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Home My WebLink AboutS2020-0196 - PermitsCity of Newport Beach - Building Division 111pli111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s7 �'il iyVl4�T ,lob Address: 8 OLD COURSE DR Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA WI DRAINAGE 561 SF Inspector Area: 4 Legal Description: N TR 15388 LOT 41 Plan Check No: 2214-2020 Code Edit: 2019 Owner: PELTON KEVIN Contractor: PREMIER POOLS ORANGE CTY Address: 8 OLD COURSE DR Address: 22 SAN RAPHAEL NEWPORT BEACH, CA 92660 DANA POINT CA 92629 Phone Applicant: PREMIER POOLS ORANGE CTY Address: 22 SAN RAPHAEL DANA POINT CA 92629 Phone: 626-422-5426 Phone: 626-422-5426 Con State Lie: 798298 Lie Expire: 03131/2022 Bus Lie: BT30071442 Lie Exp Date: 0313112021 POOLPermit : S2020-0196 Project No: 2214-2020 Inspection Requests Phone (949)644-3255 I N S P E C 1-0 n Architect: Address: Phone: State Lic: Engineer: LENEHAN KYLE A ' Address: 1024 IRON POINT ST 100-1486 FOLSOM CA 95630 Phone: 916-287-1445 State Lic:C-082227 , Building Rear: Worker's Compensation Insurance Special Conditions: ' Setbacks: Front: Carrier: STATE COMP Left: Policy No: 9158204 Right: Expiration: 05/03/2021 Issued Date: 1210112020 Construction Type 11 FEES Construction Valuation: $45,000.00 Building Permit Fee : $430.00 Record Management: $14.00 Water Quality -- Building Dept Inspection Fee: $0.00 Permit Issuing Fee: Investigation Fee: $0.00 $0.00 Drainage Permit Fee : $232.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $2.00 Drainage Plan Check: $195.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Building Dep Plan Check: $387.00 $0.00 Building PC Investigation : $0.00 Additional Fee: $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE : $1,260.00 PROCES ZONING Plan Check Fee : $0.00 PLAN CHECKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : $1,260.00 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) 1 have placed nextto 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). 1024 IRON POINT ST 100-1486 ❑ 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 improved 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 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contrarEors I I-nderstand 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/ S .htm1. Signature of Property Owner or Authorized Agent - _ _ Date LICENSED C RACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi of Chapter 9 (commencing with Section 0 0). of givi ion 3 of the Business and Pro'essi Co , and y lic se is full force and effect. License Class License No Date t / 22 Contractor Signature YARNING: FAIL E TO SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE 'E SAiIJN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hcmlj; affirm under penalty of perjury one of the following declarations: p1h - and wiJmaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 ofthe Labor Code, for thi ,ice oftnP work for which this permit is issued. Policy No. rd will,al,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' compensatior e carrier a,i pDlicy number are: Za Ier Policy Number Expiration Date mme of Agent Phone # :11 certify that, in t#na n of work hich 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 hat, if I should becto a rker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicDate �LW )ECLARATION RuC N LENDING AGENCY hereby affirm undperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, IVi1 Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's be I have read this application and the information I ha ided is c ect. I agree to comply with all applicable city and count ordina a stat law Sting to building construction. I authorize representatives of this city or count to ter bov -ide ified operty for inspection purposes. Signature of PropertyOwner or Authorized Agent Print Property Owners or Authorized Agent's Name ULL / �O °— Date �� ACTION DATE BY D R N O OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QMD POOL ALARMS ASBESTO N I A ON NC}TAPPLICABLE TO INSTALLED RO ED D M I PERMIT FINAL