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Home My WebLink AboutS2018-0072 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 'e Permit Counter Phone (949)644-3288 Job Address: 5 COLLINS ISLE Floor: Suite: Bldg: 1 Description of Work:SFR - SPA 45 SF Wl WATER FEATURE Inspector Area: 2 Legal Description: TR 1723 LOT 4 POR OF LOT Owner: THABIT CORY & SUSAN Address: 5 COLLINS IS Building Rear: Setbacks: Front: Left: Right: V -B Construction Valuation: $50,000.00 Building Permit Fee: $380.00 Permit Issuing Fee: NEWPORT BEACH CA 92662 Phone: $0.00 Applicant: LARRYIDEVORE POOLS & SPAS Address: PO BOX 828 $0.00 SAN JUAN CAPISTRANO CA 92693 Phone: 949-493-4374 Building Rear: Setbacks: Front: Left: Right: V -B Construction Valuation: $50,000.00 Building Permit Fee: $380.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $338.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $728.00 PROCESSED BY: ZONING APPRO\, Il�lllllllllllllll�l�ul�lullllll��l a e°• .. a®ePOOLPermit : S2018-0072 5 2 6 1 60 00 7•2 e . e e• e® e e o• e Project No: 1015-2018 eee s e Inspection Requests Phone (949)644-3255 ° ee o00 oa • 0 o opo o ec � ° • oc a e ore ee • •e • °o° eee aoe $0.00 Plan Check No: 1015-2018 Code Edit: 2018 Contractor: DE VORE POOLS & SPAS Address: 32908 AVE DEL ROSAL SAN JUAN CAPSTRNO CA 92693 Phone: 949-493-4374 Con State Lie: 401549 Lie Expire: 04130/2020 Bus Lie: BT97026761 Lie Exp Date: 1 113 012 01 8 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1222520 Expiration: 11/0112018 FEES Architect Address: Phone Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 0510112018 State Lic: State Lic:C-067656 Record Management: $8.00 Water Quality- -- Building Dept Inspection Feer $0.00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT 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 Contrnctbrs;S1Zte•Ligens a 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 Thai MuirBs a permit to coadwict, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 1e 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 'rofessions Code) or that he or she is exempt from licensure and jhe 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 of more than five hundred dollars ($500). • • • . ;, • • • • •. • 1201 N TUSTIN AVE 7 1, as owner of the property, or my employees with wages as:hlir AS comp4salon; wftl do -L) all Gi or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ',usiness and Professions Code: The Contractors' State License lawdo9s not.*plyto an owner of brcperty who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 p ly 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). 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 this permit, I cannot Iegall� 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. ignature 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 Section 7000 of D'vision 3 of the Business and Professions, a d n1y Iicens is in full force not effect. License Class License No Dat Contractor Signature J �' �� YORKERS' COMPENSATION DECLARATION �/� ARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 /�ance of the work for which this permit is issued. Policy No. , h ve 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' compensatioi ns nc a carrier and policy number are: arrler Policy Number Expiration Date Jame of Agent Phone # Jl certify that, in the 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 workers' compensation laws of California, and agre hat, if I should become subject tope workers' compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicart_�'Dales )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY v hereby affirm under penalty of rjury 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 ordina ces and tate laws relating to building construction. I authorize representatives of this city or cou ty to v dentified pro or inspection purposes. Signature of Property Owner or Authorized Agent sots Print Property Owners or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 :' PERMITEXPIRED fSUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA G %171 PERMIT EXTENDED LJAQMD POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: