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HomeMy WebLinkAboutS2020-0190 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIII�I��lllull��lll�lll�lllulllPOOLNDerz 2& S20020-0190 100 Civic Center Drive, Newport Beach, CA 92660Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 2501 BUNYA ST Floor: Suite: Bldg: 1 Description of Work:SFR SPA 63 SF WNARD DRAINAGE Inspector Area: 4 Legal Description: N TR 4893 LOT 69 Owner: TARKESHIAN KOMRON/ELISA Address: 2501 BUNYA ST NEWPORT BEACH, CA 92660 Phone: Applicant: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 949-872-0450 Building Rear: Setbacks: Front: Left: Right: Construction Type : VB Construction Valuation: $30,000.00 Building Permit Fee: $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED ZONING Plan Check No: 2122-2020 Code Edit: 2019 Contractor: SCHWARZ POOLS Address: PO BOX 28437 SANTA ANA CA 92799 Phone: 714-241-7665 Con State Lie: 967325 Lie Expire: 09/3012022 Bus Lie: BT30038738 Lie Exp Date: 0313112021 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expiration: Record Management: Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee: FEES $8.00 $232.00 $195.00 $0.00 $136.00 Plan Check Fee: Architect: Address: Phone Engineer: CHEN MING-TARNG Address: 12121 CANDOR DR CERRITOS CA 90703 Phone: 714-521-0169 Special Conditions Issued Date: 12103/2020 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : n�aPLAN CHECKED BY:: °m. w °APPROVAL TO ISSUI � c PERMIT EXPIRES A0 ®AYS`APfER I�SUANC�E OR LAST VALID INSPECTION OtlU 09 0B 0 6 0y,i uw State Lie: State Lic:C-054011 $278.00 $120.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : LU z OWNER -BUILDER 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) ction 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 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 fessions 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 more than five hundred dollars ($500). 12121 CANDOR DR LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of tl Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor ❑ 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 y sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unl Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginf Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7gp0)pf and effect. License Class License No Date i! COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE DST 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 If 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 perk Isurance carrier and policy number are: �arrier Policy Number lame of Agent I certify that, in the performance of the w rk for which this permit is issued, I shall not employ any person in any manner so I , if I should become subjec wo IS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c ignature of Applicant fc Ti ft ` ECLARATION REG RDING COWWPAUCT]Ofi LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which It 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 owners behalf. I have read this application and the information I have provided is rrect. I agree to comply with all applicable city and county ordin s state laws relating to building construction. I authorize representatives of this city or county I -I an I ad property for inspection purposes. ignature of Property Owner or Authorized Agent - Print Property Owner's or Authc k, and the structure is not intended or offered for sale (Section 7044, Gas' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Datq of the Business and Prof o e, and my license is in full force O Contractor Signatur '�sr-�- CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws c California, and agre Iply with those provisions. IZ 2D permit is issued (Section 3097, Civil Code). ACTION DATE BY DEC RATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • e•e • • •.• ♦•• PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICA IQTO• • + c • i a i• PERM/TCANCELLED EPA e • • ♦ • •• PERMITEXTENDED QMD POOLALARMS UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. ••� `�• ••� ••• ••• •`• SIGNATURE: • e e ¢ o c PERMIT FINAL /J,�J, a o 0 0