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Home My WebLink AboutS2020-0214 - PermitsCity of Newport Beach - Building Division 11111111111111p11111111111111111p11111p11111111111 AQ� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 2 1 4 Permit Counter Phone (949)644-3288 C erlYn11N�: .lob Address: 536 SEAWARD RD Floor: Description of Work:SFR POOLISPA 490 SF Inspector Area: 5 Legal Description: N TR 1237 LOT 182 Owner: LEVINE DANIEL Address: 1515 ANTIGUA WAY NEWPORT BEACH CA 92660 Phone: Applicant: ELLISON PAUL Address: 25108 MARGUERITE PKWY #A79 MISSION VIEJO CA 92692 Phone: 949-367-9710 Building Rear: Setbacks: Front: Left: Right: Construction TvDe : VB Construction Valuation: $60,000.00 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 : $819.00 POOLPermit : S2020-0214 Project No: 2389-2020 Inspection Requests Phone (949)644-3255 Suite: Bldg:1 Plan Check No: 2389-2020 Code Edit: 2019 Contractor: BLUE PACIFIC POOLS SOUTHERN CALIFORNIA Architect;! '� Address: 25108 MARGURITE PKWY #A79 Address: S MISSION VIEJO CA 92679 Phone: 949.310.3196 Phone: State Lic: Con State Lic: 923454 Engineer: LACHER TODD Lic Expire: 1013112022 Address: 1201 N TUSTIN AVE Bus Lic: BT30073923 ANAHEIM CA 92807 Lic Exp Date: 01131/2022 Phone: 714-630-6100 State Lic:C-067656 Workers Compensation Insurance Special Conditions: Carrier: STATE COMP INS FUND DRAINAGE PERMIT X2020-0964, LANDSLIDE Policy No: 9126143 FUEL. MODIHAZARD REDUTION ZONE Expiration: 02128/2021 Issued Date: 0212412021 FEES Record Management: $0.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WO Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $387.00 PROCESSED BY: � t PLAN CHECKED BY:: ZONING APPROVAL: Vr 1v" APPROVALTOISSUE:_ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee DueatPermit Issuance : $432.00 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 items) ;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 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 im roved 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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 Section 7000),of ivi ion of the Business and Profession�'s Q e, an lic Be is in full force and effect. License Class License No Date 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 S100,000), IN ADDmON 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: I"' I 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 art rmance 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 policy number are: is of Agent certify that, in the performance , if I should become subject toj Policy Number Date work for which 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 'kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �'4-1y16—��l� CLARATION REGAKOInGCCONSTRUCTION LENDING AGENCY •reby 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). .ender's Name Lender's Address 3y 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 ordman as and state laws relating to building construction. I authorize representatives of this city or countK to linter t above=dentife party for inspection purposes. / ^ Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ACTION DATE BY DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL VEGU FOR OFFICE USE ONLY LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 - Af'dr_Ms a C 2S' ' ' PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO gates & fences W6i(-f1 $erv'e, PERMITCANCELLED OEPA - as Dart Of pool / Spa' barrier, shall be in place prior t0 approval to fill PERMITEXTENDED QMD POOL ALARMS t'i ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED f I PROPOSED DEMOLITION. pOJ;/apa & shall remain iq SIGNATURE: place $r bo ma'.nt3irer for IS f+2— PERMIT FINAL X V .. N N 0 7 LL N O W O W U N m O O U O m Y = 0 = I- 00 c O L O ^ O z 3 z m v v c`Ua 3a U m N \ Ol 0) N N t~/1 N f > c cc n rc = N = vi U U L U M M