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HomeMy WebLinkAboutS2018-0176 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Date. 3-3©- Z3 POOLPermit : S2018-0176 Requests Phont (949)644-3255 Job Address: 2327 MARGARET DR Floor: Suite: Bldg 7 r Description of Work:SFR POOLISPA 648 SF ®.. 7 Inspector Area: 3 . - a1 Pla"44p 5 Co Legal Description: NEWPORT HEIGHTS LOT 28 NWLY 60 FT -EX NELY 132.0 FT ST Owner: O'RYAN CAPITAL MGMT LLC Contractor: WN -=Arettitect ail E' `� Address: 823 N HARBOR BLVD Address: RAIG POTTER Address:Y; FULLERTON CA 92832 a Phone: 951-464-2359 Phone: 49.454 2 9 Phone State Lic Applicant: POTTER CRAIG Address: 823 N HARBOR BLVD Con State Lic: 1B ' `EngiOeeY I - LACHER TODD - ' ' Lic Expire: -' 1201 N TUSK 'J FULLERTON CA 92832 Phone: 951.454-2359 Bus Lic: ANAHEIM CA 92807 ` = rtPbrOne: f Lic Exp Date: li' -`- -F-53 714-630-6100 i'Sta1elktseCt96" tad+; Building Rear. Worker's C Setbacks: Front: Carrier: Left: Policy No: Right: Expiration: Construction Tvoe : Construction Valuation: $75,000.00 Building Permit Fee : $405.00 Record Management: Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: Building Green Fee: $3.00 Drainage Plan Check: Plan Dept Plan Check: $0.00 Grading Consultant Fee Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Additional Fee Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $817.00 PROCESSED BY: Conditions: FEES h $4.00 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 : . PLA"N',CHliCKED APPROVAL TO I! vvc PERMIT EXPIRES 180 DAYS AF.ER1S£,UAN§&OR LAST VALSD INSPECTION 6bB Od [,� OU veB BB Fee Due at Permit Issuance : 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) (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 not 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, B ess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througlh employees' or personal effort, builds or improves the property, provided that the imp o ments 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 improve for the purpose of sale). koam 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 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). 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 cons ctEd 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 w*npris a tion is sub IR d or at the following Web site:hftp://www.le6info.ca.gov/calaw.htmt. Signature of Property Owner or Authorized Age Dam �l LICENSED CONTRACTOR'S DECLARA I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect f Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 performance 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 performance of the work for which this permit is issued. My workers' compensatiol insurance carrier and policy number are: - Policy Number of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any yf I should become subject two the workers' com>"ation provisions of Section 3700 of the Labor Code, I shall lature of AoolicanfY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or co my enter the above -id led property for inspection purposes. .....�.,..e ..f D...., , n..,,,o — A,nhnrVvcd Ae<.,r / Print Prooertv Owner's ACTION DATE BY DECLAATWrr5N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• • ••• • ••• PERMIT EXPIRED H-Z7 13 W. Eli SUBMITTEDASBE51-01 NO!1FICATI4N70 PERMITCANCELLED UEPA •• • • •• • • �• li PERMIT EXTENDED QMD POOL ALARMS 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION,• ••� •'•"• •�. :� SIGNATURE: • • ° ° • " • o PERMITFINAL Date so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. i this permit is issued (Section 3097, Civil Code). USE ONLY no