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HomeMy WebLinkAboutS2020-0036 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 0 3 6 N. x; Permit Counter Phone (949)644-3288 Job Address: 1801 PORT RENWICK PL Floor: Suite: Bldg: 0 Description of Work:SFR NEW POOL & SPA WI DRAINAGE 444 SF Inspector Area: 4 Plan Check No: 0422-2020 Code Edit: 2019 Legal Description: N TR 7032 LOT 64 Owner: GIANNULLI THOMAS Address: 4651 BRIGHTON RD Investigation Fee: CORONA DEL MAR, CA 92656 Phone: $2.00 Applicant: JC/INSTANT LANDSCAPE Address: 833 DOVER DR #24 $373.00 NEWPORT BEACH, CA 92663 Phone: 949-795-4881 Building Rear: Setbacks: Front: Left: Right: ..uusu uuiuu Construction Valuation: $45,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 "Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 PROCE: ZONING TOTAL FEE: Contractor: INSTANT POOLSCAPES Address: 833 DOVER DR 924 NEWPORT BEACH CA 92663 Phone: 949-795-0648 Con State Lie: 1009644 Lie Expire: 12131/2021 Bus Lie: BT30053469 Lie Exp Date: 12/31/2020 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expiration: Record Management: $14.00 Drainage Permit Fee : $322.00 Drainage Plan Check: $322.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: Phone POOLPermit : S2020-0036 Project No: 0422-2020 Inspection Requests Phone (949)644-3255 Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 1 FEESo maoG Water Quality- -- Building Dept Inspection Fee: !a e! Water Quality Dept Insp Fee: State Lie: e $0.00 Others Demo $0.00 m c ee m ememGc m e e o 0 o em e G e o ! n State Lic:C-067656 mm m o0 n 0 o m o 0 o mm o e o 00 n mmo m o c omoou Gc o ccoGo e oommcc 00 0 o m u FEESo maoG 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 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : PLAN CHECKED BY:: �`J C C S APPROVAL TO ISSUE: ff �/ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 000I coo 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 I, 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, ;usiness 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). 1 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 legal) 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.html. signature of Property Owner or Authorized Agent ate .ICENSED CONirRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Divisio dtfje,BajsIness and Profs ns Cod m license is in full force N. Wp�t. Licenpe CQI3ss License No Date (�� boh actor Signature VORKl!RS' CbAPE$ISATION DECLARATION IN8:.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 ($700,000), IN ADDITION TO THE ORCOMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Oy affirm A �r.pe� alty of perjury one of the following declarations: We and Will rvaiptain a certificate of consent to self -insure for workers' compensation, ITWce of iftWork for which this permit is issued. Policy No. i 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' compensatiol issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Wh*% carrier and lWicy number are: rrier .. : Policy Number Expiration Date re of.Agent .... Phone # certify that, 1n VC0erfor a rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre If I should become Sul u a to the works ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..__.. Dat mature of Applicant 101, — )ECLARATION REGAVING C Lem., In AGENC hereby affirm p natty of per a�eRs# nding agency for the performance of the work for which this permit is issued (Section 30 Civil Code). -ender's Name Lender's Address 3y my signature below, I. certify to each of the following: I am the property owner or authorized to act on the party owner's behalf. I have read this application and the information I ave provided is correct. 1 agree to comply with all applicable city and c my dinances and state laws lating to building construction. Cs C� I authorize representatives of this city or count to ter the above-identifie OIAGAluunoses pp Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent'sZme ACTION DATE BY DECLARATIO OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG NS PART 610E TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED IN TAL EDRMS / IiPROROSED DENMOL TION ION IS NOT APP TO