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Home My WebLink AboutS2021-0237 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIII�IIIIII�II�IIIIIIIIIIIIIIIII II a +.� 100 Civic Center Drive, Newport Beach, CA 92660 % Permit Counter Phone (949)644-3288 c:. Job Address: 4708 NEPTUNE AVE Floor: Suite: Bldg: 1 Description of Work:SFR POOL 8 SPA 240 SF WI DRAINAGE Inspector Area: 1 Plan Check No: 2462-2021 Code Edit: 2019 Legal Description: R S 032-50 PAR 8 AND RIVER SECTION BILK 47 LOT 8 Owner: GASSEL Contractor: INFINITY POOL SERVICE Architect: Address: 4708 NEPTUNE AV Address: 28295 CAMINO ESTRIBO Address: NB CA 92663 TEMECULA CA 92590 Phone: Phone: 714-262-9164 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $22,000.00 Con State Lic: 891370 Lic Expire: 02128/2023 Bus Lic: BT30053051 Lic Exp Date: 05131/2022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9159411 Expiration: 0512012022 FEES POOLPermit: S2021-0237 Project No : 2462-2021 Inspection Requests Phone (949)644-3255 State Lic: Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Special Conditions Issued Date: 1211012021 Building Permit Fee : $440.00 Record Management: $4.00 Water Quality --- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: Building Green Fee: $0.00 $1.00 Drainage Permit Fee : Drainage Plan Check: $237.00 $199.00 Water Quality Dept Insp Fee: $ 00 Building Dept WQ Plan Cl$ 7 J�� 00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others : $ Building Dep Plan Check: $396.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,429.00 Plan Check Fee : $595.00 Fee Due at Permit Issuance: $834.00 PROCESSED BY: r�) o0o eo ooa ° �rANCY4%rKEPBY:: '='o o nea o • a UU�� h ZONING APPROVAL: o�o °000 APPR&AL TO;I,$SUE: `IVA � o 0 PERMIT EXPIRES' 1P0 DAE/S-AF-TBR I,3SUANCE+ORtAS`ToVAl31b INSPECTION c o�0 0 0 ma ooe o a000 e�000 oaoo mo 000 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(sj 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 to 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 1 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 legall) 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 Date .ICENSED CONTRACTOR'S DECLARATION � hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 7 00 of iv' ion 3 of the Business and Ppe>:€ssi n e, sand my license is in full force and effect. License Class License No D Z / Contractor Signatu e r r VORKERS' COMPENSATION DECLARATION IARNING: 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: , �,l�i ve 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 th once of the work for which this permit is issued. Policy No. si ve 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 e carrier and policy number are: rier Policy Number Expiration Date ie of Agent Phone # certify that, in the perfor arJ\ce of the work fo hich 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 if I should be su ect t e yv6ly�rs' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant /�/ Date )ECLARATION REGARDI Cyd--0 S CTION LENDING AGENCY hereby 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). _enders 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 property owner's behalf. I have read this application and the information I e provided is C rect. //JJ I agree to comply with all applicable city and co my ordi a es d tate,l ws relating to building construction. authorize representatives of this city or count enter he a ov -Iden ] leperty for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 1403 __- --- ... ..• ••• .• •.• .•• PERMIT EXPIRED U I SUBMITTEDAS�STOS.NOTIFIC/JIOM1iTia • •• .• • •� •� • �• PERMIT CANCELLED EPA •. • : •• • • .•• PERMIT EXTENDED QMD POOLALARMS Q'I I .%% ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED (� l ( �J•`-' PROPOSED DEMOLITION..•• • e•••• ••'"•' • •�� •� SIGNATURE: • • • • • • • • s e e s e e e` e s PERMITFINAL TTFLT1T• • e •e s e-• e