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Home My WebLink AboutS2020-0145 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II of * 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 2 0 0 1 4 5 F Permit Counter Phone (949)644-3288 u '+tanrs°+F Job Address: 37 MONTEREY PINE Floor: Suite: Bldg: 1 Description of Work:SFR SPA REPLASTER & DROWNING PREVENTION *STANDARD PLAN* Inspector Area: 6 $127.00 Plan Check No: $0.00 Investigation Fee: $0.00 Code Edit: 2019 Legal Description: 14103 LOT 21 OF PROJECT 935-90 LOCATED ON AP 473.021-65 $0.00 Owner: VOTAKAREN Contractor: GARDNER POOL PLASTERING Architect: Address: 37 MONTEREY PINE Address: 600 W FREEDOM AVE Address: NEWPORT COAST, CA 92657 ORANGE CA 92865 Building Dept Inspection Fee: Phone: 443-812-2975 Phone: 714-630-6300 Phone: Applicant: GARDNER POOL PLASTERING Con State Lic: 896061 Engineer: Address: 600 W FREEDOM AVE Lic Expire: 05131/2021 Address: ORANGE CA 92865 Bus Lic: BT30018497 Phone: 174.630-6300 Lic Exp Date: 01131/2021 Phone: Building .Rear: Setbacks: Front: Left: Right: Construction Valuation: $3,000.00 Building Permit Fee : $127.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $110.49 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 II TOTAL FEE : $238.49 PROCESSED BY: ZONING APPROVAL: 13001 -Permit: S2020-0145 Project No : Inspection Requests Phone (949)644-3255 i9m Worker's Compensation Insurance Special Conditions: Carrier: DEPARTMENT OF INDUSTRIAL Policy No: 4503-118 Expiration: Issued Date: 09/21/2020 a oo 00000i; 0 0 0 0 0 FEES Record Management: $0.00 Water Quality --- 0 0 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 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $238.49 PLAN CHECKED BY:: APPROVAL TO ISSUE: �r ✓� PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000 a a 0908 State Lic: a oo 00000i; 0 0 0 0 0 ooeo 0 0 p b O J O] � en o State Lic: ea o a o 000eao oo�>a 0 0 oo^,00 9 S )• nJO 09 O J 'J 3 e o0 ooeo oeos o o $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $238.49 PLAN CHECKED BY:: APPROVAL TO ISSUE: �r ✓� PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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 --1, 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 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 Cote) 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 fora permit subjects the applicant to a civil penalty of tot mare than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 'he property, provided that the mprovements ore 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 aroving that it was not built or mproved for thu purpose of sale). j I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractor; State License Law does not j Ipply to an owr er 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 exemrt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, [ cannot legal :ell a structure ,hat 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web sfte:http://www. leginfo.ca.gov/calaw.hbnl. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury th t I am licensed under provisions �Lh pt r 9 (commencing with Sectio 0) f 'vii 3 of the Business and Pro Ion and mLfjO£Dsetis in full force Ind effect. Lic.anse Class _ ��r1 License No"4�oF1 Date Contractor Signature 6��•�� YORKERS' COMPENSATION DECLARATION IARNING: FAILURI TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECTAN EMPLOYERTO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDITION! TO THE '.OSTOF COMPPN';AT10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm ender penalty of perjury one of the following declarations: 1 have and Nil] 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 eronnance of -he work for which this permit is issued. Policy No. __.. . 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 i=sued. My workers' compensatio) ranee came r and polio number are: �)[� ler Cal'AY 81 C[t92AeLZ &J Policy Number 1/5'0 Expiration Date O� Q Z! is of Agent certify that, In the performance of the work forwhich 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 agre I, if I should hecom4 sybject he workers' om a on pro ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature ofgpplicant PVe �� DateIN q�� CLARATION F A D G CONSTRUCTION LENDING AGENCY �" •% Haby affirm under penalty 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). Iders Name Lender's Address my signature below, I certify to each of the following: I am the pre )erty owner or authorized to act on the property owners behalf. I have read !his application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or court(yp erytPrj7e•a ove= a tilled property for inspection purposes. �) nature of Pro �erty Owner or Authorized ADant S�l� .,.:_. ,,____... .. . .. .. . 9 nti Ivry DATE BY / ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ULATIONS PART 61 OFTRLE 40 AND AQMD RULE agog PERM/TEXPIRED FO I SUBMITTED ASBESTOS NOTIFICATION TO terms% latches gates & fences which serve PERMITC4NCELL D UEPA as part of spool / spa PERMrTEKTENDED OMD barrier, shall be in place rlOr t0 a rOVBI t0 fill p pp PERMJTFINAL CERT/FIG4TEOF / l _ SBESTOS TPICKnONNOTAPPLI[ABLE 70 OCCUPANCY/SSLED ROPOSEDOEM _ poDllspa &shall remain in SIGNATURE• plane a be n for the life pf the pool/spq