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Home My WebLink AboutS2020-0155 - PermitsCity of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 P"e1vnN.�•` Job Address: 1612 HIGHLAND DR Floor: Suite: Description of Work:SFR POOL & SPA 502 SF & DRAINAGE Plan Check No:: 1791-202 ap�`icab1e Code Edit: _-.2019 dr ❑ 13801 00 Contracto • CA - POOL BUI[LUERsicalM Lhitect:� ��..�ess 1L3AMADD ELl A t® Bldg: 1 P001 -Permit: S2020-0155 Ill�S 2 0 2 00 1 5 5 Project No: 1791-2020 Inspection Requests Phone (949)644-3255 Inspector Area: 3 Legal Description: N TR 3800 LOT 8 Owner: AMBER REBECCA Address: 1612 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: FONSECA POOLS BUILDERS Address: 13509 DUFFIELD AV LA MIRADA CA 90638 Phone: 562-200-8502 Building Rear: Setbacks: Front: Left: Right: Construction 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 TOTALFEE: PROCESSED BY: ZONING APPROVAL: aon e, 55 -65 ti9B8� State Lie: S Li En inBIEDENBACH CHRISTOPHER xp 0 1/2022 d 1201NTUSTIN Lie: BT30073066 ANAHEIM CA 92807 xp Date: 00/ 1 0 714-630-6100 State Lic:C-074003 Work Co 'BioIRt n n Special Conditions: Carrie P ,y�9 Pot n: Issu iiS...e%%/ Da x,ff 00 started) �,a1�s I 1A \tgerk started) Management: $8.00 Wester Fee: 95.00 Plan Check Fee: $0.00 Check: Lk qhs ooeoo oma o o ;E:. m000 oco $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $1,254.00 PLAN CHECKED BY:: APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION om d'pmo oe, mw,y m o ®00000 o m o em¢e, omp O 9 00 0 m C e e o00 0 oe F m b+, 0 oc oomoo o em000 qhs ooeoo oma o o ;E:. m000 oco $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $1,254.00 PLAN CHECKED BY:: APPROVALTOISSUE: 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) I have placed next to the applicable Rem(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 he 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 lot more than five hundred dollars ($500). 1201 N TUSTIN ❑ , as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business Ind Professions Code: The Contractors' State License Law does not apply town owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 mproved 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 moly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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) ;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 lrofessions Code, is available upon request when this application is submitted or atthe following, Web site:http://www.leginfo.ca.gov/calaw.htmi. 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(commencing with Se '' ntof Division 3 of the Bug8 and Profes ' de, and my license is in full force Ind effect. License Glass License No Da 4t— ZDZCd Contra. Signatur6 VORKERS' COMPENSATION DECLARATION FAIUI MG: FAILU J&PUV LJRE 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 COMPE WON, AMAGES 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: 1 Dave and 101-Nintain 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 ;eAomrance oithework-for which this.permil is issued. Policy No. _ jiave and WAlorgail;ltain workers' compensation insurance, as required by Section 3700 of the Labor Code, PL%Me carrier ardpolicy number are: rjPf • _ Policy Number Qf Agent,' for the performance of the work for which this permit is issued. My workers' Date Irformance 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiolis�.� ' CLARATIbW-RMARDING CONSTRUCTION LENDING AGENCY Heby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ider's 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatIMLof this city or county to enter the above -identified property for inspection purposes. DATE BY L. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS PERMITEXTENDED LIAQMD POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL Civil Code).