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Home My WebLink AboutS2019-0193 - Permits0e* City of Newport Beach - Building Division Ilplllllll�llllllll�l lllll�llllllll�llllllll� II POOLPermit : S2019-0193 100 Civic Center Drive, Newport Beach, CA 92660 Project NO :2767-2019 F `ti. �, Permit Counter Phone (949)644-3288 `�'�trrssyu"` Inspection Requests Phone (949)644-3255 ,lob Address: 601 LIDO PARK DR Floor: Suite: Bldg: 1 Description of Work:MFR POOL REMODEL (REPLASTER, TILE, COPING, FIX BOND BEAM CRACK) 505 SF Inspector Area: 1 Plan Check No: 2767-2019®IVJ�9�dJ g-� �p j'p� g y�i qO CONSTRUCTION i>�tl�14 q NOISE ?VISE Code Edit: 2016 Legal Description: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 Owner: 601 LIDO HOME OWNERS ASSOCIATION Contractor: POOL MAX SERVICES Architect: g ^7- Address: 601 LIDO PARK DR Address: 2973 HARBOR BLVD #142 Address: a V THE t '+t! %t.�� ° NEWPORT BEACH, CA 92663 COSTA MESA CA 92626 Phone: Phone: 949.945-7774 Phone: State Lic: ' •°p• o 0 0 Applicant: CORTEZ WHITNEY Address: 10925 KALAMA RIVER AVE #G FOUNTAIN VALLEY, CA 92708 Phone: 949-945-7774 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $18,000.00 Con State Lic: 945308 Lic Expire: 04/30/2020 Bus Lic: BT30065673 Lic Exp Date: 01/31/2020 Worker's Compensation Insurance Carrier: NATIONAL LIABILITY Policy No: A9WC083903 Expiration: 03/25/2020 Building Permit Fee: $360.00 Record Management: Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee Building Green Fee: $1.00 Drainage Plan Check: Plan Dept Plan Check: $0.00 Grading Consultant Fee Building Dep Plan Check: $313.20 Building PC Investigation : $0.00 Additional Fee: Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $676.20 PROCES ZONING FEES Engineer: o°oo°o Address: 0 0 ° 000°o Phone: State Lic: 0 Special Conditions: LIQUEFACTION Issued Date: 1211612019 Lm 2 $2.00 Water Quality -- Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $0.00 $0.00 Building Dept WQ Plan Check: $0.00 $0.00 Others $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $676.20 PLAN CHECKED BY:: CS APPROVAL TO ISSUE: ENN / \ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) ;action 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 A more than five hundred dollars ($500). ❑ as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business id Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or iproved for the purpose of sale). ] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 3ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] I am exempt from licensure under the Contractors' State License Law for the following reason: y my signatur2®EIN i acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally A a stllucture that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rope§'si$ns Code isaveilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Prop2Pty Owner or Authorized Agent Date IOEEASED CONTRACTOR'S DECLARATION herebyy affirm antler p lhalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect/NAL 0) o CJI Isi n of the Business and Professio S�Co In d11 force ndeftest. License Class License No D!� / Contractor Signature %ORItERS' C 4PEj�SATION DECLARATION ARNING:FAILURE+TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRINALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (S100,000), IN ADDITION TO THE DS- CPCOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Iebj affirm under papally 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 3rtd4ce of th9 ynork for which this permit is issued. Policy No. have and will"diMain workers' compensation insurance, as required by Section 3700 of the Labor Code, Ir�16cB.carder and policy number are: vier Policy Number 1e of Agent certify that, in the p . if I should become Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date which this permit is issued, I shall not employ any person in any manner so as to become subject to the npens^ti u ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant DECLARATION REGARIING CONSXKCTI N L DING AGENCY hereby affirm under pe Ity of perjury that the, ' a construction lending agency for the performance of the work for which this permit is issued Ender's Name Lender's Address y 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 have provided is correct. I agree to comply with all applicable city and couno ordinances aio tate laws relating to building construction. I authorize representatives of this city or county 0 ent ;fie Inspection purposes. signature of Property Owner or Authorized Agei ACTION I DATE I BY Print /LIANCE WITH CODE OF FEDEI OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION PERMITCANCELLED I I UEPA PERMIT EXTENDED UAQIVID POOLALARMS ESTOS N TIRCATION IS NO I MPLICABLE TO I I VJIIiLLCV / I'IiRDPOSEO DCi/IDLI / FOR OFFICE USE ONLY compensation laws of California, and Civil Code).