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Home My WebLink AboutS2020-0092 - PermitsCity of Newport Beach - Building Division 111111111111111111111p1p1111l111111111111111111111 11 100 Civi: Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 0 9 2 H n. Permit Counter Phone (949)644-3288 cLwer�� Job Address: 4527 PERHAM RD Floor: Suite: Bldg: i Description of Work:NEW SFR POOLISPA (IN VAULT) 344 SQ FT Inspector Area: 5 Plan Check No: 1201.2020 Code Edit: 2019 Legal Description: N TR 3357 LOT 115 Owner: MOINFAR MIKE Address: 16951 ARMSTRONG AVE IRVINE CA 92606 Phone: Applicant: VILLA POOLS, INC Address: 17853 SANTIAGO !3LVD #107-302 VILLA PARK CA 9'861 Phone: 714-488-7563 Building Rear: Setbacks: Front: Left: Right: Construction Type : V3 Construction Valuation: $G3,000.00 Building Permit Fee : $430.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $387.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 Contractor: VILLA POOLS INC Address: 17853 SANTIAGO BLVD #107-302 VILLA PARK CA 92861 Phone: 714-488-7563 Con State Lie: 1004609 Lie Expire: 06/30/2021 Bus Lie: BT30051926 Lie Exp Date: 07131/2021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9136998 Expiration: 07107/2021 Record Management: Drainage Permit Fee: Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES Architect Address: POOLPermit : S2020-0092 Project No : 1201-2020 Inspection Requests Phone (949)644-3255 ww � "6� ` As ° ° 00000e Phone: State Lie: o Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ..... ANAHEIM CA 92807 ° Phone: 714-630-6100 State Li¢C-067656 a 000 Special Conditions: YARD DRAINAGE ON X2018-1266 Issued Date: 1010112020 $16.00 Water Quality --- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others: $0.00 II TOTAL FEE: $L36.00 Plan Check Fee : $362.00 PROCESSED BY: PLAN CHECKED BY:; ZONING APPROVAL APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $474.00 / -& �c oJo_ 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) 1 have placed next to tt < 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 FL {uires 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 Divisi 13 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 app! :ant 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 U all of or U portions of the work, and the structure is not intended or offered for s: le (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 prop :rty, 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-Builderwill have the burden of proving t rat it was not built or roved for the purpose of sale). ff 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 I !tense 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 I is permit, I cannot iegall, $ell a structure that 1 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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web sfe:http://wm.leginfo-ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby afFirnl under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th Sklion 7000) of Division 3 of the BusinessXHUNRM ssions Code, and rt • "tense is in full force and effect C53 License Class License No 1004609 Date 10/01 /2020 Contractor SignaturL WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO R T CRIMINAL PENALTIES AND CIVIL FINES UP M ONTHOUSAND DOLLARS (-. "00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNE SFEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 c the Labor Code, for th De miance of the work for which this permit is issued. Policy No. I 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. n y workers' compensatiol ins nce carrier and policv number are: EU ndpolicy Number 913699820 Expiration Date 07/07/2021 of Agent I certify that, in the perform nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation lay. s of California, and agre that, if I should became ubj t to the workers' compensation provisions of Section 37 f the Labor Code, I shall forthwith comply with those pro 'si S. 10/01 /2020 Signature of Applignt Data DECLARATION REGARIXNG CONSTRUCTION LENDING AGENCY I hereby affinn under pe of perjury that there is a construction lending agency for the pertomtance of the work far which this permit is issued (e n 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 owner's behalf. I have read this application and the information f have provided is correct. I agree to comply with all applicable city and cou ordinances and state laws relating to building construction. I authorize representatives of this city or cc u enter bove-identified property for inspection purposes. Kathleefl KfOftIC �,10/01/2 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY 0ECLARAPON OFtOMPLIANCEMTH CODE OF FOROFRCEUSE )NLY FEDERAL REGULATIONS PART 61 OF 777LE40AND AQMD RULE 1403. PERMITO(PIRED ❑ 1 SUBM17TED ASBESTOS NOTIFICATION 70: ❑ EPA ❑ AQMD PERMITCANCEUED PERMIT EXTENDED ❑ ASBESTOS NOURCARONIS NOTAPPLICABLE TO PROPOSED DEMOLITION PERMIT FINAL CER77FICA7E OF OCCUPANCYISSUED SIGNATURE.