ($100,000), IN ADDITION TO THE OST 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th glformance 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' rance carrier and policy number are: Policy Number Agent Date ertify 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 is if I should become sub' to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / /til ignature of Applicant Date �/ �'�A 1 IECLARATION REGA DIN RUCTION LENDING AGENCY hereby affirm under penalty of jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to R th above -identified property for inspection purposes. innnhire rn of Pnerty Owner or Authorized ADent A,/Print Propertv Owner ACTION DATE BY DFCLARrjTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - REGU IONS PART 61 OF TITLE 40ANDAQMD RULE 1403 PERMITEXP/REO I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEDLJEPA PERMIT EXTENDED QMD POOLALARMS ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED ((Q �'1, f�.\ L DEMOLITION. /�% SIGNATURE: Date