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Home My WebLink AboutS2021-0196 - Permits$ afia City of Newport Beach - Building Division 1111111111111111111111111111111111p111111111111111111POOLPermit : S2021-0196 .' O� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 1 9 6 Project No : 1999-2021 ,., -` Permit Counter Phone (949)644-3288 "�teralai'3 Inspection Requests Phone (949)644-3255 Job Address: 8 SKYRIDGE Floor: Suite: Bldg: 1 Description of Work:SFRPOOL & SPA REMODEL. TILE & RE -PLASTER Inspector Area: 6 Plan Check No: 1999-2021 Code Edit: 2019 Legal Description: Owner: PERLMAN MYRA Contractor: RICHARD LUSK LANDSCAPE AND DESIGN INC Architect: Address: 8 SKYRIDGE Address: 177 AMBROISE Address: NEWPORT COAST CA 92657 NEWPORT COAST CA 92657 Phone: - Phone: 949-486-9393 Phone: State Lic: Applicant: TONYIRICHARD LUSK Con State Lic: 950714 Engineer: Address: 33 LONG BAY DR Lic Expire: 08/31/2022 Address: NEWPORT BEACH CA 92660 Bus Lic: BT30039622 Phone: 949-486-9393 Lic Exp Date: 0913012021 Phone: State Lic: Building -Rear: Worker's Compensation Insurance Special Conditions: Setbacks: Front: - Carrier: STATE COMP INS Left: Policy No: 1943705 Right: Expiration: 0710112022 Issued Date: 08/30/2021 Construction Type 11 FEES Construction Valuation: $30,000.00 Building Permit Fee : $570.00 Record Management: $0.00 Water Quality- -- Permit Issuing Fee: $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 Delp Plan Check: $495.90 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,067.90 PROCESSED BY: y aco ya,� c s • •. •�.o ZONING APPROVAL: " ••°_ e `— •��a i cc o `m., ••a. • • •aa Plan Check Fee : PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Due at Permit Issuance : $1,067.90 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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-Builderwill have the burden of proving that it was not built or improved 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 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). ❑ I am exempt from Iicensure 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 Secti 7000) of ivis' n 3 of the Business and Pro as Code, and my ense is in full force and effect. License Class License No D t Contractor Signatur r WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D S ($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. hereby affirm under penalty of perjury one of the following declarations: 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 e of the work for which this permit is issued. Policy No. 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' carrier and policy number are: le of Agent certify that, in the p4 if I should become lature of Applicant Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa on71a ofCalifornia, and agree !Qnns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s/ Dat�D :Y Teby affirm under penalty of perjury that there is)( construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod ). Ider'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. / ®AW I have read this application and the information I have provided is correct. I agree to comply with all applicable city and countyor ' ces and Ste elating to building construction. I authorize representatives of this city or county to ov r party for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA T 61 OF TITLE 40 AND AQMD RULE All required alarms,latohe 1403 gates & fences which sere PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO as pare of al,pgol f spa barrier,;strallVemplade; •�" "� prior tb.appfoval to pool/spa & shall renPdln In• place & be maintained for the a x of•ttte pp t ga • •• ! •. • PERMITCANCELLED DEPA EXTENDED QMDPERMIT POOLALARMS INSTALLED EJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PFRMITFINAL —ZL— oU Nz r-i o Cn 1 • x � W � zz z U �o ci a� �00 a � 1'i+l N. Fri o x ,o un v'o oHA 00 w o :ti 1:14 Y •O O to .4 N �" �z o °o3a cdcd O N q N � cd c0�•'i � � m m R. O 42 N N R o cC S ai ci �r � a ° c89 Oy d y N M N ON • U O t-+ y � ° z 0000 � H o �i W z a w0 kn en N