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Home My WebLink AboutS2019-0176 - PermitsCity of Newport Beach - Building Division IIIlillllllllllllllllllllllllllllllllllllllllllillllIIIPOOi-Permit : S2019-0176 t' 100 Civic Center Drive Newport Beach, CA 92660 S 2 0 1 9 0 1 7 6 Project No: 2443-2019 Permit Counter w hone (949)644-3288 dx r ,tib Inspection Requests Phone (949)644-3255 Job Address: 1$72 PEGASUS ST Floor Suite' Bldg: 1 Description of Work:SFRNEW POOL & SPA 654 SF Wl DRAINAGE - Inspector Area: 8 Plan Check No: 2443.2019 I SPEC-r®R Code Edd1 �p ' 2016 Legal Description: - Owner: BERNARD KYLE Contractor: SWAN POOLS OF SOUTHERN CA'. Architect: Address: 1672 PEGASUS ST Address: 24512. BRIDGER ROAD - Address: ..NEWPORT BEACH CA 92660. LAKE FOREST CA 92630 Phone: Phone: 949-859-8466 Phone:. State Lie: Applicant: ELLISON PAUL Con State Lie. 440333 Engineer: LACHER TODD - Address:. 24642 VIA RAZA Lie Expire: X03131/2020 - Address: 1201 N TUSTIN AVE - LAKE FOREST CA 92630 - Bus Lie: BT96008994 ANAHEIM CA 92807 - " Phone:-. 949.683.9861. Lie Exp Date:: 07/31/2020 Phone: 714-630-6100 State Lic:C-067656 " Building Rear: Worker's Compensation Insurance ` Special Conditions: Setbacks: .Front: Carrier: STATE FUND Left: Policy No: 9228545 Right: Expiration: .04/01/2020 Issued Date: 11/0512019 Construction Type FEES Construction Valuation: $45,000.00 .Building Permit Fee : $418.00 Record Management:. ; $0.00 Water Quality- -- Permit Issuing Feet $0.00 Building Dept Inspection Fee.. $0.00 - Investigation Fee: $0.00 Drainage. Permit Fee : $0.00. Water Quality Dept Insp Fee: $0.00 -. Building Green Fee:: $2.00 ' Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check:. $0.00 Grading Consultant Fee < $0.00 Others Building Dep Plan Check: $373.00 - $0.00 Building PC Investigation :. $0.00 Additional Fee [ $294.00 $0.00 Plan check Ext. Fee : $0.00 - WQCompliance Insp Fee: $0.00 TOTAL FEE: $1,076.00 Plan Check Fee.:. $0.00 Due at Permit Issuance : $1,076.00 PRMESCED BY: JA JfFee PLAN CHECKED BY:: 1 - �oCE ZONING APPR�O�FI fl .�� E APPROVAL TO ISSUE:. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION " 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 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 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 U portions of the work, and thestructure 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 im 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 ap 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: 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 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable 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.leginfo.ca.govlcalaw.html. 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 7J ) o visi n 3 of the Business and Professio s , a'8�nd lic in full force and effect. License Class License No Dat Contractor Signat WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TI OUSAND DOLL ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: e 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 V nce of the work for which this permit is issued. PolicyNo.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' compensatio e carrier and policy number are: PDlicv Mirnher Expiration Date Name of Agent Phone # I certify that, in the perfor&the r this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws f California, and ogre that, if I should become subjrs'Cens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions �. Signature of Applicant Date -� DECLARATION REGAADINrRbeTidN L NG AGENCY - I hereby affirm under penalerjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097; Civil de). t of 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 pr is Corr . I agree to comply with all applicable city and county o manc state ws rel uilding construction. I authorize representatives of this city or count er th ve-i ified rty for inspection purposes Date Signature of Property Owner or Authorized Agen ' it Propert Owner's or Authorized Agent's Nam ACTION DATE BY LARATION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY ` T VG UL! PART610FTITLE 40AND AQMD RULE. All: regUlred a(arrinS,latches 1403 Oates • v PERMITEXPIRED UI SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa • • • • � •• • � PERMIT CANCELLED DEPA barrier, shall be in place •:� � ° prior. to a r01/al to fill PERMIT EXTENDED QMD PP •• • ••• POOLALARMS TIASBESTOS NPOOI/spa & Shall remain in OTIFICATION IS NOTAPPLICABLE TO i place& be maintained for INSTALLED PROPOSED DEMOLITION. tI10.' fthe Ol a • a ••• i�• ` Y SIGNATURE: X P . • .. • • o ••• PERMIT FINAL • . • • s. v