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Home My WebLink AboutS2020-0164 - PermitsCity of Newport Beach =,;wilding Division ��III 1111111111111111111111111111111111111111111 "'. 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 1 6 4 Permit Counter Phone (949)644-3288 Er a CN{1Y111i� Job Address: 544 DE ANZA DR Floor: Suite: Bldg: 1 Description of Work:SFR RE -PLASTER (E) POOL/SPA `STOP WORK 120-3041 "CITY STANDARD" Inspector Area: 5 Legal Description: N TR 1237 LOT 87 Owner: 544 DE ANZA LLC Address: 1 CORPORATE PLZ DR #110 NEWPORT BEACH CA 92660 Phone: 949-756-8393 Applicant: NATHAN/544 DE ANZA LLC Address: 1 CORPORATE PLZ DR #110 NEWPORT BEACH CA 92660 Phone: 949-756-8393 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : VB Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Permit Issuing Fee: $0.00 Investigation Fee: $161.00 Building Green Fee: $1.00 Plan Dept Plan Check: $46.25 Building Dep Plan Check: $140.07 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $511.32 PROCESSED BY: ZONING Plan Check No: 1856-2020 Code Edit: 2019 POOLPermit : S2020-0164 Project No : 1856-2020 Inspection Requests Phone (949)644-3255 'NV( EC I R, Contractor: ANGELES POOL PLASTERING INC ArAStBUILT PERMIT Address: 321 NORTH ORANGE CA 9 868NS STREETEr:ALL S7RUCTURAI�ate Lic: 9 Phone: 14-296-6807 ELECT i qL PLUMBING, AND Con State Lic: 18877 Engineer. Lic Expire: 07/3112022 MECHANCAL COMPONEW Lic: Bus Lic: BT30073198 Lic Exp Date: 10131/2021 Phone: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9267261 Expiration: 01 /07/2021 FEES Record Management: $2.00 Drainage Permit Fee : $0.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Special Conditions: Issued Date: 10/1212020 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : Plan Check Fee : $0.00 Fee Due at Permit Issuance PLAN CHECKED BY:: APPROVALTO PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 1.32 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 (_) 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 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 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ft I hereby Affirm under penalty of perjury that'l-am licensed under provisions of Chapter 9 (commencing with S io 000) f Divisi n 3 of the Bu�/lass and ProfessLons ode, anq my lice se is in full force and effect. License. Class - License No e H Con for Signatures M, O ;^ e, +T A0RKERS' COMPENSATION DECLARATION NARNING: FAILURE Tu SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO^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, DPMAGES As PROVIDED FOR -IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under peralty of pe0'ury one of the following declarations: J I have and wit. mair�iain 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, lesmance 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' c4rrier a,td policy mgnber are: / Policy Number Date s of Agent Phone # ertify that, in the perfor ante of the 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 if I shouWtzt�ome su (ct to the workers' comp on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of�6aicant � .K-' d w t comp V%A 'a r . _01te / o / 1 -1 ( 4 C% )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, Mvil 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 owners behalf. , I 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 cit�y��jj'' county - entl le�or inspection purposes. nature of Propertv Owner or Authori�Agertt t Print Propertv Owner's or Authorized Agent's ACTION DATE • BDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED POOL ALARMS I INSTALLED PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: