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HomeMy WebLinkAboutS2020-0070 - Permits�v1� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II POOLPermit : S2020-0070 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 2 0 0 0 7 0 F, '� g Permit Counter Ph9one (949)644-3288 Project No: 0953-2020 Ee�y.Mrrex� fnspection Requests Phone (949)644-3255 .lob Address: 2084 TUSTIN AVE Floor: Suite: Bldg: 1 Description of Work:SFR POOL & SPA 560 SF W/ DRAINAGE Inspector Area: 3 Plan Check No: 0953.2020 Code Edit: 2019 Legal Description: NEWPORT HEIGHTS LOT 247 NELY 70 FT SWLY 140 FT -EXSELY 463.36 FT - Owner: CHRISTIANO HEATHER & STEVE Contractor: OWNERIBLDR Address: 2084 TUSTIN AVE Address: ELLISON PAUL FOR OWNER Plan Dept Plan Check: NEWPORT BEACH, CA 92660 Building Dep Plan Check: $373.00 Phone: $0.00 Phone: 949-683-9861 Applicant: ELLISON PAUL Con State Lie: Ole Address: 24642 VIA RAZA Lie Expire: $0.00 LAKE FOREST CA 92630 Bus Lic: Phone: 949-683-9861 Lie Exp Date: Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $42,000.00 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 TOTAL FEE: Worker's Compensation Insurance Carrier: Policy No: Expiration: FEES Architect Address: Phone: State Lie Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions Issued Date: 06/02/20T SPE Record Management: $4.00 Water Quality - Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $322.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $322.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 $0.00 (( Check Fee: $0.00 Fee Due at Permit Issuance : $1,430.00 PROCESSED BY: 4J �, ° G _ , `�. PLAN CHECKED BY:: E c- ZONING APPROVAL o c L ` APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION vu co.. � vv o� ccc 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 items) (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 panelty?of not more than five hundred dollars ($500). 1201 N TUSTIN ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 imprq4lild for the purpose of sale). I, s 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 o 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). exempt from licensure under the Contractors' State License Law for the follow' ason: y y ignature below I acknowledge that, except form ,nal reside 'n whi m t have resided for at least one year prior to completion of the improvements covered by this p rmit, I cannot legal ucture that I have built as an owner- builder if' as no a nstru ed ' its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of th Bu iness and Professions Code, is available upon request when lica' i sub ' ed o e following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. �1 Signature of Property Owner or Authorized Agent D to o LICENSED CONTRACTOR'S DECLARATIIAX- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION rARNING: 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 ($100,000), 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: 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 thi erformance of the work 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' compensatior Isurance carrier and policy number are: Policy Date Irfe f Agent rnone n - i that, in the perfor ance f the wo or which permit' issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre, i ould become subj ct to t e r rs' comp tion pr sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da CLARATION REG D N CO C DING AGENCY LA Hreby affirm under penalty 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 Odkiscorr 'ehalf. I have read this application and the information II agree to comply with all applicable city and couate a relali to building construction.1 authorize representatives of this city or county ie pro rty for inspection purposes. 1_/l , nature of Pro,ertv Owner or Authorized Acant Print Property Owner's or Authorized Agent's Name' r� Date ACTION DATE BY OEC%RA'ITON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '• REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All nequired alarms,latches 1403 , PERMIT EXPIRED LJj SUBMITTED ASBESTOS NOTIFICATION TO as part of pool/Spa ••• ••• ••• �•• �••-'!•• rider, Shall be In place i . :•• • : •• •, ' • -• to approval to fill ••• ••• ••• • • • r •�• I/spa & shall remain in PERMIT CANCELLED OEPA IE PERMIT EXTENDED L1AQMD prior POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO p0 INSTALLED PROPOSED DEMOLITION. place & be maintained for SIGNATURE: tlie Of th ool/ • • • • e �•___•�� -_-e- PERMIT FINAL x o e y9 b«« a m=o � m m `� a «ua 10 w at'. 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