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Home My WebLink AboutS2018-0199 - Permits�n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 1 8 0 1 9 9 Permit Counter Phone (949)644-3288 ,lob Address: 1801 PORT ASHLEY PL Floor: Description of Work:SPA 96 SF Inspector Area: 4 Legal Description: N TR 6565 LOT 66 Owner: 1801 PORT ASHLEY, LLC .Address: 2618 SAN MIGUEL DR #104 NEWPORT BEACH, CA 92660 Phone: 949.500-9739 Applicant: RIVAS RENATO Address: 2518 SAN MIGUEL DR #104 NEWPORT BEACH, CA 92660 Phone: 949-500-9739 Building Rear: 18, Setbacks: Front: 10, Left: 5. Right: 5' Construction Tvne : Construction Valuation: $20,000.00 Building Permit Fee : $405.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 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: PROCESSED BY: ZONING APPRO� Suite: Bldg:1 Plan Check No: 2506-2018 Code Edit: 2016 Contractor: AQUATERRA HOMES INC Address: 2618 SAN MIGUEL DR #104 Phone: NEWPORT BEACH CA 92660 Phone: 949-500.9739 Con State Lie: 912070 Lie Expire: 1113012019 Bus Lic: BT30042466 Lie Exp Date: 01131/2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES 13001 -Permit: S2018-0199 Project No : 2506-2018 Inspection Requests Phone (949)644-3255 Architect: SHINDELUS BRUCE Address: 2623 ANTONIO DR #206 Special Conditions: Issued Date: 1110512018 ' Record Management: CAMARILLO CA 93010 Phone: 805404-8216 State Lic:C015918 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE Drainage Permit Fee : ANAHEIM CA 92907 Phone: 714-630-6100 State Lic:C-06765( Special Conditions: Issued Date: 1110512018 ' Record Management: $8.00 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: em mee m o mo 0 m e o c o e o m c c < cc o c ec o m c e m o m m eco sc o PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPM9 18 !)Aa` &AFfSR tes'ILA YGE OR LAST VALID INSPECTION e m c a v m c c ocm om mm u m moo mo Fee Due at Permit Issuance : $819.00 �-7 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 AVE ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o is'on of the Business and Pr feSal ode and licen full force and effect. License Class License No Date Contractor Signal 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 HUNDRE HOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 oerformance 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 of Agent Date certify that, in the performance the work for which this permit is issued, I shall not employ any person in any manner so as to become subject totheworkers' compensation laws of California, and agre r if I should become subject t w r ers' compensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �) nature of Applicant I SI K CLARATION REG DIN CONSTRUCTION LENDING AGENCY - rreby affirm under anal of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 provid d is correct. I agree to comply with all applicable city and county ordina es and state laws relating to buil g construction. 1 I authorize representatives of this city or county tryenter R*identif o e nspection purposes. ,.., _ t r7 A 1 i 9- ii) Signature of Property Owner or ACTION D[ PERMIT EXPIRED PERMIT C4NCELLED PERMITEXTENDED POOLALARMS INSTALLED PERMITFINAL )ertv Owner's or Authorized OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AC MD RULE I SUBMITTED ASBESTOS )S NOTIFICATION IS NOT APPLICABLE TO DEMOLITION. •• ••• FOR OFFICE USE ONLY •• • • • • • I • • •••