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HomeMy WebLinkAboutS2019-0180 - PermitsCity of Newport Beach - Building Division I 111�111111111111p111111111111111111p11p11p11p111 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 1 8 0 Permit Counter Phone (949)644-3288 Job Address: 2518 WAVECREST DR Floor: Description of Work:SPA 44 SF Inspector Area: 4 Legal Description: N TR 6113 LOT 19 Owner: ROE TROY Address: 2518 WAVECREST DR CORONA DEL MAR, CA 92625 Phone: 949-939.8490 Applicant: AQUA SCAPES/ELLISON PAUL Address: 321 CALLE FELICIDAD SAN CLEMENTE CA 92672 Phone: 949-295-4611 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $20,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $40.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $827.00 PROCESSED ZONING Suite: Bldg:1 Plan Check No: 2528-2019 Code Edit: 2016 Contractor: AQUA SCAPES POOLS & SPAS Address: 321 CALLE FELICIDAD $0.00 SAN CLEMENTE CA 92672 Phone: 949-448-7665 Con State Lic: 754729 Lic Expire: 11/30/2020 Bus Lic: BT30069893 Lic Exp Date: 11/30/2020 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: Record Management: Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee: wo'•G«' m o0 cI • c o ,a o. •'o cc cc FEES Architect: Address: Phone: Engineer: Address: Phone: POOLPermit : S2019-0180 Project No : 2528-2019 Inspection Requests Phone (949)644-3255 State Lic: LACHER TODD 1201 N TUSTIN AVE ANAHEIM CA 92807 714.630.6100 State Lic:C-067656 Special Conditions: `��! Issued Date: 11,21,2,1) N S P E(/1, -r1 0" gp�'$► ` $6.00 Water Quality --- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check $0.00 Others : $0.00 Plan Check Fee : $362.00 PLAN CHECKED BY:: APPROVALTO .•• o00 G • o co ?e611 EXPIF'ES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 ®9 dOD OG GO 00 000 $0.00 $0.00 $0.00 $0.00 $0.00 Due at Permit Issuance : $465.00 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 ie 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1201 N TUSTIN AVE 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended 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 employees' or personal effort, builds 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 completion, the Owner -Builder will have the burden of proving that it was not built or nproved 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 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). 7 I 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 legally 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. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Div' ion 3 of the Business and Prgfessio rise is In full force nd effect. License Class License No Dale / Contractor Signature\) YORKERS' COMPENSATION DECLARATION l/ ARNING: 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 (8100,000(, 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: ] 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 the rmance of the work for which this permit is issued. Policy No. Ihave 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' compensation stu ante carrier and policy number are: Policy Number Date lame of Agent vnone s �I certify that, in thgrman f r or ich 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 agree Tat, if I should becow er ' mpensation provi 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Iignature of ApplicaDat IECLARATION RE RUCTION LENDING AGENCY hereby affirm undery that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI it Code). ender's Name Lender's Address ly 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 ve p ovided is correct. I agree to comply with all applicable city and c unty ordi e n tate la lating to building construction. // I authorize representatives of this city or cou Ey toe th ab-identi ' propert for mspectio purposes. _ / j��� l innahlre of Prnnarfv Owner or Allthori7PC An . i rint ProDertv Owner's or Authorized Aoent's N e �Y�1/1 (((/// Date ACTION DATE pOF COMPLIANCE WITH CODE OF FEDERAL BY' /) tC�CCdRAT191Q FOR OFFICE USE ONLY x�/� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE AA���� 'r dal 51 tCF12S N r9 p1wip g 1403 ••• ••• PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FICATION TO ae part of a pool•P�1 a °: �: beerier; shail'tae in place prior to approval to fill pool/spa & shall remain in PERMIT CANCELLEDEPA PERMITEXTENDED EIACIMD POOL ALARMS '-)f,ZoLo yI - gSRESTOS NOTIFICATION IS NOT APPLICABLE TO O� INSTALLED PROPOSED DEMOLITION. °�° •°,piade8bberNitntAflledfor SIGNATURE: • °thsI* ®f" pgogspa _'_ • X -__ 1�--- PERMITFINAL - —