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Home My WebLink Abouts2022-0067 - Permitsarn„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II r<+�` 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 6 7 Permit Counter Phone (949)644-3288 �'�tsaa:u�'ia Job Address: 9 RONSARD Floor: Suite: Bldg: 1 Description of Work:SFR ADD SPA 64 SF TO (E) POOL, REPLASTER POOL Inspector Area: 6 Plan Check No: 0874-2022 Code Edit: 2019 Legal Description: N TR 15935 LOT 86 Owner: VASHISTHA KAPIL Contractor: INFLUENCE OUTDOORS LANDSCAPE Address: 9 RONSARD Address: 700 N RESH ST Address: NEWPORT COAST, CA 92657 ANAHEIM CA 92705 Phone: Phone: 949-285-2471 Phone: Applicant: ELLISON PAUL Con State Lic: 1085331 Engineer: Address: 24642 VIA RAZA Lic Expire: 12/23/2023 Address: LAKE FOREST CA 92630 Bus Lic: BT30078271 Phone: 949-683-9861 Lic Exp Date: 03/31/2023 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $24,000.00 Building Permit Fee: $487.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $423.69 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 I� TOTAL FEE : $1,306.69 PROCESSED BY: ZONING APPROVAL Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Record Management: $6.00 Drainage Permit Fee : $237.00 Drainage Plan Check: $0.00 Grading Consultant Fee : $0.00 Additional Fee : $0.00 Architect: POOLPermit : S2022-0067 Project No : 0874-2022 Inspection Requests Phone (949)644-3255 State Lic: THOMPSON MATTHEW 12021 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 State Lic:C-086051 Special Conditions: ply Issued Date: I SPEC T 0 Water Quality- -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $152.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 Plan Check Fee : $0.00 Fee �Due y\at Permit Issuance : $1,306.69 e ® PLAN CHECKED BY:: APPROVAL TO ISSUE: 00 0°0 0 0 0 000 PERMIT EXPIRES 1801DAYS AI T€R�SSUAOCE OR LAST VALID INSPECTION 0 0 0 e o o e °o 0 o° ee soo o e oe eo oaa 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). 12021 N TUSTIN AVE ❑ I, 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 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 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 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, 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 legalh 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.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 700 ) of " i Uiono the Business and Pr4fes1G_e, n y1' en is in full force and effect. License Class License No Date ontractor Signatur 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 HUNDROUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 xmance of the work for which this permit is issued. Policy No. have 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' compensa rapR carrier and policy number are: Policy Number Date tlfy that, in the pertVmance'�fthe k f hithis pe s issued, I shall not employ any person in any manner so as to become subject to the workers' compensa n la 4 of California, and agre I should become su rkers' o nsation r Isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ire of Appllicant,.,. .� Da[e� r hereby affirm under penalty ofkerjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on th rty owner's behal I have read this application and the informatioVave orr1 agree to comply withall applicable city and cate I relati uilding construction.,/i %D��/I authorize representatives of this city or countde ed pro for inspection purposes. (/ G/// lionature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name,' Date ACTION DATE BY `DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All alarms,latches 1403 1 ... ... • required PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION 1R7 •- • •• •• gates & fences wntcn serve • • as part of a pool / spa • • • • PERMIT CANCELLED EPA • barrier, shall be in place prior to approval to fill pool/spa & shall remain in PERMIT EXTENDED QMD POOLALARMS OASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED ••• • PROPOSED DEMOLITION. • • • • ••• •• • • • • , & be maintained for SIGNATURE: , , place e e e a e e a the life of the poofta _ _ o 0 o e o _ PERMIT FINAL '30 Z. ' _ _ o _ _