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Home My WebLink AboutS2017-0157 - Permitsw1ty� City of Newport Beach J)ullding.D!VlS4Q4 eo1I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beaof:, CA 12.660 0 < m m 5 2 0 1 7 0 1 5 7 Permit Counter Phone(949)644-3288:. °m• •°m m®e see me° c c e o m °o ® me mm© ae •m e m m o •m ° °• eoe ^-e o Job Address: 519 36TH ST Floor: Suite: Bldg: 1 Description of Work:NEW SPA 112 SF Inspector Area: 1 Legal Description: CANAL SECTION BLK 536 LOT 10 Owner: COOPER ADAM Address: 519 36TH ST NEWPORT BEACH, CA 92663 Phone: 949-219.8682 Applicant: ELLISON PAUL Address: Phone Building Rear: Setbacks: Front: Lek: Right: Construction Tvoe : V -B Construction Valuation: $18,000.00 Building Permit Fee : $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $37.50 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPRO), Plan Check No: 2055.2017 Code Edit: 2016 Contractor: MISSION POOLS OF ESCONDIDO Address: 22600 E LAMBERT Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: CA10001321 Expiration: 04/01/2018 FEES Architect Address: POOLPermit : S2017-0157 Project No: 2055-2017 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630.6100 State Lic:C-067656 Special Conditions Issued Date: 09/14/2017 Record Management: LAKE FOREST CA 92630 Phone: 949-588-0100 Con State Lic: 326760 Lic Expire: 12131/2017 Bus Lic: BT30049245 Lic Exp Date: 11/30/2017 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: CA10001321 Expiration: 04/01/2018 FEES Architect Address: POOLPermit : S2017-0157 Project No: 2055-2017 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630.6100 State Lic:C-067656 Special Conditions Issued Date: 09/14/2017 Record Management: $4.00 Water Quality- -- Building Dept Inspection Fee: Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: Drainage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee : $0.00 Others Additional Fee: $0.00 Plan Check Fee: $0.00 Fee PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 Permitlssuance: $760.50 OWNER -BUILDER DECLARATION .: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reaso6(sf indict*Jtell bEloly by the oh ectWark(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. daraolish!or repair any structure, prior to its issuance, also requires the applicant for :he 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 'rofessions 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 fpr a permit subjects the applicant to a civil penalty of iot more than five hundred dollars ($500). ... . 1201 N TIJSl NAV E- ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions-ofthe QvoQc, 8nd Ilte stru§ttlre iIa' n7t 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, thraugh.emplotees' gfbprsonal-e fortbuilds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of co"retion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose 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 ap ly 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 iegall) 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.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION /7 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of IVY, 3 of the Business and Pro ssl s 0 E d" nse is in full force and effect. License Class License No Dat. Contractor Signa 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 HUNDR 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 th p ormance oft he work for which this permit is issued. Policy No. ave 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' compensatio in ur nce carrier and policy number are: er Policy Number Expiration Date re of Agent certify that, in the pi , if I should become of this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens tion laws of California, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D ��, NG AGENCY. Ireby affirm under p na y 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, certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the information I hayD provided is co 1 agree to comply with all applicable city and c ty o inances d state ws g to building construction. I authorize representatives of this city cou _-t ent he ove-i Ifie perty for inspection purposes. nature of Property Owner or Authorized Print Property Owner's or Authorized Agent's N e C� Date TION DATE By = -F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENED LIAQMU POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION.