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Home My WebLink AboutS2022-0059 - Permits�,w a 100 CityofCenter ofNewDport Beachort - Building Division IIIII'�, CA 92660 III�II0II0�III0�III5I�IIIIII Permit Counter Phone (949)644-3288 Irc; Job Address: 2309 SANTIAGO DR Description of Work:SFR POOL REMODI Inspector Area: 3 Legal Description: P BK 108 PG 43 PAR 2 Owner: TENORE PATRICK Address: 2405 TUSTIN AV COSTA MESA CA 92627 Phone: 949-903-1426 Applicant: GALLO SAL Address: 15660 YOUNGWOOD DR WHITTIER CA 90603 Phone: 562-756-3841 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $74,000.00 Building Permit Fee: $1,018.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $885.66 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTALFEE: PROCESSED BY: ZONING POOLPermit : S2022-0059 Project No : 0644-2022 Inspection Requests Phone (949)644-3255 e i 'M td i Lv aJ i %,s' ii-i if appl BAJA STEP, ADD SPA 1 S r Date, -�� 3 icable: Plan Check No. 0644-20 co Ede �o1s L�'18C%Or❑ 100c re��and Co ctor K• OL CES C P s �O. Ad s N O r "`'WHIT RCA 90603 Phone: 562-7563841 ae: State Lic: Con C: _ 9P99 - gin r. „BIEDENBACH CHRISTOPHER Lic 0/2 �- dr 1201 N TUSTIN Bus - 7 ANAHEIM CA 92807 Lic e 0/3 Phone: 714-630-6100 State LIc:C-07 Worker's Compensation Insurance Sp Conditions: 9 Carr' NO EeMPP f E+ o- •' olr 41^S'$ p s3s 6 Can ssue Date: { 3/96/2(t 2 �n0 work stAl"Wa2J FEES Note:--- Record Management: $10.00 Insp. in Dr— r cr, Water Quality Dept Insp Fee: ramage Plan Check: $0.00 Building Dept WQ Plan Check: Grading Consultant Fee: $0.00 Others Additional Fee: $0.00 Plan Check Fee : $885.66 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ° ac s a $0.00 $152.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,183.00 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 lica1�t 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 _ 'Businessland Irofessions 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 (_) all of or C_) portions of the w rk, and the structure is not intended or offered for sale (Section 7044, Business Ind 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 mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp) tion, the Owner -Builder will have th en of proving that it was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 B.. ' rofessions Code: The Con actors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licen or ursuant to the Contractors' State License aw). I am exempt from licensure under the Contractors' State License Law for the follow' 3y my signature below I acknowledge that, except for my personal res' - must have resided for at least ofp b}R completion of thLe'im r nt overed by this permit, I cannot lega cell a structure that I have built as an owner -builder if n coppj tructt��pp s entirety by licensed contractors. t understand that ar>Qpy, JOOFl�jp I a , ction 7044 of the Business and Professions Code, is available up Is applica i sulfmltted(pf a�Pe followi I e:http://www.le GO# h Signature of Property Owner or A . orized Agent JJ ate LICENSED CONTRACTOR'S EC hereby�jfi�rn under penalty of pe ry thl'rt'iTcensed under provisions of Ch er co e - c n 7 ) o D t ss and Pr sions ,and my licensein orce and effact.•,{dense Class L No Contractor Signatur V10RKEK5'1%UMVrNv AI1UW IZ- Iv _ - • • • ARNING:•FAR-�,P.E TO SECURE WORKERS OMP SATION C ERAG UNL F SU TAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND OLLARs ($100,0001, IN ADDITION TO THE ST OF C&PENSATION, DAMAGES AS PR VIDE OR IN SE N 3T0 R COD NTEREST, AND ATTORNEYS FEES. • hereby affirm under penalty of perju one 'ng declarations: • I have ERd wall maintain a certifi to of consent to self-insu r ,or s' ReLabor e ct. Industrial Relations as provided for by Section 3700. the Labor Code, for th �• pesformanc: of IDS work for which this ermit is olic '4& !- • have �Id'vuN maintain workers' c pe a ins nce, quit on 37 o Code, far the p rformance of the wo for whit -141TIt is is etl y workers' compensatiol ns nce carrier and policy number are �'QA " C� jrjer •• cy Number e rtl ate +. " • ` arrt of AgdrQ.' ` ,,n�eq # aaf{t� d certify thah in tRa pe rrnance of th ork which this permit is issued, I to any person i anne o a@@,,jjyy��e"�rt,�esucj�tRTo the workers' compensati IAU of California, and agre • Fyat•i� shouid.becoit ubject to the ers' sat' f ecti n abor Code, I shall forth t �rti IfYv�ith those provisions. Signature of Applicant DECLARATION REG CONSTRU, TIO NG A EN,C1, rj�,a �+ ) jd I hereby affirm under penalty of perjury the they is a construe ndl agency for the rform work permit is issued y Iffo o e). Lender's Name Len By my signature below, I certify to each of t following: I am the property owner or authorized t o�g,(✓p�pr pert a alf. I have read this application and the infor- a I Ir$�'jj ha provided is correct. I agree to comply with all applicable city;d co t ordinances aws relati construction. Z, / I authorize representatives of this city ogu'pu e a ve= , y for inspection purposes. - Date dL` Signature of Property Owner or Authorize dI,tl Print Property Owner's or Authorized Agent's Name ACTION DATE BY C ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO nconnlT , rr, I Fr) EPA POOLALAF INSTALLED PROPOSED IS NOTAPPLICABLE TO FINAL