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HomeMy WebLinkAboutS2021-0110 - Permits#, City of Newport Beach -.Building. Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 m .lob Address: 1726 CANDLESTICK LN Floor: Suite: Bldg: 1 Description of Work SFR POOUSPA 560 SF. W/DRAINAGE (CITY STANDARD) Inspector Area: 3 Legal Description: N TR 3763 LOT 32 " Owner. SHALLA HILARY I S'%�kttM,�ctor. *S2021-0110* POOLPermit : S2021-0110 Project No : 0987-2021 M d 9 `�q' �g Inspection Requests Phone (949)644-3255 ° . y rf'C-F tC�Vo: 0987-2021 i , • � F ,+ ^ Rode Edit: 2019 if appStCciof R INC Architect Address: 1726 CANDLESTICK LN ddress: 2831 EAST GRETTA LANF� Ftgrjv & '�r*�' ° NEWPORT BEACH CA 92660 A - Phone: 949-331-5327 -3 35 :� Asa f O \NhOi ' a e Lic Applicant: MOORE JAMES Con Ste -Lic: 47� Engineer THOMPSON-MATTHEW Address: 2831 E GRETTA LN Li 0 2 Address: 12021 N TUSTIN AVE , �}4 114 ANAHEIM CA 92806 �. BT30075363 EIM CA 92807 Phone: 951345-3505 1 Lie Exp We: I Building Rear: Setbacks: Front: Left: Right: Construction pr, s�a h items Ins 0-6100 State Lic C e'Sn �nSSUaB'CONTAG REEM ENT 11 Issued �Date `°'25,(zon S'IC Construction Valuation: $128,100.00 ,y �vvofk stared Building Permit Fee: $430.00 Record agement: $34.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage a �?3200---�'- Building Green Fee: $6.00 Drainage Ia ec�t : '-'— $195.00 Plan Dept Plan Check: $0.00 Grading C nsultant Fee : $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Additional ee Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $1,284.00 PROCESSED BY: ZONING APPROV Plan Check Fee: Water Quality- - Water PLAN CHECKED BY:: APPROVAL TO ISSUI (no work PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee: $0.00 $0.00 ° Fee Due at Permit Issuance : $702.00 OWNER -BUILDER DECLARATION T 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 o 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 S-ectioh;'000) 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 ($500). 12021 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business ape! Vfofessions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvemQptsare not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved fo l; tpe purpose of sale). :I, as Omer of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and e CoZacto State License Law does not apply to an ovyper of property who builds or improves thereon, and who contracts for the projects with a licensed Contrac "{' oche Contractors' State License Law) .. �I am exepipt {rem licensure under the Contractors' State License Law for the followip se - - --' B),my signptug?ge%vj I acknowledge that except for my person�allee i�,�e616>eefR`Y0 must have resided for at least one ye �e� of the improvements cov ed 6' this permit, I cannot legal seU S structure th t I have built as an owner buildef: itd iiibeen cppnstyy{{cte in entirety by licensed contractors j I undo t2"n6V a copy of the apr�I�c ble l�yt r do 70 of the Business and R�ofessions,tv�irs available upon request when this application is�$lyn'it fl he followin .leginfo.ca.gov/ w.ht ll� ^(®v O i� Siana'tb& oPPrd%LNQwner or Authorized Aoent I l/ I� R. �0 O� Date of perjury that I am licensed under provisions of aapter co%af ne �',Ing`taKQSpcfjep -OOj of Division 3, of tl7e,_„Business and _ ense is in full force fMERS�91)r.PMSATION DECLARAL11O t,= = AyRMING. FAILURE lO 9kURE WORKERS' COMPENSATVE IS U F A SHAL ECT EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAN DOL RS(J10D,000), IN ADDITION TO THE dOltl�FOMPEN:ATPOA CAMAGES AS PROVIDED FORION I OFT R DE, INTEREST, AND ATTORNEYS FEES Metly affirm under penalty of perjury oneaof teclarations: _ ' •...• d have and vAll maintain a certificate oqff consent to f-insur o n -'• y ec of dustrial Relations as provided for by See og 37 0 ¢f�the Labor Code, for the erformence ofil %&r$ for which this perm is No.. - � :1,4gyt and v(itma ritain workers' compy sat ura as fir4e ^6700 o e abor Code, for tF a performance of the work for which this permit isi e My:wo ke s compensatiol Isurance carrier and policy number are. Name of Agent 11 1 111 1��UhCA a $7 I ce ify that, in the performan of the wor for wh h pt is iss d haII�PPdi °' person in a er so as to beco,0�� workers' cym___ppp,f�n t at, i should become sub' t e workers co on � ctpn a r Code, I shall forthwith ( ) kfibsF.+pTovisions. w8 pf California, and agre Signature of Applicant'."r-_... Date DECLARATION REGAADIN ONST N LENDING AGEQ'1��/®' I hereby affirm under penalty perjury that th is a construction ending agency for the performance of the work for which ssued (Section 30QQ7 C de)-. Lender's Name Lender's Address By my signature below, I certify to each of the f Ilo��wiin�g,- I am the property owner or authorized to ac olm't1feleep er s Shelf. I have read this application and the informa- n I have pr Ided is correct. I agree to comply with all applicable city an oun o rldT a aws rel ns ruction. I authorize representatives of this city or cou ty roperty for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na Date -,r^ ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFRICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND, RULE PERMITCANCELLED o EPA PERMITEXTENDED AQMD POOLAIARMS INSTALLED ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL