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Home My WebLink AboutS2020-0174 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiiIIIIIIII�IIIIIIIII II e$ 100 Civic Center Drive, Newport Beach, CA 92660 S 2 d Permit Counter Phone (949)644-3288 v, Job Address: 5 POINT SUR DR Floor: Suite: Bldg: 1 Description of Work:SFRPOOL & SPA 442 SF & DRAINAGE Inspector Area: $ (a Plan Check No: 1999-2020 Code Edit: 2019 Legal Description: N TR 7510 LOT 61 Owner: WHITEHEAD JENNIFER Address: 5 POINT SUR DR CORONA DEL MAR, CA 92625 Phone: Applicant: O'DONNELL JIM Address: 19361 BROOKHURST ST #13 HUNTINGTON BEACH CA 92646 Phone: 714-420-5473 Building Rear: Setbacks: Front: Lek: Right: Construction Tvoe : Construction Valuation: $50,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $453.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: PROCESSED BY: Contractor: CRYSTAL POOLS Address: 19631 BROOKHURST ST #13 HUNTINGTON BEACH CA 92646 Phone: 714-420.5473 Con State Lic: 867770 Lic Expire: 11130/2022 Bus Lic: BT30063161 Lic Exp Date: 11130/2021 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9089361 Expiration: 1211912021 FEES Record Management: $10.00 Drainage Permit Fee: $232.00 Drainage Plan Check: $195.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: Address: Phone: Engineer: Address: Phone: 13001 -Permit: S2020-0174 Project No: 1999-2020 Inspection Requests Phone (949)644-3255 THOMPSON MATTHEW 12021 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 Special Conditions: Issued Date: 11124/2020 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : Plan Check Fee : $582.00 I PLAN CHECKED BY:: ZONING APPROVAL: APPROVAL TO ISSUE:_ - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • •ommmm 0 • o mso•oa State Lic: • eo e 0 0 0 •m momm State Lic:C-086051 ° 0000 0 ma c O ff fl 0 on mOm4 0 °00c° Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 127.00 omoc0o n c 0 D V 000000 G O m000 OWNER -BUILDER (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) 1 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). 12021 N TUSTIN AVE ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 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 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). U I 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 in sell a structure #W L 44ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appl Professions Code, is afailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. tigneture of Propp�e�rtyI Owner or Authorized Agent CICEN�ED CDI AACTOR'S DECLARATION 6Rgre3y,affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) o Divi on 3 of the Business and and @Hect. Licegse Blass License No Dat 24 Contractor Signa 1f11IRKERS' COMPENSATION DECLARATION 'AARNM: FAILURE Tp SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI% OGS" COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. wQb affirm under I.ipenalty of perjury one of the following declarations: ments covered by this permit, I cannot law, Section 7044 of the Business and Dale license is in full force DOLLARS ($100,000), IN ADDITION TO THE 'P; h2Qe and will majptain 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 rr)brmance of tfe.Nork for which this permit is issued. Policy No. a'vi and will,rnainlain 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 i e carrief agd gdlicy number are: of Agent Policy Number Expiration Date Phone # �I certify that, in thUW�_ of th work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre, tat, if I should beco to workers ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of ApplicaDat � b�iECLARATION RESTRUCTI ENDING AGENCY hereby affirm undeury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, evil Code). ender's Name Lender's Address y my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and,p0 t ordi noes an state laws relating to building construction. r, /�� .p) 1 I authorize representatives of this city or coup to r jhe atlgve ' tifigd prpperty for inspection purposes. 'v \ �- , t _ ,-,_. X 1 4 Y� of ProDertv Owner or Authorized ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 61 OF TITLE 40 AND AQMD RULE All rem, 'ed al mS,latches r. PERMIT EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / Spa barrier, shall be in place prior to approval to fill pooLlspa & shall remain In PERMIT CANCELLED UEPA PERMIT EXTENDED POOLALARMS Il:LJAQMD1 ASBESTO N TIFI TI IS NOT PPLICABLE TO INSTALLED NIR I t NO �l r� place ;r be maintained for 16N URE: "v�' V the lif)qof the pop)/spa PERMIT FINAL