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Home My WebLink AboutS2020-0002 - Permitst� . City of Newport Beach - Building Division 11111111111111111111111111111111111p111p111111 11 ag 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 2 0 0 0 0 2 Permit Counter Phone (949)644-32808 �_1 x� �xxrrxit€�w:.. Job Address: 19 SAN MATEO WAY Floor: Suite: Bldg: 1 Description of Work:SFR POOLISPA 510 SF WIPOOL FENCEING BLOCK WALL 6'X 28 LF (INSIDE P/L Inspector Area: 4 Legal Description: N TR 7844 LOT 23 Owner: IVAN YIH WEN YEE Address: 19 SAN MATEO WAY CORONA DEL MAR, CA 92625 Phone: Applicant: NIV CONSTUCTION Address: 7211 E CROWN PKWY ORANGE CA 92867 Phone: Building Rear: 106'-95' Setbacks: Front: 6' Left: 5' Right: 5' Construction Valuation: $95,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $4.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $794.00 PROCESSED BY: ZONING Plan Check No: 0015-2020 Code Edit: 2019 Contractor: N I V CONSTRUCTION Address: 150 N AVENIDA SEGOVIA Water Quality --- ANAHEIM CA 92808 Phone: 949-606.6895 Con State Lie: 929624 Lie Expire: 03131/2021 Bus Lie: BT30044187 Lie Exp Date: 07131/2020 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Architect: Address: Phone: P001 -Permit: S2020-0002 Project No : 0015-2020 Inspection Requests Phone (949)644-3255 State Lie: Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Special Conditions: LANDSLIDE AREA @ THE REAR Issued Date: 01/13/2020 p Rag d g� 1 n 0 Record Management: $10.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WO Plan Check: $0.00 Grading Consultant Fee: $0.00 Others $0.00 Additional Fee : $0.00 $0.00 - Plan Check Fee : $362.00 Fee Due at Permit Issuance : $432.00 s`PLANeI-IEGIZ&DBY:: -p fi O 'APPR0°VAL'.O ISSUE PERMIT EXPIRES 180 DAYS AFTtYlSObANC*BOP. Lq%S7VVAL•IDSNSPECTION ° mUEO OE `00 O U Eb¢ E° 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 items) (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 the 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 Professions 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 not more than five hundred dollars ($500). 1201 N TUSTIN AVE ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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: By 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) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.[eginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ivisio 3 of the Business and Profe s' ns Codpnd my license is in full force and effect. License Class License No Date Contractor Signatur, �< WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE COST 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: -11 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 the 3erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # L,Qerrify 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 t, if s ould become su ject tio the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 J mature of Applicant�il Al CLARATION REG D G CONSTRUCTION LENDING AGENCY I :reby affirm under enalty 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). 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. I authorize representatives of this city or county en rt/,he above -identified property for inspection purposes. Signature of Property Owner or Authorized, enf Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • .•, --- -__ _ PERMIT EXPIRED PERMIT EXTENDED POOLALARMS INSTALLED I b /I 7h✓ / PERMIT e • • Y • Y 1 1 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITIQM.: "� ••• ••• ••• •� SIGNATURE: W a C O L N O T o D)— ca oN a) � NL L /n O O C U O 6 w C E a� a-0 rn G=a O U) N a m ca O ON rn LUQ = y O U O � CO a C O (p U U U (n Z N N N A O_L N .a "6 O O O y y C d� O T N p CLc E N O j o c a U O RV N O O. (0 E U OU p w N a ma N cnctr3n �U noc z 2 v to " p n c c H a. u a 2 U cn u o0 N > p r. OM b �" Le)O 00 �� WU N� U tl£37. Fv Z Z a u b cls a)wU cc C14 cd N O ^° C s Or-) N p Y° 0 S i a a°, m> 4.00 N a '�' t'pC V] q 0 a-+ 'C7 •N ,d O a, .� N rn U to .O ck'. N tiani, f" y 5 a� r, cl 'R ti m K W p O N vi con Q. O CIO � p y c a p a o y o2 Uti SOU aNU