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Home My WebLink AboutS2019-0085 - PermitsCity 100 Civic Center Newport Beach ch. CA Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIII Permit Counter Phone (949)644-3288 Job Address: 611 CLIFF DR Floor. Suite: Bldg: 1 Description of WOrk:SFR POOL/SPA REPLASTER 250 SF Inspector Area: 2 Legal Description: N TR 1218 LOT 88 0 Plan Check No: 2944.2018 Code Edit: 2016 P001 -Permit: S2019-0085 Project No: 2944-2018 Inspection Requests Phone (949)644-3255 ) N :A �,� `1:"` woes. CONNER ALICE B Address: 611 CLIFF Contractor: INFINITY POOL SERVICE NEWPORT BEACH CA 92683 Address: 9121 ATLANTA AVE #638 Architect: Address: Phone: HUNTINGTON BEACH CA 92646 Phone: 714-262-9164 Applicant: THOMAS THOMAS Phone: State Lia .... ° Address: 22312 WALLINGFORD LN Con State Lic: 891370 .... HUNT7.8687 BEACH CA 92646 Lic Expire: 02/28/2021 Engineer: Address: • ° ° ° Phone: 714-587.8687 Bus Lia ST30053051 .. ° Lic Exp Date: 12/31/2019 Building Rear. Phone: State Lic: ° Setbacks: Front: Worker's Compensation Insurance ...... Left: Carrier: STATE COMP Special Conditions: Right: Policy No: 9159411 0000 0000 Construction Type: Expiration: 05/20/2019 Issued Date: ° 0511412019 0 °000co uction Valuation: $12,000.00 0000 g Permit Fee : $264.00 PermitIssuing Fee: FGreen Record Management $2.00 $0.00 Fee: $0.00 Water Quality- g Green Fee: $1.00 Drainage Permit Fee : $0.00 Building Dept Inspection Fee: ept Plan Check: $0.00 Drainage Plan Check: $0.00 Water Quality Dept Insp Fee:$0,00 $0.00 Dep Plan Check: .$229.68 Grading Consultant Fee : $0.00 Others : Building Dept WQ Plan Check: $0.00 PC Investigation : $0.00eck Ext. Fee Additional Fee : $294.00 : WQCompliance Insp Fee: $0.00 $0.00 $0.00 TOTAL FEE: 579n as PROCESSED BY: ZONING APPROV, Plan Check Fee: $0.00 Fee Due at Permit Issuance $790.88 PLAN CHECKED BY:: 1� APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o • 0000°o ° o ° 0 0 ° o 0 0 0 00000 ° °000• 00°0°0 ° o 0 ° o occa°o OWNER -BUILDER DECLARATION its , R t that requires a permit to construct, alter, improve, demolish, or repair any comme tore, prior to tion 7000 of D vision 3 of the Business cant land 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) action 7031.5, Business and Professions Code. Any city or coun y q ❑ permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter ofessions 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 o le ion It more than five hundred dollars ($500). will do (_) all of or (_) portions of the work, and the structure is not intended or offered for seithat the4, Business as owner of the property, or my employees with wages as their sole compensation, Id 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 id Professions ovements 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 i roved for the purpose of sale). ly contracting with licensed Contractors to construct the project (Section 7044, Business and Professicn I, as owner of the property, am exclusives Code: The Contractors' State License Law does no ppl1, 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: of the applicable law, Section 7044 of the Business and '.y my signature below I acknowledge that, except for my personal residence in which I must have resided far at least one year prior to completion of the improvements covered by this permit, I cannot lege ell a structure that I have built le an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy Da 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www. leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent!cense is in full farce _ICENSED CONiff%ACTOR'S DECLARATION tractor Signatur m wd hereby affrel•penalty of perjury that I am licensed unDate Con License visions of Chapter 9 (commencing with Section 7 f IV i n of the Business and Pro as oCO apggeffoct. Llrwe&lass O THE NORKERS' �OWTOENSATION DECLARATION OST•10F COMPENSATIONFAILURE SE UREPAMWOR AS S' COOED SATION IN SECTION COVERAGE70510E THErLA500. CODE, INTEREST, AND ATTORNEY'S FEES. 3700 PENALTIES AND CIVIL FINES UP TO ONE HON REO THOUSAND DOLLARS 1$100, 00), IN ADDITION T 6ereb affirm eRdafTpgnalty of perjury one of the following declarations: nollftve and W6 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 pe 1france of thG§94 for which this permit is issued. Policy No. I•h�I 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' compensa 10 to R ,e carrierand policy number are: Expiration Date •... • Policy Number phone # Carrier IQM9 of.Agent • • •I shall forthwith comply with those provisions. I certify that, in'tM19 diA:ncoj, the work fcom hensation provi=s=o ssof Selction11not 3700 of the LaboP Code,in any manner so as to become subject to the woDrk[ rs' mpensation laws of California, an athat, if I should becameo t dceTs' pSignature of ApplicantST UCTION LENDING AGENCYDECLARATION REGAI hereby affirm under py of perjury that there is a construction lending agency fo Lthe endeer'rformance rf Adnanedress of the work for which this per is issued (Section 309 ,Civil Code). Lender's Name By 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. building laws I agree to comply with all applicable city and co my o din b and late fled property nspect on purposes. ate P Y I authorize representatives of this city or count to e t Print Pro erty Owner's or Authorized A ant's Name S! nature of Propert Owner or Authorized Agent DATE BY RA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ACTION REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 23-/91 M37 INSTALLED TO 0 o E 0 N v W 0..o0g 2 cd a gz 14. w cd ti 'a+ 0 oh • ^ a E 3 �tn tn O ti O '3toa� o0 v Po 8 0 O V N 0 0 Q) +:5 m IN 0 3 cz 0 N U 0 '�ya7 O g" � " ' ,� N A, � h 0 Q o a 0 .. (LI rl U'� o O .0 bA d N 0 .- y0- 0.1 � �" P• o o ° � ani C ' o DO 0 A� h"'°75 °. z x kn O w ,n 0 U n z00 O w. aw az �o wx tn N M N Na o H W � U H �U p� tl ? 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