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Home My WebLink AboutS2022-0150 - Permits/x City of Newport Beach - Building Division 11111111111111p11111111111111111p11111p111111p111 +7 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 5 0 q Permit Counter Phone (949)644-3288 a Job Address: 2607 BUCKEYE ST Floor: Suite: Description of Work:SFR POOL & SPA 360 SF W/ DRAINAGE Inspector Area: 4 Legal Description: N TR 4893 LOT 91 Owner: STAVROS AMBER & ANDY Address: 2607 BUCKEYE ST NEWPORT BEACH, CA 92660 Phone: Applicant: HOLDER AARON Address: 1276 E COLORADO BLVD STE 210 PASADENA CA 91106 Phone: 626-261-0825 Building Rear: Setbacks: Front: Left: Right: . VI1J11VUUVII Construction Valuation: $45,000.00 Building Permit Fee: $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,430.00 PROCESSED BY:, ZONING APPROV Bldg: 1 Plan Check No: 1690-2022 Code Edit: 2019 Contractor: WESTMOD Architect: Address: 1276 E COLORADO BLVD Address: PASADENA, CA 91106 Phone: 626-261-0825 Phone: Con State Lie: 1053685 Engineer: Lie Expire: 05/31/2023 Address: Bus Lie: BT30076622 Lie Exp Date: 09/3012022 Phone: POOL -Permit: S2022-0150 Project No: 1690-2022 Inspection Requests Phone (949)644-3255 State Lic: THOMPSON MATTHEW 1201 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 State Lic:C-086051 Worker's Compensation Insurance Special Conditions: Carrier: EMPLOYERS PREFERRED Policy No: EIG282852703 Expiration: 04/01/2023 Issued Date: 07/05/2022 FEES Record Management: $4.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $237.00 Water Quality Dept Insp Fee: $152.00 Drainage Plan Check: $199.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,430.00 9 � pVJ � Bfi PLAN CHECKED BY:: L m APPROVAL TO ISSUE: PERMIT EXPIRES 10C GAYS 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 far the reason(s) indicated below by the checkmark(s) I 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 .Tot more than five hundred dollars ($500). 1201 N TUSTIN AVE ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION n I hereby affirm under penalty of perju�y��tF, l am licensed under provisions of Chapter 9 (commencing with Section 700 ) of D'visi n 3 of the Business and Profession ode, and my I$�an � r l force and effect. License Class if9`C i"J License No Date Contractor Signaturg b/ WORKERS' COMPENSATION DECLARATION — NARNING: 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 COST 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: 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 th rf ante of the work for which this permit is issued. Policy No. 1 h 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' compensatioi Ins ant carrierr and poll y number are: Carrier �nR �wc Policy Number I— j t7 2 �� Z O 2�e L Expiration Date Name of Agent Phone # ❑I certify that, in the performance of the ork for which t 's permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become/subject to the r ers' compe s i n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 1 X' 7 Z DECLARATION REGAIDIWG CONS R' CTION LENDING AGENCY I 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). Lenders Name Lender's Address By 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 p ovideRands I agree to comply with all applicable city and county o 1 anteI relatin -to building construction. JI authorize representatives of this city or c nt to ent he abf r rty for inspection purposes. �0.ro/l �"Ibl/.lt°l //�/ Signature of Property Owner or Authorized Ag t Print Property Owner's or Authorized Agent's Name Date 5/ Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO • . • &fenceeYsw ' serve • „• ;2:cs which serve s • • ••' •� • as part of pool/spa °"� •• -. .:trier, shall be in place •• s " •° `- ` �.rlor to approval to fill PERMIT CANCELLED UEPA - PERMIT EXTENDED LJACLMD POOLALARMS 4. S 00ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. • • • • Pool/Spa $ shall remain 1n SIGNATURE: • • • ... piace & b aintained for e • a m ' s `• PERMIT FINAL ( o• o o<+a om na o o• . Oeo ee