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Home My WebLink AboutX2019-1607 - PermitsCity of Newport Beach - Building DivisionI IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIIIII III COMB Permit :X2019-1607 � 100 Civic Center Drive, Newport Beach, CA 92660. N Permit Counter Phone (949)644-3288 Project No: 0274-2019 v - Inspection Requests Phone .(949)644-3255 Combination Type- BLDG Issued Date : 05/20/2019 Inspection Area: 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2632 BASSWOOD ST NB -Description: RAISE (E) POOL EQUIPMENT WALL FROM 42" TO 60" (CITY STANDARD) 22 LF Legal Desc.: N TR 4893 LOT 6 Owner SPRAKER ERIC M Contractor. UNITED CONTRACTORS Architect: Address: 2632 BASSWOOD ST Address: 10725 ELLIS AVE #D Address: NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY. CA 92708 Phone:. Phone: 801.792-7417 Phone: State Lic: Applicant: ZALAR DOUG Address: 10726E-4tIS AV :. FOONTAINsVALLEY CA 92708 PhbBE^O < 714-853-9606 Code F4 11 `< 2016 Type of Construction" Occupancy Group: r ° ^ ° ll Ad`de`riiJewsq.ft1Idgr,° 0 Adriled.fis%!,v sq. ft. rerage: 0 No of Stdhes: 0. 0.10 Nocaf Uni s - 0 " BldgdTeigh1:. ° 0 Bldg Sprinklers: O9° FlnFIR Building Permit Fee: .$0.00 Plan Check Fee: $366.00 06/30/2020 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access :- $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Con State Lic: 949005 Lic Expire: 06/30/2020 Bus Lic:- BT30063869 Lic Exp. Date: 02/2912020. Worker's Compensation Insurance Carrier. STATE FUND Policy No: 911946218 Expire: 12/06/2019 Building Setbacks Rear: Ile' SJH Trans : Front:.I (o� $0.00 Left: / 4 i $0.00 Right: I r„f Engineer: Address: Phone: State Lic: Designer: Address. Phone' Special Coitios,,,N Fire Excise Tax: $0.00 Planning Department- $0.00 Fire Plan Rev . Additional Fee : $62.00 Plan check Fee: Building Dept Adm $40.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 $0.00 .Grading PC Consultant: $0.00 SJH Trans : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: : $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $468.00 Plan Check Fee : $0.00 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00' Fee Due at Permit Issuance PROCESSED BY: PUBLIC. WORKS APPROVAL: ZONING APPROVAL: _ PLAN CHECK BY; GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $468.00 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) 1 have placed hexa to the applicable item(s) ;action 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 ie 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).. ] 1, 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, usiness 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 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). 1, 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: gally - 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 le ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirely 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:http://www.leginto.ca.govicalaw.htmi. - Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION 4G�rie is in full force hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivisi n 3 of the Business and Professions my ' • • l nd effect. License Class License No Data Contractor Signature •: • ° VORKERS' COMPENSATION DECLARATION• o o O ° o IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS'jaE,SDU/� M ADDITION TO TIcE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • 0 0 0 ° 0 hereby affirm under penalty of perjury one of the following declarations: • 6Of °O ,.•• 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 off �h .�abor Cod®°fAD Sh rmance of the work for which this permit is issued. Policy No. ave 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. *,*ortOrs' comMnsetiol Iss r nce carrier and policy number are: - • • ° • o 0 Expiration Date er � Policy Number • • , � Phnne it me of Agent I 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 1a;9 of•G �lifornia�and see I, if I should become s bject t compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r •.`;— (nature of Appli an Dat CLARATION RETARDING .RDING CONS .. _ _ . _ _ ENDING AGENCY ereby affirm under penalty of perjury that there is a construction len Ing gency for the performance of the work for which this permit is issued (Section 30 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 applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or GOO to enter e h - entified property for inspection purposes. —7 /� mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /i. 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