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Home My WebLink AboutS2019-0171 - PermitsCity of Newport Beach -Building Division 111111111111111111111111111111111111111111p111111 09."O� 100 Uvic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 1 7 1 Permit Counter Phone (949)644-3288 Job Address: 1113 KINGS RD Floor: Suite: Bldg: 1 Description of Work:POOL, SPA 676 SF WIAUTOMATIC COVER & (12) CAISSONS Inspector Area: 2 Legal Description: N TR 1219 BILK E LOT 31 Owner: REED GREG & CAROLYN Address: PO BOX 1245 NEWPORT BEACH, CA 92659 Phone: 949-698-2091 Applicant: HAMPTON CRAIG Address: 5500 E QUARTERSAWN ST BOISE ID 83716 Phone: 949.209-8883 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $228,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $10.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: $790.00 PROCESSED BY: ZONING Plan Check No: 2295-2019 Code Edit: 2016 Contractor: LEGACY C D M INC Address: 2618 SAN MIGUEL DR #204 NEWPORT BEACH CA 92660 Phone: 949.677-3650 Con State Lic: 962720 Lic Expire: 04/3012021 Bus Lic: BT30043218 Lic Exp Date: 05131/2020 Worker's Compensation Insurance Carrier: STATECOMP. INS Policy No: 9147240 Expiration: 11 /2412020 Architect: Address: Phone: POOLPermit : S2019-0171 Project No : 2295-2019 Inspection Requests Phone (949)644-3255 ISPL�-ro� State Lic: Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 State Lic:C-066947 Special Conditions;_ Issued Date: 02/28/2020 FEES Record Management: $0.00 Water Quality -- Building Dept Inspection Fee: $0-00 Drainage Permit Fee : $0.00 Water Quality Dept Insp Fee: $0.00 ' Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0. J Grading Consultant Fee : $0.00 Others $0.01) Additional Fee : $0.00 $000 - Plan Check Fee : $362.00 Fee Due eepat Permit Issuance : $428.00 PLAN CHECKED BY:: ` APPROVAL TO ISSUE' PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 Iicensure 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). 28161 CASITAS CT ❑ 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 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 improvements 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 Ii-m-roved for the purpose of sale). LJ 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 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 Iicensure 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 legalll 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 or at the 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 S 7000 of Division 3 of the Bu iness and Professions Cade, and my license is in full force and effect. License Class License No Z 2d- 1a COn ctor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINE UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thI perWmance of the work for which this permit is issued. Policy No. .e of F certify anl: will mdintain 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: Policy Number Date the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and come subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions:, ig�hatu re of ADylic pit, r6li-RAATN4R<CUAjTMt0 CONSTRUCTION LENDING AGENCY ,)a.eby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ?iccr's Name Lender's Address y my rignaturs beaw I certify to each of the following: ' rm the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this -city or county to enter the above -identified property for inspection purposes. „A Civil Code). ACTION IK_DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 All required AnrinnA IntrhpIa PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO gates Sr fences which serve as part of a pool / spa barrier, shall be in place prior to approval to fill PERMITCANCELLED EPA PERMIT EMENDED QMD POOLALARMS LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. pOOI/Spa & Shall remain In place & be maintained for SIGNATURE: the li%ofthe pool/spa PERMITFINAL If]'fb•%3 nwiLi