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Home My WebLink AboutS2019-0029 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 0 2 9 Permit Counter Phone (949)644-3288 r aepapFt> Job Address: 2201 BAYSIDE DR Floor: Suite: Bldg:1 Description of Work:NEW POOL AND SPA 482 SF, MONOLITHIC W/HOUSE FOUNDATION Inspector Area: 6 Legal Description: P SK 47 PG 32 PAR 2 Owner: CULLEN GREG Address: 6641 ESPLANADE PLAYA DEL REY, CA 90293 Phone: Applicant: BRANDON ARCHITECTS, INC. Address: BRANDON CHRIS 3001 RED HILL AVENUE Phone: 714 754 4040 x108 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $80,000.00 Building Permit Fee : $405.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,116.00 Plan Check No: Code Edit: Contractor: ADAMSON MARK Address: 14196 UXBRIDGE ST WESTMINSTER, CA 92683 Phone: 714-376-6301 Con State Lie: 590874 Lie Expire: 02129/2020 Bus Lie: BT30067889 Lie Exp Date: 01/31/2020 Worker's Compensation Insurance Carder: STATE FUND Policy No: 9225662 Expiration: 0210212020 Record Management: Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $8.00 $0.00 $0.00 $0.00 $294.00 Plan Check Fee POOLPermit : S2019-0029 Project No : 0509-2019 Inspection Requests Phone (949)644-3255 0509-2019 B N S 1 E V 1 O 2016 Architect Address: „ Phone: State Lie: Engineer: JAFARI MASOUD Address: 23 ORCHARD #250 , LAKE FOREST CA 92630 ... Phone: 949-206-9929 State Lic:S-003812 Special Conditions: , ""LIQUEFACTION— , Issued Date: 03/0812019 Water Quality -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others: PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL: M{Ev— APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 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). 23 ORCHARD #250 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 Ii-m-roved for the purpose of sale). LJ 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 thi ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ca.gov/calaw.html. ignature of PropPdy Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under nenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 3 of the Busines nd Profs i s C ,and my license is in full force no effect. LicDnLe Class License No Date Contract r g ature r1ORKERS' COMPENSATION DECLARATION 'ARH:N3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUND ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPEN.5ADON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he,'eby'affirm under penalty of perjury one of the following declarations: I ! hrve and will mai,rtain 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 arf,IFR,Wce 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 ax: pc;icy number are: certify that, in the perforrrppanzc� of the if I should become subirlt t�lthe wo of Applicant Policy Number Date and for which this permit is issued, I shall not employ any person in any manner so as to become sub'ect to the workerscompensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis s. / _ I _ I _ CLARATION REGARDIN959HSTRUCTION LENDING AGENCY lreby affirm undezaaua*ylol perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section Ider'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 provd d is correct. I agree to comply with all applicable city and c u ty ' n s and state we relating to building construction. I authorize representatives of thi or coun y t e t r t bove-id ied property for inspection purposes. 3ignature of Property OwnerCrA ed Agent Print Property Owner's or ACTION DATE BY 7DEC ION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OR REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE Civil Code). PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO All reyuu cu aw• •••-+ --- & fences which serve PERMITCANCELLED UEPA gates of a pool / spa PERMIT EXTENDED qMD as part shall be in place POOLALARMS U ASBESTOS NOTIF TION IS NOT APPLICABLE TO barrier, to approval to fill INSTALLED ROPOSED DE ITION. prior pool/spa & shall remain in SIGNA & be maintains or rPMR place