HomeMy WebLinkAboutS2020-0060 - PermitsCity of Newport Beach - Building Division *S2020-0060*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 2715 HILLSIDE DR Floor: Suite: Bldg: 1
Description of Work:COMM COMMUNITY POOL REMOVAL OF CONCRETE AROUND THE POOLISPA, REPLACE PAVERS **STOPWORK**
Inspector Area: 4
Legal Description: N TR 8787 LOT 7
Owner: HARBOR VIEW KNOLL HOA
Address: 3551 CAMINO MIRA COSTA #N
SAN CLEMENTE, CA 92672
Phone:
Applicant: SCHUMACHER MASONRY
Address: 20381 LAKE FOREST DR #B-4
LAKE FOREST CA 92630
Phone: 949.283.2150
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe : vB
Construction Valuation: $45,000.00
Building Permit Fee :
$418.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$418.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$41.50
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:
PROCESSED BY:
ZONING
Plan Check No: 0790-2020
Code Edit: 2019
Contractor: SCHUMACHER MASONRY
Address: 24166 OKEECHOBEE LANE
LAKE FOREST CA 92630
Phone: 949-659-0919
Con State Lie:
676183
Lie Expire:
08/31/2021
Bus Lie:
BT30072103
Lie Exp Date:
06130/2021
Worker's Compensation Insurance
Carrier: WESCO INS COMPANY
Policy No: WWC3454631
Expiration: 0110112021
FEES
Record Management: $4.00
Drainage Permit Fee:
$0.00
Drainage Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Additional Fee:
$0.00
Plan Check Fee :
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Special Conditions:
Issued Date:
Water Quality
13001 -Permit: S2020-0060
Project No: 0790-2020
Inspection Requests Phone (949)644-3255
06/08/2020
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State Lic:
State Lie:
Building Dept Inspection Fee: $0.00
Water Quality Dept Insp Fee: $0.00
Building Dept WQ Plan Check: $0.00
Others:
$0.00
$0.00
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PERMIT EXPIRES 180 DAY-DAFT@R FAUANCE WIJL Eflr VALID INSPECTION
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Fee Due at Permit Issuance :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
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).
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
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
nprovemenls 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 legally
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 Sectio 70 ) of Divi ion 3 of the Business and Pr as ode n yy,,licens n orce
nd effect. License Class License No Date Contractor Signatu�d�z
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
erfojmance 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' compensatiol
Irance carrierp I\Icy number a
rier 1 P¢Ij(Jumber Expiration Date
ne of Agent -A r` Phone #
certify that, in the performance of the work for w ' h -this permit i,5,i�ued, I s not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become su 'act t work c ensation pro Ions o ion 3700 of the Labor Cade, I shall forthwith comply with those provisions.
iature of Applicant �?� �— D3f CIS —b 2 v
I hereby affirm under 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).
Lender's Name Lender's Address
By 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 an at to laws in building construction.
I authorize representatives of this city or county to en ab tifie op for inspection purposes.
Signature of Property Owner or Authorized Agent riot Property Owner's or Authorized Agent's Na -
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 UI SUBMITTED ASBESTOS rJOTjFICAdfON TO • • • • +
PERMITCANCELLED EIEPA • • • • e •i i i
PERMIT EXTENDED 13AQMD
POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION. • • • • • • • �'
• e
SIGNATURE: • • • • • • +
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