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Home My WebLink AboutS2021-0247 - PermitsCity of Newport Beach - Building Division `S2021--0247* rp 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 44 TIMOR SEA Floor: Description of Work:POOL REPLASTER Inspector Area: 5 Legal Description Owner: MASHOUR NICK Address: 1 KENT CT LADERA RANCH CA 92694 Phone: Applicant: CALIFORNIA HOME BLDRS Address: 2973 HARBOR BLVD #448 COSTA MESA CA 92626 Phone: 714-719-9034 Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $12,000.00 Building Permit Fee : $283.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $246.21 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0,00 TOTAL FEE : $532.21 PROCESSED BY: ZONING APPRO� Suite: Bldg:1 Plan Check No: 2722-2019 Code Edit: 2019 Contractor: CALIFORNIA HOME BLDRS Address: 2973 HARBOR BLVD #448 COSTA MESA CA 92626 Phone: 714-719-9034 Con State Lic: 857296 Lic Expire: 04/3012023 Bus Lic: BT30073555 Lic Exp Date: 11/30/2021 Worker's Compensation Insurance Carrier: WESCO INS Policy No: WC9620019 Expiration: 04/01/2022 FEES Architect: Address: Phone: Engineer: Address: Phone: Special Conditions Issued Date: POOLPermit : S2021-0247 Project No : 2722-2019 Inspection Requests Phone (949)644-3255 State Lic: State Lic: SUBCONTRACTOR AGREEMENT A rTACHED Record Management: $2.00 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: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $532.21 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 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) all of or L) 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 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 rf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature b-low 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 seh P structLre 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. Sign. ture 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 Sectio 7 00) of Division 3 of the Business and Prof s Io odgg,,and my license is in full force and effect Liters.; Olass License No Dat �� 2 Contractor Signature aJ�ti /LlUACh � 1.- JJUR'SERS' COMPENSATION DECLARATION ,VHk NING: 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 ($100,000), IN ADDITION TO THE �PFT C- COMPEN,9ATICN, 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: I nave and ;vi1l. mpintain 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( psrfurmance or the wmk for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date I certify that, in 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' compensation laws of California, and agreE It, if I should become bjectt�JW theAw-orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l natu re of Applicant Jl \�._L �%/\G.tiC� DatV i2� — 2-01-1 :CLARATION REGARDING CONSTRUCTION LENDING AGENCY \ ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code) nder's Name Lender's Address my signature below, I certify to each of the following: I am 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 cou y/Ro apn ef4he above -identified property for inspection purposes. „ I (nature of Prooertv Owner or Authorized ADenY X \ NWAALNAIL Print Prooertv Owner's or Authorized Aaent's Name' �( ACTION DATE BY 'PECLARATION OF COMPLIANCE WITH CODE OF REGUULAT ONS PART 1 OF TITLE 0 AND AQMD RULE kAL FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EpA PERMIT EXTENDED AQMD POOLALARMS Z� ,�/J/�� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED P OSEDOEMCIA"ON.- PERMIT FINAL }