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Home My WebLink AboutS2019-0024 - PermitsCity of Newport Beach - Building Division "S2019-0024" �r 100 Civic Center Drive, Newport Beach, CA 92660 F t, Permit Counter Phone (949)644-3288 .lob Address: 1627 BAYADERE TER Floor: Description of Work:SFR POOLISPA 480 & 64 SF Inspector Area: 5 Legal Description: N TR 2813 LOT 160 Owner: 1627 BAYADERE LLC Address: 15666 CASTLEWOODS DR SHERMAN OAKS CA 91403 Phone: Applicant: MATA JOSE Address: 910 E 4TH STREET SANTA ANA CA 92701 Phone: 714-393-6338 Building Rear: Setbacks: Front: Left: Right: Construction Tvpe : Construction Valuation: $50,000.00 Building Permit Fee: $405.00 Permit Issuing Fee: .$0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Plan check Ext. Fee: 0.00 WQ Compliance 1psf Fee: $V.00 FEE: PROCESSED BY: ZONING APPROV Suite: Bldg:1 Plan Check No: Code Edit: Contractor: MATA'S CONSTRUCTION CO Address: 910 E. 4TH ST SANTA ANA CA 92701 Phone: 714-393-6358 Con State Lie: 861880 Lie Expire: 07131/2019 Bus Lie: BT30015664 Lie Exp Date: 04130/2019 Worker's Compensation Insurance Carrier:. WESCO INS CO Policy No: MAWCO24037 Expiration: 02101/2020 Record Management Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee FEES $8.00 $0.00 $0.00 $118.00 $294.00 Plan Check Fee : 13001 -Permit: S2019-0024 Project No: 0355-2019 Inspection Requests Phone (949)644-3255 0355-2019 2016 Architect: Address: Phone: Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions erg'+ yg ppI t 1 ;. • m ® c r emm• s a State LIC: • • •. •••n • • m •• o • p • • e m•JO• qm •O O State Lic:C-067656 e• m m e oo•ncc n c c r mn•.ma m o YARD DRAINAGE X2017-3892 *LANDSLAIDE AREA * n m m a o• o .m•m Issued Date: 0410312019 Water Quality- -- Building Dept Inspection Fee: Water Quality Dept Insp Fee: Building Dept WQ Plan Check: Others : PLAN CHECKED APPROVAL TO h PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 Due at Permit Issuance : $894.00 MIS OWNER -BUILDER DECLARATION 1 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) )ction 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 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 )fessions 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 more than five hundred dollars ($500). 1201 N TUSTIN AVE - 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature t8lViJ acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall, a structure that n nave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and tam nns Coda 09 available upon request when this application is submitted or at the following Web site:http://www. leg info. ca.gov/calaw.html. natufe of ProperfylAwner or Authorized Agent Date sEIC$ED CONTRACTOR'S DECLARATION )retry affirm urlflpgpenalty of perjury that I am licensed under pkOvisions of Chapter 9 (commencing with Section 7 f 'v' io of the Business and Pr fe Sid d nd my lice se is in full force effect. Licerse�Class Licenyhe No D Contractor Signatur )RK{ RS' CQMPJ~NSATION DECLARATION ININS: FAILUR$,TeUPORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE IT QF.COMPEN A ION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. {#py gffirm undAr penalty of perjury one of the following declarations: I haw and Ol lhTaiQtain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ce of the work for which this permit is issued. Policy No. sand wISI,Ip$Ain 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 na ce carrier and policy number are: taFrier Policy Number Expiration Date lame of Agent Phone # ]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 laws of California, and agre Iat, if I should becom suNect to the ' compe satin provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dates IECLARATIONREGA GC T AGENCY hereby affirm under p na that there 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 y my signature below, I. C ify 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 o ov = d ti ro y for inspection purposes. / ignature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name OIL D 1CTION DATE BY10 F C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE r[IMIWI I CAVIALu I I L-11 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 0EpA PERMIT EMENDED 1 OMD POOLALARMS INSTALLED LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL ov U �.,Z ao V] v U .� A b•" N ,N ° 0 O O 4. y cd �1 •- U a6i m ° o a° o b °��' > u u oldp w a o q a Ej o N o um o ° F—a,.a O W � � �� • b� O° a ®O 715 a d ani a .7 'c7 N Z O c4u gyp' o AIo°a�t o�0 ° q quqN a 0 ¢? o w ~ N �Ud• N U oe C=vV) v Q iAbd �P o v I O �Ln a� U tn z00 O F•+ <t W aw az �o wx • a N M N O 0 '-M