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Home My WebLink AboutS2020-0079 - Permits.:4ernk City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c� �t,Yu%pv Job Address: 6 INVERNESS LN Floor: Description of Work:SFR - POOL & SPA 630 SF Inspector Area: 4 Legal Description: N TR 7638 LOT 58 Owner: WILBURSMITHIII Address: 6INVERNESS LN NEWPORT BEACH, CA 92660 Phone: Applicant: GRONDOSA DAVID Address: 2549 EASTBLUFF DR #389 NEWPORT BEACH CA 92660 Phone: 949-244-8442 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $102,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $5.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: PROCES��^ o`^ ZONING Suite: Bldg:1 iiiiiiiiiii II Plan Check No: 1099-2020 Code Edit: 2019 Contractor: SUNBRITE POOLS INC Address: 2549 EASTBLUFF DR STE 389 NEWPORT BEACH CA 92660 Phone: 949-233-7029 Con State Lic: 983766 Lic Expire: 06131/2021 Bus Lic: BT30039067 Lic Exp Date: 04/30/2021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: POWC082661 Expiration: 05109/2021 FEES Architect Address: POOLPermit : S2020-0079 Project No : 1099-2020 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 Special Conditions Issued Date: Record Management: $4.00 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 : $362.00 PLAN CHECKED BY,: APPROVAL TO ISSUE: Fee Due at Permit Issuance: $427.00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS-E•;TON OWNER -BUILDER DECLARATION 1 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 U 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). El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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:/Avww.leginfo.ca.gov/calaw.html. Signature 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 Section 7000) of Division 3 of the Business and f signs o e, a d my [loan in full f ce and effect. License Class License No Date August 4, 2020 Contractor 5ignatu WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I Oave 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 the 3ofTrance the work for which this permit is issued. Policy No. ave 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' compensatio once Carier and policy numher a Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfo a of the wor will this pe it 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 hat, if I should become su ' ct to n worker ' mpen anon vjsions,6f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant /I l(1'�.V> Date'/ August 41 2020 DECLARATION REGAR15INGrtONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction [ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the fallowing: 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 cor ct. I agree to comply with all applicable city and count ordma nd s to laws relating to building construction. I authorize representatives of this city or count er' h bo a -id 'fled property for inspection purposes. ` I Signature of PropertyOwner or Authorized Agen Print Property Owners or Authorized Agent's Nam V ate A.gusca• 200 OF ACf70N DATE By DECLARATION CO PUANCEWf7H CODE OF fOROF,9CE USE ONLY FEDERAL REGUCA7JONSPA127870� 7/7LE40AND `AQMDROLE 7403. ❑ ! SUBMITTEDASBESTOS N077FlCATlON TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICA7)ONLS NOTAPPLfCABLE TO PftOPOSEQQEMOU7f061 I SIGNATURE: PERA417EXPlRED — PE4M17'C4110ELLED PERPdlT EXTENDED PERhilTF1NAL % CE4TlFfC4TE OF OCCU"AtdCYtSSrJED