HomeMy WebLinkAboutS2018-0189 - PermitsCity of Newport Beach - Building Division
t1 100 Civic Center Drive, Newport Beach, CA 92660
x Permit Counter Phone (949)644-3288
Job Address: 1534 ANTIGUA WAY Floor: Suite: Bldg: 0
Description of Work:SFR RE -PLASTER (E) POOL 8: REPLACE COPING
Inspector Area: 3
Legal Description: N TR 4224 LOT 271
Owner:
SCHLUTZ MICHAEL J
Address:
1534 ANTIGUA WAY
Building Green Fee:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant: ASLENCIO JAIME
Address:
227 W CARLETON AVE
$0.00
ORANGE CA 92867
Phone:
714-448-0537
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $23,600.00
Building Permit Fee: $427.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$371.49
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
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Plan Check No: 2493-2018
Code Edit: 2016
Contractor: SMITH ALAN POOL PLASTERING
Address: 227 W CARLETON AVE
ORANGE CA 92867
Phone: 714-628-9494
Con State Lie:
571196
Lie Expire:
06/30/2019
Bus Lie:
BT00012422
Lie Exp Date:
08/31/2019
Worker's Compensation Insurance
Carrier: SECURITY NATL
Policy No: SWC1148848
Expiration: 04101/2019
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Special Conditions:
Issued Date:
POOLPermit : S2018-0189
Project No: 2493-2018
Inspection Requests Phone (949)644-3255
10131/2018
State Lie:
State Lie:
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Record Management:
$4.00
Water Quality---
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Building Dept Inspection Fee:
$NPD:0 o
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.01) .
Grading Consultant Fee:
$0.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee : $371.49 Flees Due at Permit Issuance : $432.00
PLAN CHECKED BY::
APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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) I have placed next to the applicable item(s)
lection 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
le 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).
as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
nd 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 legall,
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://w .leginfo.ca.gov/calaw.htmi.
ignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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 T
;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and %%iQ N9jjJ1ain 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
erformance of the work -for which this permit is issued. Policy No.
Aave'.and wig nNdiftin 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'
range carrier "-pblicy number are:
of Agent
of
Policy Number
Date
.. ..
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 Taws of California, and
become ¢ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
i CONSTRUCTION LENDING AGENCY
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).
Lender's Address
Byj%i, natureIpW, j, certify to each of the following:
I am the propart?&ner 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
All required alarms,latches
PERMITEXP/RED U I SUBMITTED ASBESTOS NOTIFICATION TO / as part of of a pool !spa
PERMITCANCELLED LIEPA barrier, shall be in place
PERMITEXTENDED 13AQMD +Scc.OrtDAprior to approval to fill
POOLALARMS DASBESTOS NOTIFICATION IS NOTAPPLICABLE TO P,4�#L"tG pool/spa & shall remain in
INSTALLED PROPOSED DEMOLITION. place & be maintained for
PERMIT FINAL X V�th001lSp
SIGNATURE: the life Ofe �( —I