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Home My WebLink AboutS2019-0111 - Permits1� City of Newport Beach -Building Division c -s4 100 Civic Center Drive, Newport Beach, CA 92660 'g Permit Counter Phone (949)644-3286 Job Address: 10 CYPRESS POINT LN Floor: Description of Work:POOL REPLASTER ONLY InspectorArea: 4 Legal Description: N TR 7223 LOT 8 Owner: LEE HOMER & FANNIE Address: 10 CYPRESS POINT LN NEWPORT BEACH, CA 92660 Phone: 949-981-0538 Applicant: ANGELS POOLS INC Address: 2211 E WINSTON RD, UNIT C ANAHEIM. CA 92806 Phone: 714-520.0004 Building Rear: Setbacks: Front: Left: Right: Construction Valuation:.. $11,000.00 Building Permit Fee : $248.00 Permit Issuing Fee: $0.00 Investigation fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $40.00 Building Dep Plan Check: $215.76 Building PC Investigation : $0.00 Plan check Ext: Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $800.76 PROCESSED BY: ZONING APPROVAL: iiiiiii1 �I Suite: Bldg:I Plan Check No: Code Edit: Contractor: ANGELS POOLS INC Address: 2211 E WINSTON RD, UNIT C ANAHEIM CA 92806 Phone: 714-520-0004 Con State Lie: 956568 Lie Expire: 01/31/2021 Bus Lie: BT30067886. Lie Exp Date: 06130/2020 Worker's Compensation Insurance Carrier: MIDWEST EMP Policy No: BNUWC0136352 Expiration: 0510112020 Record Management Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee : FE 1457-2019 2016 Architect: Address: Phone: Engineer: Address: Phone: Special Conditions: Issued Date: 15001 -Permit: S2019-0111 Project No : 1457-2019 Inspection Requests Phone (949)644-3255 $2.00.. Water Quality- . Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $0.00 - $0.00 Building Dept WQ Plan Check: $0.00 $0.00 Others $0.00 $294.00 $0.00 Plan Check Fee : $294.00 Fee Due atPermitIssuance : $506.76 PLAN CHECKED BY:: APPROVAL TO ISSUE: ✓ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION State Lie: .... ° 6100 e OeOe °.46660 ee e o State Lie: •°6 oa ° c 6 ¢ c o ee o ° 5' oa+oo 0 612 512 01 9 O4♦ O V p.n O 0 V OOUBU $2.00.. Water Quality- . Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $0.00 - $0.00 Building Dept WQ Plan Check: $0.00 $0.00 Others $0.00 $294.00 $0.00 Plan Check Fee : $294.00 Fee Due atPermitIssuance : $506.76 PLAN CHECKED BY:: APPROVAL TO ISSUE: ✓ 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 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 he 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 lot more than five hundred dollars ($500). , 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 Ind 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 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 m 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: 3y 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 legalll yell 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:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm upCPI'idbpalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Kof Clivision of the Business ns -Code, and my license is in full force Td effect. License pass License No Da Contractor S n JC)WeRS' CPgPENSATION DECLARATION IApNIN9: FAILURE -TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND�TUSAND DOLLA (S� 700,00 �1, IN ADDITION TO THE WS1 OF GOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.�� T ereoy affirm under papally of perjury one of the following declarations: i4 and wltl-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, rl ante of thewoFk for which this permit is issued. Policy No. eYd, and will m9ihtain 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' compensatiol WV carrier altd policy number are: ;anter _ • Policy Number Expiration Date - h n 4 Df.Agent Phone # �I eeltify that, Wthe earformance 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, iat, if I should become LubLatit to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Appli ant Dates Ly • a,�— g DECLARATION R I STRUCTIO LENDING AGENCY hereby affirm under of perjury th re 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 ly my signature beW, 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 co y ordinances and state laws relating to building construction. I authorize representatives of this city or a he above -identified property for inspection purposes. t^ Ii nature of Property Owner or Authorized a Print Property Owner's or Authorized Agent's 16e�i 1,Date J - %CFION DATE BY ECLARATION OF CO LIANCE WI COD OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 AND AQMD RULE TO PERMIT EXTENDED UAQMD POOL ALARMS 1p)ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED 3L PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL