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Home My WebLink AboutS2013-0038 - PermitsCity of Newport Beach Building Division Pool Permit No: S2013-0038 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 17 OLD COURSE DR Floor: Inspector Area: 4 Legal Description: N TR 15389 LOT 38 Owner: AZHIRARDESHIR Address: 17 OLD COURSE DR NEWPORT BEACH, CA 92660 Phone: Applicant: ELLISON PAUL Address: 34145 PACIFIC COAST HWY, STE 172 DANA POINT CA 92629 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $38,000.00 Building Permit Fee: $577.75 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $31.25 Building Dep Plan Check: $415.98 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $34.80 Suite. Bldg. 2 Description of Work:SFR - NEW POOL AND SPA 460 & 49 SF Plan Check No: 0818-2013 Code Edit: 2010 eTc�n `f Contractor: URBAN LANDSCAPE AND DESIGN INC Architect: Address: 34145 PACIFIC COAST HWY #172 Address: DANA POINT CA 92629 Phone: 866-872-2611 Phone: State Lic: Con State Lic: 893827 Engineer: NADASDI KRISTOF ? _ Lic Expire: 04/30/2013 Address: 1201 N TUSTIN AVE Bus Lic: BT30042651 ANAHIEM CA 92807 Lic Exp Date: 03/30/2014 Phone: 714-630-6100 State Lic:C-064525 Worker's Compensation Insurance Special Conditions: - - - Carrier: NORGUARD INS Policy No: URWC305321 Expiration: 07/06/2013 Issued Date: 04/16/2013 FEES Record Management: $7.00 Water Quality- -- Building Dept Inspection Fee: $0.00 Grading Permit Fee : $0.00 Water Quality Dept Insp Fee: $23.20 Grading 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 11 TOTAL FEE : $1,091.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,091.98 PROCESSED BY: PLAN CHECKED BY:: ZONING APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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 applicabl# iten*(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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, Iusiness 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). 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 pply 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: ly 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 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ;ignature of Property Owner or Authorized Agent Date .ICENSED CON'TPACTOR'S DECLARATION /l hereby affirm urd= penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecfiorV700 ) of Division 3 of the Business and Profess D e&o d y'li dose is in full force ndeffe'Cl �� Contractor Si icense Class _ License No Date gnature VORKFRS' COMPENSATION DECLARATION - 'ARN,NG: 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 CST O' COMPEN-PT'CN DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: , ,lave and wili 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 e;J:r.iance of the work for which this permit is issued. Policy No. 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. My workers' compensatiol isurance carrier aou pJicy number are: .ar,ier, Policy Number Expiration Date lame of Agent _ _ _ Phone # :1I certify that, in the performance of the work for whi permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I /s of California, and agre, Tat, if I should become su=eys' ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. YJ fignatureofApplicant�� IY�//// �� Date hereby affirm under penalt)�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 y 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 hav vided is c I agree to comply with all applicable city and coun ordin es d s e w elating to building construction. authorize representatives of this city or county to h ab e e pr ert or inspection purposes. iqnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V G�" Date ./ ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. PERMITEXPIRED - ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPUC4BLE TO PROPOSED DEMOLITION. PERMIT FINAL (iS — CER77FICATEOF SIGNATURE: OCCUPANCYISSUED