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Home My WebLink AboutS2020-0011 - Permitswwi.rk City of Newport Beach - Building Division 111111III 11111p11111111p11111111p111p11111p111111 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 0 1 1 Permit Counter Phone (949)644-3288 Job Address: 28 ROYAL SAINT GEORGE RD Floor: Suite: Bldg: 1 Description of Work:SFR POOL REPLASTER, REPLACE LIGHTS & COVERS Inspector Area: 4 Plan Check No: 0142-2020 Code Edit: 2019 Legal Description: N TR 7323 LOT 24 Owner: MORROW DONALD L Address: 28 ROYAL SAINT GEORGE RD NEWPORT BEACH, CA 92660 Phone: Applicant: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628.9494 Contractor: SMITH ALAN POOL PLASTERING Address: 227 W CARLETON AVE ORANGE CA 92867 Phone: 714-628-9494 Con State Lie: 571196 Lie Expire: 06/3012021 Bus Lie, BT00012422 Lie Exp Date: 08/3112020 Architect: Address: Phone: Engineer: Address: Phone: POOLPermit : S2020-0011 Project No : 0142-2020 Inspection Requests Phone (949)644-3255 State Lic: State Lie, Building Rear: Setbacks: Front: Left: Right: Construction Type Worker's Compensation Insurance Carrier: ARCH INS. CO. Policy No: ZAWCI2645401 Expiration: 04/01/2020 Special Conditions: Issued Date: 01/21/2020 FEES Construction Valuation: $26,745.00 Building Permit Fee : $509.00 Record Management: $4.00 Water Quality-- ; Permit Issuing Fee: $0.00 Building Dept Inspection Fee: 20.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $O.dd Building Green Fee: $2.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0,00 Others Building Dep Plan Check: $442.83 $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: $957.83„ Plan Check Fee : $0.00 Fee Due at Permit Issuance : $957.83 PROCESSED BY: ZONING APPRO� PLAN CHECKED BY:: APPROVAL TO ISSUE 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) (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). 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-Builderwill 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 legally 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ' n 7000 v'slon 3 of the Business ofessio C nse is in full force and effect. License Class License No .rL,J20 Contracto ' natu 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 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: E: I have and wall I,ia�,i:ain 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 thi �ormsnce of the work for which this permit is issued. Policy No. 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' carrier and pol.3y number are: of Agent in the performance become Fubj=ct t� Policy Number Expiration Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision` CLAR..TIC� REGARDINITCONSTROCTION LENDING AGENCY U ;reby affirri- pcnalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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. rttt!Y�/�l///�� I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Prooertv Owner or AuthorizedAaent Print Prooertv Owner's or Authoriza"cIent's Na ACTION DATE PERMIT EXPIRED PERMITC4NCELLED PERMIT EXTENDED REGULATIONS PART 610F TITLE 40 AND AOMD RULE SUBMITTED ASBESTOS NOTIFICATION TO POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE-