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Home My WebLink AboutS2016-0009 - PermitsCity of Newport Beach - Building Division *S2016-0009* rJ1 _4 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 J �icbocPs Job Address: 157 SHORECLIFF RD Floor Suite: Bldg: 1 Description of Work:SFR POOL/SPA 288 SF Inspector Area: 5 Legal Description: N TR 1116 LOT 109 Owner: WANG WILLIAM Contractor: PURE WA' Address: 6 STRAFFORD Address: 711.W,17'T NEWPORT BEACH CA 92660 yn-%%4;OSTAtAE Phone: P.k�/`",9,tg'F46-34 Applicant: ELLSION PAUL/PURE WATER PO on StC� ate Lic: 6152 Address: 711W 17TH STREET „„�� Lic Expire /3 COSTA MESA C , �-J,i-9��1'' - T300 8 f Phone: 949-646, 34% ate: 12/31 /2017 Plan Check No: 0185-201 Code Edit: 2013= --"' {'� Building � ar. W k�r'speunsl ation e Setbacks:nt: Oa�;,ldie'r!h N MA INS CO. ` eft: Poli "d �� T5 Riga: p ,pq,x`igr�,� c 01 /2016 Construction Tvpe : 4-�- . ,� 4 4 �iA b�a�t �/ Construction Valuation+-_ $17,000.00 Building Permit Fee Permit Issuing Fee Investigation Fee Building Green Fee: Plan Dept Plan Check: 3 Building Dep Plan Check: ;�$4 Building PC Investigation Plan check Ext. Fee WQ Compliance Insp Fee. TOTALFEE: ,tt 1f Ph�: �! 714 Special Conditions fy�s-Sk , Record Management: $10.00 _ W?Q�ity Pt 00 Drainage Permit Fee : Is fY- ! ter uality Dep 00 Drainage Plan Check: .`}G!'.', 7s Building De 50 Grading Co kui 0�„Others: 11 00 dditional Fee : 0 0 $0.00 6n /0o Q io ,0 PROCESSED BY: .r M. _ PLAN CHECKED BY:: ZONING APPROVAL: _ _ _ _ _ APPROVAL TO ISSUE rERWT EXPIRE-'.815GAYS AFTER ISSUANCE OR LAST VALID INSPECTION POOLPermit : S2016-0009 Project No : 0185-2016 Inspection Requests Phone (949)644-3255 �:rha�ss 14 Fee State Lic: State Lic:C-080733 Fee Due at Permit Issuance : $0.00 $0.00 $0.00 $0.00 $0.00 )WNER-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 is 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 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 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 U 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). 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). 7 I am exempt from Iicensure 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 legall) 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 a Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent ate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 700 of Division of the Business Bndro s ' s Code nd my se is in full force nd effect. icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (E100,000), IN ADDInON TO THE 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: 7 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 thi erformance of the work for which this permit is issued. Policy Na have and will nfainNn workers' compensation insurancP/as,r�quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ,ance Carrier anh,polidy number are: � ie of Agent t certify that, in the p ormance q e work for w) this permit if I should become'subiect to & workers' coA pensation proO, nature of Applican CLARATION REG RDR49 CqNST5MCTION LENtTMG AGENCY Ireby affirm under enalty f pe that there is a construction lending Ider's Name my signature below, I ify to each of the following: I am the property owner or authorized to act on a pr pe wn s/hh I have read this application and the informati I have vided s err I agree to comply with all applicable city an County man I authorize representatives of this city o�rc n t r the lature of Property Owner or AuthorizeryAg nt Date Phone # ploy any person in any manner so as to become subject to the workers' compensati A laws o alifornia, and agree 13700 of the Labor Code, I shall forthwith comply with those provisions. ,r - Date,- ��V, for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lepder's Address g- tobuilding construction. / for inspection purposes. _ Print Property Owners or Authorized Agent's Name !&,- ACTION DATE BY DECLARATION OF COMPLIANCE LMTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 6' 0FTITLE40 PNO AQMD RULE 1403. , PERMITEXPIRED ❑ I SUBMTTEDASBESTOS NO;7FICATION TO. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N017HCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICA TE OF SIGNATURE: OCCUPANCYISSUED