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Home My WebLink AboutS2020-0211 - PermitsCity of Newport Beach -Building Division "S2020-0211` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F Job Address: 17 DARTMOUTH Floor: Suite: Description of Work:NEW SPA 80 SF W/DRAINAGE Inspector Area: 4 Legal Description: N TR 15409 LOT 57 Owner: BENEHMED DANEIA SANADIKI Address: 17 DARTMOUTH NEWPORT BEACH, CA 92660 Phone Applicant: STEELE BRET Address: 4921 E LEEDS AVE ORANGE CA 92867 Phone: 714/496-1427 Building Rear: Setbacks: Front: Left: Right: Construction Type : Construction Valuation: $20,000.00 Bldg: 1 POOLPermit : S2020-0211 Project No : 2358-2020 Inspection Requests Phone (949)644-3255 Plan Check No: 2358-2020 Code Edit: 2019 Contractor: STEELE BRETISTEELE POOLS Address: 4921 E LEEDS ORANGE CA 92867 Phone: 714-496-1427 Con State Lic: 923975 Lic Expire: 110/31/2022 Bus Lic: BT30042162 Lic Exp Date: 02/28/2021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: NO EMPLOYEES Expiration: FEES Architect: Address: Phone: Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: Issued Date: 12118/2020 State Lic: State Li¢C-067656 Building Permit Fee : $430.00 Record Management: $6.00 Water Quality --- Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: $232.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $1.00 Drainage Plan Check: $195.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Others Building Dep Plan Check: $387.00 $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,261.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $1,251.00 PROCESSED BY: / /� n PLAN CHECKED BY:: tY/ I / I ZONING APPROVAL: / Wy bAPPROVALTOISSUE: 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) 1 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 is 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 Irofessions 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 ot more than five hundred dollars ($500). 1201 N TUSTIN AVE 1, 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, lusiness 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 nprovements 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 nproved 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 Iicensure under the Contractors' State License Law for the following reason: ly my signature below 1 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 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED C^f711,ACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) f ivi on 3 of the Business and Profess, ns p d ,and I'De a is in full force Im eiitct. License J,ass License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rAkNING: 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 ($100,0001, IN ADDITION TO THE DST OF COMPENS:.TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under ponalty of perjury one of the following declarations: I I 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 of the Labor Code, for thr erformance of the work for which this permit is issued. Policy No. .II Nevi 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' compensatiol ,isurary l!i carrier and policy number are: 01o r� Policy Number Expiration Date r Agent Phone i that, in the perfo e e rk f rwh is 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 I should become 21 1 to e w e 'corn ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date2-��/Zr� DECLARATION REGA DIN C TRU ION LEW01ING AGENCY hereby 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). -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 owners behalf. I have read this application and the information I hay, r i IT t. I agree to comply with all applicable city and c Ord ance and ate la lating to building construction. / 2 /��/, I authorize representatives of this city or coun y t the a ov dentifie at for inspection purposes./-' Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name alt �C L '�V^ Date ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED CIEPA PERMITEXTENDED "QMD POOLALARMS INSTALLED 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: ovclV