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Home My WebLink AboutS2015-0178 - PermitsCity of Newport Beach - Building Division o0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c�7 Job Address: 16 TASMAN SEA Floor: Suite: Bldg: 1 Description of Work:NEW POOL & SPA 391 SF Inspector Area: 6 Legal Description Owner: HAIRAPETIAN ARMOND & ELENA Address: 16 TASMAN SEA NEWPORT COAST CA 92657 Phone: Applicant: MONCADA ERNESTO Address: 17537 DEER VALLEY CT RIVERSIDE CA 92504 Phone: 949-647-2657 Building Rear: Setbacks: Front: Left: Right: Construction Type : 11 Construction Valuation: $52,000.00 Building Permit Fee : $716.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 Plan Dept Plan Check: $37.50 Building Dep Plan Check: $622.92 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCESSED BY: ZONING APPROS *S2015-0178* POOLPermit : S2015-0178 Project No: 2633-2015 Inspection Requests Phone (949)644-3255 Plan Check No: 2633.2015 Code Edit: 2013 Contractor: E M LANDSCAPE POOLS & SPAS Address: 17537 DEER VALLEY COURT RIVERSIDE CA 92504 Phone: 949-547-2657 Con State Lic: 848437 Lic Expire: 02128/2017 Bus Lic: BT30053294 Lic Exp Date: 11/30/2016 Worker's Compensation Insurance Carrier: OAKRIVER INS Policy No: EMWC501404 Expiration: 12/01/2016 FEES Architect Address: Phone Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Issued Date: 1113012016 State Lic: . - " State Lic: C-067666 Record Management: $8.00 Water Quality -- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $287.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $112.10 Others $0.00 Additional Fee : $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at PRrmit Issuance : $1,786.62 PLAN CHECKED BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )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 he 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 iot 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, 3usiness 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 mprovements 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 'mproved 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). ❑ I 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 legal) 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CON IRF.CTOR'S DECLARATION I herby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Li�ea P and Class License No Dahl j) Contractor Signature,Ld—`— WORKERS' COMPENSATION DECLARATION WwRNING: FAILUR', TU SECJRE 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 ^OST C- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hePhy affirm nrioer penalty of perjury one of the following declarations: ❑ I e d 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 ,Ju` r:-lDnce f the work for which this permit is issued. Policy No. ri PII have a wiJ mail,tain 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' compensatio insuiaii :e arrier and Policy number are: Policy Number Date i ne of Agent Phone # 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 agre iI if I should beco a subject to the workers' compensation of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�� nature of Applic t_We CLARATION RE G CONSTRUCTION LENDING AGENCY �reby 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, Civil Code). ider'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 unty ordinances and state laws relating to building construction. I authorize representatives of this city or cougPto enter the ve-identified property for inspection purposes. nature of Prooertv Owner or Authorized Agent `-�~ Print Property Owner's or Authorized Agent's Name ACTION I DATE I BY CANCELLED C€R77F/CA TE OF OCCUPANCYfSSUED FEDERAL REGULATIONS PART 61 OFTIT1_E40AND AQMD RULE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICAAONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: