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Home My WebLink AboutS2022-0137 - PermitsCity of Newport Beach - Building Division 1pil111111111111111111111111111111111111111111111111 G 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 1 3 7 r~ Permit Counter Phone (949)644-3288 s �'a[eriiYN�� Job Address: 2001 PORT RAMSGATE PL Floor: Description of Work:SFR POOLISPA 350 SF Inspector Area: 4 Legal Description: N TR 6624 LOT 98 Owner: HOOK SCOTT/ROBIN Address: 2001 PORT RAMSGATE PL NEWPORT BEACH, CA 92660 Phone Applicant: JACK/LA PAZ POOL SCAPES Address: 13 POINTE SUR LAGUNA NIGUEL CA 92677 Phone: 949-310-8007 Building Rear: Setbacks: Front: Left: Right: ,onsu ucuun type. vo Construction Valuation: $35,000.00 Suite: Bldg:1 Plan Check No: 1540-2022 Code Edit: 2019 Contractor: LA PAZ LANDSCAPE DEVELOP Address: 10 PORTLAND PL LAGUNA NIGUEL CA 92677 Phone: 949-443-4200 Con State Lic: 937052 Lic Expire: 0913012022 Bus Lic: BT30059605 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9210309 Expiration 05/1112023 FEES Architect Address: POOLPermit : S2022-0137 Project No : 1540-2022 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN , ANAHEIM CA 92807 r ti 5 c Phone: 714-630-6100 State?, :L�-87�003,.g""'®1 Special Conditions: SEE X2021-3285 FOR YARD DRAINAGE Issued Date: Building Permit Fee : $440.00 Record Management: $8.00 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: $152.00 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 Dep Plan Check: $396.00 $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: $998.00 PROCESSED BY: ZONING APPRO\r + r Y Ny a • Plan Check Fee : `® PLAN CHECKED BY:: APPROVAL TO ISSUE: a • uaw r - m i • a 'PEFVIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Y Y • Y• E -- -.- � � ou e• on- Fee Due at Permit Issuance : $602.00 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 applicant for ie 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 of 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business nd 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 nprovements 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 nproved for the purpose of sale). 3 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 pply 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). D I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal 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 'rofessions 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 Cat .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of I am Irise nder provisions fJIapter 9 (c encing with Section 0 of Sion 3 of the Business an f sio de, d I s sin full force nd effect. License Class License No Dat % ��./ Contractor Signat r CORKERS' COMPENSATION DE ARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ES AND CIVIL FINES UP TO ONE HUND E/T_ANDDOLLARS (a100,000), IN ADDITION TO TH DST 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 provilered 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: „Pof"v umber Expiration Date 1e of Agent _ certify that, in if I should bE is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ionyof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Appll Date_ DECLARATION REGA ING ONS U N LENDING AGENCY hereby affirm under p nalty f perjury th here 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 y my signature bel & I edify to each of the following: I am the prope y ner or authorized to act on the I have read th' pplication and the informs'Fo,n� 1 agree to comply with all applicable city nd cI authorize representatives of this city r couno e Signature of Property Owner or AL ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED POOLALARMS INSTALLED g r� PERMITFINAL / relating to building construction. perty for inspection purposes. Print Property Owner's or ,OF EOMPUANCEITH CODE OF FEDERAL PART 610E TITL 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY as part ac 5e n placo . P� Or ttl�Val to fill _� 1 3 remain in �QGI`^' �nafP