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Home My WebLink AboutS2018-0181 - PermitsCity of Newport Beach - Building Division IIuIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111l II p ' 100 Civic Center Drive, Newport Beach, CA 92660 I' Permit Counter Phone (949)644-3288 ,lob Address: 1401 GALAXY DR Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA 400 SF/49 SF, CTY STD DRAINAGE Inspector Area: 3 Legal Description: NTR 4224 LOT 249 Owner: MILLER GORDON WAYNE Address: 1401 GALAXY DR NEWPORT BEACH, CA 92660 Phone: Applicant: PACIFIC PARADISE Address: 3007 S HARBOR BLVD SANTA ANA CA 92704 Phone: 714.437-7665 Plan Check No: 2397-2018 Code Edit: 2016 Contractor: PACIFIC PARADISE POOLS Address: 3007 S HARBOR BLVD ° .... SANTA ANA CA 92704 Phone: 714-437-7665 Con State Lie: 522119 Lie Expire: 08/31/2020 Bus Lie: BT30046344 Lie Exp Date: 0 212 8/2 01 9 Architect: Address: Phone: POOLPermit : S2018-0181 Project No: 2397-2018 Inspection Requests Phone (949)644-3255 State Lie: Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ° .... ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Building Rear: Setbacks: Front: Left: Right: Construction Type: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9123412 Expiration: 0210112019 Special Conditions: Issued Date: 1011212018 ° .... FEES ° m oom000 Construction Valuation: $32,000.00 co 0 0 Building Permit Fee: $405.00 Record Management: $8.00 Water Quality- 0 0 Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 ° Investigation Fee: $0.00 Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $0.00 m o m Building Green Fee: $2.00 Drainage Plan Check: $312.00 Building Dept WQ Plan Check: $0�0 Plan Dept Plan Check: $0.00 Grading Consultant Fee: $0.00 Others Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Additional Fee: $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 'I TOTAL FEE : $1 PROCESSED BY: ZONING APPROVAL: Plan Check Fee: m PLAN CHECKED BY:: � mca APPROVAL TO ISSUE:_ ` moo °p mmm m 0 PERMIT EXPIRB& I.,80 I?AYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : ooco50 mmmo5 mmoou�� m m o i m , moca 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,, 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 'rofessions 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 of more than five hundred dollars ($500). 1201 N TUSTIN as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business nd 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 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 -- -. pply 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: ly 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, 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.gov/calaw.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 Section 700av P he Business and of Sio Cod , and m r cense is in full force nd effect. License Class License No Date Contractor Signal VORKERS' 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 er)6rmance of JlJe V2t for which this permit is issued. Policy No. workers' compensatiqp insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Number Date JLcePfjfy that,lrt tIRVrformance of th ork 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 hatMPI should become s lect to fhe r 'compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. itgQn��ature of Applicant )"L•ARATION �*RDTKWCONSTRUCTION LIENDMIGI A NCY ' 1 Jehbj affirm ueder 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). .ender8 Name • • ... Lender's Address 3y")oaignature below, I certify to each of the following: • • i sm the properiy owner or authorized to act on the property owner's behalf. I have read this a9pplication and the information I have provided is correct. I agree to comply with all applicable city and county ordina s and state laws relating to building construction. 1 authorize representatives of this city or coun to/�niter a ab ve-identified�%0 y for inspection purposes. �� /� �,� ��,,/ 3ionature of Procertv Owner or Authorized ADent of i / /O `.�PrIfiCPrODertv Owner's or Authorized ADent's Nama'C /SG✓ -t /J'!" "YJ4/7 � Dat CLI/C - ACTION DATE BY r DEGU RATIONONS OF COMT 61 L TNTCE E WITH AND DE OF FEDERAQMD RULE AL I FOR OFFICE USE ONLY PERMIT EXPIRED U 1 SUBMITTED ASBESTOS NOTIFICATION TO .• PERMITCANCELLED UEPA • •� • PERMIT EXTENDED 13AQMD • . • • • POOLALARMS77ASBESTOS NOTIFICATION IS NOT APT6Ii!ABL2 TO INSTALLED.�� PROPOSED DEMOLITION. SIGNATURE: • • .• PERMITFINAL 0-1717 - •