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Home My WebLink AboutX2020-1102 - Permits (2)gwtYJ� City of Newport Beach - Building Division *X2020-1102* COMB Permit: X2020-1102 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0818-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 0610512020 Combination Type - BLDG Inspection Area : 5 PERMIT EXPIRES 780 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 OR NB Description: DEMO POOL "METHOD B" "CTY STD" A,, �' �*-�-4- Legal Desc.: TR 3519 LOT 52(AND E112 LOT 51 Owner: CLAASSEN BRIAN Address: 4818 SURREY DR CORONA DEL MAR, CA 92625 Phone: Applicant: ELLSION PAUL Address: 321 CALLE FELICIDAD SAN CLEMENTE CA 92672 Phone: 949-683-9861 Code Edit : 2019 Type of Construction: Occupancy Group: U, Added /New sq.ft. Bldg - Added /New sq. ft. Garage 0 No of Stories: 0 No of Units : 0 _ Bldg Height: 0 - Bldg Sprinklers: Building Permit Fee: $104.00 Plan Check Fee: $90.48 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mal $0.00 Building Green Fee : $1.00�8 TOTAL FEE: $19548 PROCESSED BY: ZONING APPROVAL: Contractor: AQUA SCAPES POOLS 8. SPAS Architect: Address: ne: State Lic: En''O`�ACHER TODD a\A s: 1201�1,� � T�'t[�t }III"'YA 92807 ,Rtldd,� Of 4-630-6100 State Uc:C-067656 �s(Tvoen�ance y, �DJevsign-er: .; l�WC EXEMPT AddfA��(1'. olicy No (NOIEMPLOYEES) to VN t Expire Phone: "s^ ilding Sef�, gear: I `font / Left: I Right_ / Address: 321 CALLE FEI_ICIDAD SAN CLEMENTE CA 92672 Phone: 949-448-7665 Con State Lic: 754729 -` Lic Expire: N Bus BT30069893 Ve"G) Date: 11/3012020 - Use rTax$b.00Ta Fee - $6.00 Bonds Fee: $0.00 Grading PC Consultant: $000 Grading Permit Fee �$0 00 _ G ding a � $0.00 ns " $0.00 cal %%L:: 111t1C 5,tcl y0.00 echanical �/'$�0, 00 Plumbing %: 0 date: �I \ , Special Conditions: CONTRACTOR AUTH ATTACHED , Fire Hazard Zone : N Planning Departure a .tea^" l5epar rent Plan Sc e : 4 ,,i Fire Inspection: �. •$0.00• Fair re : 3L`3$s,�, 9 ,1"tr✓U�ire Plan Rev , 'Wob SJH Tr - *!_0 C P+�� DemolitiopFIge In -lieu Housing F$0.00 Buildi g $0.00 Public Works Depervice $0.00 Park Dedication Re epo $0.00 /W I Ctlepk1�ifi(! $0.00 / % Its $0.00 Fee Due at Permit Issuance : $105.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: GRADING APPROVAL: 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 fvv 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L Business and Professions Code: The Contractors' State License Law does not apply to an owner ) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, improvements are not intended or offered for sale. If, however, the building or improvement is solof property who, through employees' or personal effort, builds or improves the property, provided that the d 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). , ❑ 1, 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 legall 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 qr gtthe 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 Segtion 700? a of ' n 3 of the Busines and Prof? o ode nd license is in full force and effect. License Class License No _ e ontract NORKERS' COMPENSATION DECLARATION igignature NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE :DST OF COMPENSA-IrP, 9AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hcrob} cffirm unC'er?malty of perjury one of the following declarations: i, I 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 th )tirfofmaoce of the .vork for which this permit is issued. Policy No. have and uranoe carrierier aria policy number are: permit maintain workers' compensation insurance, as required qy. Section 3700 of the Labor Code, for the performance of the work for which thisrmit is issued. My workers' compensatior , re rf Agent 'Denny that, in the a orm cc if I ..hould tecom sebie to iatur3 of AoDN-ia Policy Number Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers compens tion I ws of California, and agre Lprovisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. I �i !_Ar I IUN K"r Kul OUN5I RUCTION LENDING AGENCY W I Ptereby affirm under penaltylpf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: - I am the property owner or authorized to act on the property ow 'ris'la alf - I have read this application and the information a provi d is or ct. ---� I agree to comply with all applicable city and only ces d a laws relating to building construction. I authorize representatives of this city or cou t r t e a ve4d tified property for inspection purposes. r�iig� / //-/ Si nature of Proparty Owner or Authori Agent . -- Print Pfbpert Owner's or Authorize enUS N 414i,_ ( '� le �` ACTION DATE:. BY RA N,OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REouLATIONS PART6TOF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO - PERMIT CANCELLED UEPA PERMITEXTENDED qMD PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED clrmnr„ec.