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Home My WebLink AboutX2020-1102 - PermitsCity of Newport Beach - Building Division 0 100 Civic Center Drive, Newport Beach, CA 92660 '- Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG `X2020-1102` COMB Permit: X2020-1102 Project No : 0818-2020 Issued Date : 06/0612020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/06/2023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 4818 SURREY DR NB Description: DEMO POOL "METHOD B" "CTY STD" Legal Desc.: TR 3519 LOT 52(AND E112 LOT 51 Owner: CLAASSEN BRIAN Contractor: AQUA SCAPES POOLS & SPAS Architect: • ;�� Address: 4818 SURREY DR Address: 321 CALLE FELICIDAD Address: CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92672-�"'a'� Phone: Phone: 949-448-7665 one: State Lic: Applicant: ELLSION PAUL Con State Lic: 754729 _yam'- E��n,�ggqseg}Dtt�ACHER TODD Address: 321 CALLE FELICIDAD Lic Expire: ` agk#dF gs: 1201$T ' 1rA�w/AI�I SAN CLEMENTE CA 92672 Bus BT30069893 ,�r��AA 92807 Phone: 949-683-9861 xp Date: 11/30/2020 $ .(�i Of —n4-630-6100 State L4c:C-067656 Code Edit: 2019 s ,,nm k s(C ns sumnce z Designer: Type of Construction: WC ExE �9� Add t@ >;' . Occupancy Group: U_ i' 0 olicy No IN O E�I`.:g to p. , Added /New sq.ft. Bldg Expire Phone: ' Added /New sq. ft. Garage 0 No of Stories: 0 ilding Sera . as l Special Conditions: CONTRACTOR AUTH A ACHED ...... No of Units : 0 _ a ,fit, a ont / 4 Bldg Height: 0 �" Left / Bldg Sprinklers: r.,, y Flood Zone: ' Use Zon rya-;n s. a E�` Fire Hazard Zone : N Construction Valuation: $2.00 00 - nay '�S to ' , Building Permit Fee: $104.00 ry Ad ax'68 .00 Planning Departure mtep ment Plan Check Fee: $90.48, al F $0.00 Plan c e : r0Fire Inspection:$D.00 Overtime Plan Ck: $0.00 Bonds Fee: $0.00 Fair S reO.OgeCtiire Plan Rev $0.00 Investigation Fee: $0.00 PC Consultant : $0. SJH Tr o� `D Demolitio Record Management: $0.00 Grading Permit Fee:%In-lieu Housing Fee(�rio 44 $0.00 Buildi g $0.00 Energy Compliance: $0.00 - Grading e 1h 9 Public Works Departmw^t- enn a ,� $0.00 CA Seismic Safety: $0.00 nsp�; tm„ 0 Park Dedication : (` 0 Re epo $0.00 Disabled Access : $0.00 i 5 �,� /W ilk : �a_ $0.00 Hazardous Mat $0.00 _ m cocaI %: � rJC'tC 5 `' 0.00 p ./j $ 0 Building Green Fee : $1.00 Mechanical $0.00 (/ as: $0.00 ,��.ru�' $0.00 Plumbing %: .0 - $0.00 s TOTAL FEE: $195.:48 nt�'��. e'�-�, Fee Due at Permit Issuance : $105.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: �Y t GRADING APPROVAL: APPROVAL TO ISSUE: _�� 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 items) 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 ix 1e 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 arid 'rofessions Code) or that he or she is exempt from licensors 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business agd.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 pursuanf Co the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 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 orat the following Web site:http://w .leginfo.ca.gov/calaw.htrril_ signature of Property Owner or Authorized Agent .. - i')'�' Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se lion 700 3 of ipn 3 of the Busines and Pro. o ode nd I license is in full force and effect. License Class License No - to �-Co� "nfract Ignature '. VORKERS' COMPENSATION DECLARATION IARNING: FAILURE, TO 6EGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE :DST OF COMPENSA-Irr', nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :iLoby cffirm unc'er penalty of perjury one of the following declarations: �. I hove 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 thi �rformalce of the .vork for which this permit is issued. Policy No. haee and will maintginworkers' compensation insurance, as required lyy Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior uranee carrier and policy number are: •re• Policy Number Expiration Date t-re rf Agent - Phone # ;eidiy that in the p orma ce d the w or whit his permit is issued, I shall not employ anypemen in any manner so as to become subject to the workers com'pens tion ws of California, and agre m ,at, if I -hould kecosu je to wo er c mp sation rovisions of Section 3700 of the Labor Code I shall forthwith comply with those i provisions. p19 ure of Appl:..1+�� to-;5>•�" �(1, S �IL.ocJ q .CLARATION RFtyp,RDI NSTR ION LENDING AGENCY z }iereby affirm under penalty f perjury 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 3y my signature below, I certify to each of the following: - I am the property owner or authorized to act on the property ow is b alf I have read this application and the information e'pro'vi d is or ct. I agree to comply with all applicable city and unty ces d at laws relating to building construction. p I I authorize representatives of this `city or coo. y t r t e a ve_-id if led property for inspection purposes. - b /�� Signature of Property Owner or Authorf Agent Prlut-Property Owner's or Authorize enl's N �_ R '� to ACTION DATE- BY RA N.OF-COMPLIANCE-WITH CODE OF FEDERAL FOR OFFICE USE 0177-- REGULATIONS PARTcifOF TITLE 40 AND ADM D RULE PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: