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Home My WebLink AboutS2020-0068 - PermitsCity of Newport Beach - Building Division *S2020-0068* R 100 Civic Center Drive, Newport Beach, CA 92660 . Permit Counter Phone (949)644-3288 �i rydrtml9i�� Job Address: 920 ALDER PL Floor: Suite: Bldg: 1 Description of Work:SFR *CHANGE OF CONTRACTOR" POOL/SPA REMODEL 480 SF Inspector Area: 8 Plan Check No: 1501-2019 Building Permit Fee : Code Edit: 2016 Legal Description: N TR 4705 LOT 4 $0.00 $0.00 Owner: ZAMUCENSHEILAS Contractor: OWNERIBLDR Architect: Address: 920 ALDER PL Address: ZAMUCEN SHEILA S Address: NEWPORT BEACH, CA 92660 $0.00 Grading Consultant Fee Phone: 714-628-9494 Phone: Phone: Applicant: ZAMUCEN SHEILA S Address: 920 ALDER PL NEWPORT BEACH, CA 92660 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Con State Lie: OIB Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expiration: Construction Valuation: $0.00 Building Permit Fee : $0.00 Record Management: Permit Issuing Fee: $0.00 $0.00 Investigation Fee: $0.00 Drainage Permit Fee Building Green Fee: $0.00 Drainage Plan Check: Plan Dept Plan Check: $0.00 Grading Consultant Fee Building Dep Plan Check: $0.00 Building PC Investigation : $0.00 Additional Fee: Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING Engineer: Address: Phone: P001 -Permit: S2020-0068 Project No: 1501-2019 Inspection Requests Phone (949)644-3255 INSPECTOR mese e e State Lie: .... eemm BIEDENBACH CHRISTOPHER m m m mo 0 1201 N TUSTIN ANAHEIM CA 92807 ° 714.630.6100 State Lic:C-074003 omom 0 0 Special Conditions: ...... O1B AND CHANGE OF CONTRACTOR LTR ATTACHED ° Issued Date: 0610112020 0 o m co FEES $0.00 Water Quality -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others $35.00 Plan Check Fee $0.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION e meemou m c m m mm ° m o m c mmmoc ° 000cu c000co 0 0 ooeo $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $35.00 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 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 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 for the purpose of sale). 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, excepl 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- bui r if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sec ion 7044 of the Business and Professions Code, is available upon reques n this ap li tion is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Aftt LICENSED COAfU* CTOR'S DECLARATION I yereby affirm under penalty of perjury that I am licensed and p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force agdeff6j. Lice9§dl;%s Lic No Date Contractor Signature WQRKERS' COMPENSATION DECLARATION N$R4tW, 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 COST OF COMPENSAROM DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm undes penalty of perjury one of the following declarations: j �1aye and v IC wwklain 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 1 pp�e.}}rf� r m once of the work for which this permit is issued. Policy No. L-U.haua 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 inCurAnce carrier aAd pity number are: Carder... _ Policy Number Expiration Date 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 ould b ome subjecttothe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. plicant R. \tel' ! \q6 e_ ;reby affirm under penalty of perjury that there akonstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name l/ 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 cit county to V(nte'r the aboCv�-rd`entified property for inspection purposes. l� �-1 ^� mature of PmDertv Owner or Author.k1 cr gentk �iV� )P.,�� Print Property Owner's or Authorized Agen ,4Km_LK &1w�- ACTION DATE BY DECLARATION OFLE�MPLIANCE WITH CODE OF FEDERAL REGULATIONS P 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTEN E 0AQMD POOLALARMS INSTALLED 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION.