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HomeMy WebLinkAboutS2020-0197 - Permits� > City of Newport Beach -Building Division 11pi1111111111111111111111111111111111111111111ip 11 100 Civic Center Drive, Newport Beach, CA 92660 µ Permit Counter Phone (949)644-3288 o fir �'�4aviti�y .lob Address: 1833 LEEWARD LN Floor: Suite: Bldg: 1 Description of Work:SFR POOLISPA 390 SF WNARD DRAINAGE Inspector Area: 3 Legal Description: N TR 4463 LOT 18 Owner: DANNAKATHERINEIIGNATIUS Address: 1833 LEEWARD LN NEWPORT BEACH, CA 92660 Phone: Applicant: SIMONS RICHARD Address: 123 N LOOP DR CAMARILLO CA 93010 Phone: 805-910-9826 Building Rear: Setbacks: Front: Left: Construction Construction Valuation: Building Permit Fee : Permit Issuing Fee: $itmoa rSQ.00 Investigation Fee: $ 00 Building Green Fee: $2.40 Plan Dept Plan Check: $0.0 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 : $1,254.00 PROCESSED BY: ZONING Contractor: PEER POOL) Address: 1TT520 FOOTHILL _SYLMAR. CA 913 Con State Lic 25132 g� Lic Expir . 1113 Bus 3 t'lyq�z 'z cExpDat311 b1 eco ' an dent: t$,00 inage ermit Fee : n , �00 age Plan Check: 195.00 ading Consultant F 1 $0.00 Addition �,'4 1 $0.00 AJ��t�`CJ Check 222,- 2$e���� ERrNC� O�OArchitect: Addr OK`'' Phone: ko Engineer: THOMPS( POOLPermit : S2020-0197 Project No : 2228-2020 Inspection Requests Phone (949)644-3255 Wisp C: U z ` Address: 121121NTUSTINAVI ANAHEIM CA 92807 Phone: 714-630-6101 Special Conditi s: °R \ Ise qNhe(S)0312312021 Lic: S4,086051 FEE, v`u �'���tiG�r Water Quality- B ' mg Dept ape Fee: $0.00 aterQu y D nsp Fee: $0.00 Build.' Q Plan Check: $0,00 there $0.00 $0.00 $582.00 Fee Due at Permit Issuance : PLAN CHECKED BY:: APPROVAL TO ISSUE: 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) ction 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 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 fessions 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 more than five hundred dollars ($500). 12021 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, ;iness 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 rovements 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 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 Profess[ Oki; Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant tot acto $t'#e 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 res =11 a structure that I have built as an owner -builder if it has not been constructed in its entirety by lice) rofessions Code, is available upon request when this application is submitted or at the followin ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under pro>6Rs`6'Chapter 9 (commencing nd effect. License Class _W a No JORKERS' COYPFNSATION DECLA Rear prior to completion of th Imp„ vements covered by this permit, I cannot I understand that a copy of the a liea',elaw, Section 7044 of the Business and Business and N1Pr'VC' . cAILURE TO SEC UREWOKERS' SATION COVERAGE IS UNLA ND SHALL SUBJECT:AOMIROYER TO CRIMIN,AA1,46W r1-ES-A1 CIVIL PINES UP TO ONE HUNDR ,TH CJST OF DJMPENS:-.TILN, Di.MA VIDED FOR IN SECTION 3706 LA60R CODE INTEREST, AND ATTORIYEY'S FEE D V`r"lJ hereby affirm under penafty, of perjury one of the f g declarations. , I have and will m2'tain at oe�ent to self re for workers` compensation, issued by the Director of Industrial Relations as provided fo b �11 'rmance of the wjrl' for w ch�this permit is i(5URO-2lic oli aave and wi'I mairtaUgt work nsatinc�°�equired liy Secbon 3700 of the Labor Code, for the performance of the work for which this anee carrier end poIl4�r nu "er are: "-„ .,carrier y Number Expiratio DaLe Vnm� of 'agent $ a� ".;, on JI rertifv that, in he pe�forof h or or w Is pe . �,)s Ia 1 employ any person in any manner�g o e act to the workers' at, If I s'lould beLome t - mp r ectlon 3700 of the Labor Code, I tdr(�nrilCr c`o �g provisions. r Signature of Applican 'n ®�•7 P. l Data 1 DECLARATION REGA ING N& U TI ..LEN NG AGENCY �n�o� hereby affirm under p na of erju " . - Is a construction lending a enc IQ,��jje performan a work, E1+r1�Lh this permit is issued (Se fierf3b97, Cif -ender's Namee�ider's Address 3y my signature below, I certify t- each of the following: qq0.1 ; ,5 I am the property owner or ad orized t o p6i379ey(nr3rr's ha . I have read this application an the form 'on h ored 's�Qrtre Q' agree to comply with all applidable 't o fie sate laws relating to build' nstruct[on. I authorize representatives of thfs city' r ty bove-identifie opert spection purpose Signature of Property Owner or Authe ized A ant Print P y Ow uthonzed Agent's Name ACTION DATE BY E RAT COMPLIANCE WI E OF FOR OFFICE USE ONLY _ o —Ar LATIONS PART 610 40 A RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED INSTALLED NOTIFICATION TO APPLICABLE TO Date my license is in full force DOLLARS I$100,000!, IN ADDITION TO THE 3700 of the Labor Code, for issued. 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