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Home My WebLink AboutS2020-0059 - Permits0�i' City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1022 WEST WIND WAY Floor: Description of Work:NEW POOL (165 SF) Inspector Area: 3 Legal Description: N TR 4224 LOT 184 Owner: LEVINSON RONNI Address: 1902 SUVA CIR COSTA MESA CA 92626 Phone Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $20,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation: $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $78"0 PROCESSED ZONING APPI Suite: Bldg:1 *S2020-0059* POOLPermit : S2020-0059 Project No : 0759-2020 Inspection Requests Phone (949)644-3255 Plan Check No: 0759-2020 Code Edit: 2019 Contractor: STEELE BRETISTEELE POOLS Address: 4921 E LEEDS ORANGE CA 9286T Phone: 714-496-1427 Con State Lie: 923975 Lie Expire: 10/3112020 Bus Lie: BT30042162 Lie Exp Date: 02128/2021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: NO EMPLOYEES Expiration: Record Management Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee : FE $6.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : Architect Address: Phone Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630.6100 Special Conditions Issued Date: Water Quality- — I NSPECTCR State Lie: Slate Lic:C-067656 rrrii7s63z.77_1r11:8�Sii�c7ri lir_CC3:.1�� 05105/2020 Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $425.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 7031.6, 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 is 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 Irofessions 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 iOt 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, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, bulids or improves the property, provided that the mprovements 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 n 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 ipply 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: ly my signature below 1 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 legal 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 the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.mgov/mlaw.html. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be io 000 of Division 3 of the Busin s and Professions de, my license is in full force Ind effecL License Class License No D Contract Signature Ki VORKERG' COW.PENSATION DECLARATION IARVING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O NE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH TS-OF COW_*NBA'. ION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. hereby affi:Tn unr:er penalty of perjury one of the following declarations: ] + 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 tl performance of t; i� work for which this permit is Issued. Policy No. -nave and whi 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' .lance car:iGr and policy number are: far Policy Number Expiration Date jFa of Agent Phone # 'iartify that, it tM performance 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 wort IS' compensation laws of California, and agree i, if I shouE 4ARDING e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prcvisions. nature of Alt1%'z`� 8,� a e_5/,rrion CLARATIC, CONSTRUCTION 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). 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 applicabi city and county ordinances and state laws relating to building construction. I authorize representatives of tht city or county to enter t/h/e ab e-identified property for inspection purposes - nature nature of Property Owner or A ri2etl ADent �/./!e, 6 �Z"01 Print Prooertv Owner's or Authorized ,A irs Name Paul FIIiGnn L5/5/20 ACTION DATE' BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY N, I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITO(PIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO Alt Ieq' gates & fences which serve PERMIT CANCELLED UEPA as part of a pool / spa barrier, shall be in place prior to approval to fill PERM/7EMENDED QMD POOL AL4RMS ( i3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. pool/spa & Shall remain In SIGNATURE: place & be maintained for V 0 0 am �5 0 3 0 a a � o � N O O 4. N �o Ao mPZo� b j N � a, N � � � N � C3 °o Nq m p ou nA v' W o p o it CD N y O cn ❑❑❑ � N