HomeMy WebLinkAboutS2020-0062 - Permits� sr1 City
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r 'q Permit'3ounter Phone (949)644-3288 -
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Job Address: 1701 PORI' CHARLES PL Floor:
Suite: Bldg: 1
Description of Work:SFR NEW POOL/SPA 128 SF W/ DRAINAGE
Inspector Area: 4
Building Green Fee:
Legal Description: N TR 6622 LOT 19
Plan Dept Plan Check:
Owner: VOGUL VANESSA
Contractor:
Address: 1701 PORT CHARLES PL
Address:
NEWPORT BEACH, CA 92660
Plan check Ext. Fee:
Phone: 949-433-9212
Phone:
Applicant: VOYTOVICH KEVIN
Con State Lic:
Address: 26442 MONTECITO LN
Lic Expire:
MISSION VIEJO, CA 92691
Bus Lic:
Phone: 949-294-4235
Lic Exp Date:
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type: VB
Construction Valuation: $50,000.00
Building Permit Fee: $430.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$387.00
Building PC Investigation
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee
$0.00
11 TOTAL FEE: $1,129.00
PROCESSED BY:
ZONING APPROVAL
Plan Check No: 0843-2020
Code Edit: 2019
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
POOLPermit : S2020-0062
Project No: 0843-2020
Inspection Requests Phone (949)644-3255
LACHER TODD
1201 N TUSTIN AVE
ANAHEIM CA 92807
714-630-6100
Worker's Compensation Insurance Special Conditions:
Carrier:
Policy No:
Expiration: Issued Date: 08127/2020
FEES
..o
z
0)
M
State Lic:
0
State Lic:C-067656
Record Management:
$10.00
Water Quality- --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$232.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$195.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee :
($127.00)
$0.00
Plan Check Fee : $1.129.00
PLAN CHECKED BY:: -4
APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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Fee Due at Permit Issuance :
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 th applicable item(s)
ction 7037:5,, Business and. Professions Code: Any city or county thatrequires; a permit to construct, alter, improve,. demolish,or repair any structure, prior to its issuance; alsoquires.the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors:' State License taw (Chapter 9 (commencing. with Section 7000) of Divis'on 3 ofthe. 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 anyapplicant for a permit subjects the app licantto a civil penalty of
more than five hundred dollars ($500).
u I, as owner of the property, or my employees with wages as their sole compensation, will do U all of ori, Portions of the work, and the.. structure is not.intended or offered for a ale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of propertywho, 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 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.: doesnotapply 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 thefollowing, reason:
3y my signature below I acknowledge that,: except formy personal residence in which I must have resided for::at leastone year prior to completion:of the improvements covered by *.his: permit, I cannot iegalt
sella structure that -I have built as an owner -builder if it hasnot been constructedin its entirety by, licensed contractors. I;understand that a copy of the: applicable law, Section 7044 of the Business and.
3rofesslons Code, isavailableupon request when this,. application is submittedor at the following Web.site:http:/Msvw.leginfo.ca.gov/calaw.htmi,
signature of Property Owner or Authorized Agent. te
_ICENSED CONTRACTOR'S DECLARATION Da—
hereby affirm under penalty of pedurythat I am licensed under provisions of Chapter 9 (commencing. with Section 70) of Division3 of the Business and Pro 'ss' ns Co ndeny ioense is in full force
tnd effect, License Class License No: Date.xnn nvContractor'Signature'- _ -v
NORKER5' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS': COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t310o,0001, IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty ofpedury one of the following declarations:
3 1 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
edornance of the work for which this permit is issued. Policy No.
have and will me
ranee carrier and,
ne of Agent
certify that, in the pi
, if I should become
workers' compensation insurance, as required by Section 3700 of theLaborCode, for the performance of the work for which this .permit is issued. My workers'
number are:
Date
ermit: is issued, I shall not employ any person in any manner so as to.become subject to the workers' compensation laws of California,
Provisions of Section 3700 of the Labor Code, i shall forthwith comply with those: Provisions..
I 8/27"),0
,reby 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)..
iders 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 withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cow enter the bove-i nt' I roperty for. inspection purposes.
wr. yr rc.mwL i-UKUEFIGEU5EONLY - F1 All required alarms,latche3`
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