HomeMy WebLinkAboutS2018-0077 - Permits,SWI City of Newport Beach - Building Division *S2018-0077*
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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.lob Address: 1201 HIGHLAND DR Floor: Suite: Bldg: 1
Description of Work:SFR REPLASTER POOL, RESURFACE, NEW DRAIN COVERS
Inspector Area: 3
Legal Description: N TR 3031 LOT 38
Owner: JEFFREY JOHN BITETTI
Address: 2418 HOLIDAY RD
NEWPORT BEACH, CA 92660
Phone:
Applicant: SMITH ALAN POOL PLASTERING
Address: 227 W CARLETON AVE
ORANGE CA 92867
Phone: 714-628.9494
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $6,000.00
Building Permit Fee :
Plan Check No:
Record Management:
Permit Issuing Fee:
Code Edit:
2016
Contractor:
SMITH ALAN POOL PLASTERING
Architect:
Address:
227 W CARLETON AVE
Address:
Plan Dept Plan Check:
ORANGE CA 92867
Grading Consultant Fee
Phone:
714.628-9494
Phone:
Con State Lie:
571196
Engineer:
Lie Expire:
06130/2019
Address:
Bus Lic:
BT00012422
Lie Exp Date:
08131/2018
Phone:
Worker's Compensation
Insurance
Special Conditions:
Carrier:
SECURITY NATL
Policy No:
SWC1148848
Expiration:
04101/2019
Issued Date:
Building Permit Fee :
$157.00
Record Management:
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee
Building Green Fee:
$1.00
Drainage Plan Check:
Plan Dept Plan Check:
$0.00
Grading Consultant Fee
Building Dep Plan Check:
$0.00
Building PC Investigation :
$0.00
Additional Fee
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
FEES
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Water Quality- --
P001—Permit: S2018-0077
Project No :
Inspection Requests Phone (949)644-3255
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State Lie:
State Lie:
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05/03/2018
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Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others :
$0.00
$0.00
Fee Due at Permit Issuance: $158.00
PROCESSED BY: lc SX 1` PLAN CHECKED BY::
ZONING APPROVAL: APPROVAL TO ISSUE:
_ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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OWNER -BUILDER DECLARATION 11
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(sja
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
he 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
lot more than five hundred dollars ($500).
, 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
Ind 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
Tlprovements ere hot intended or offeted 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
m roved 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
Ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature 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 SeoIon . o Division 3 of the Busi9asg �nd Prof ssi nd y license is in full force
Ind effect. License Class License No Dat Contractor nature L
YORKERS' COMPENSATION DECLARATION
DARNING: 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 ($700,000(, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm u eVftalty of perjury one of the following declarations:
....
k1hadye7 and will maintain a certificate of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for fh,
ante of t}�eLoNfor which this permit is issued. Policy No.
P, 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
e carrier�d policy number are:
'erler• Policy Number Expiration Date
Agent F'none s
that 'I•c4th•Qe p rfo> ma ce,,oft a wor �which this peermit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agree
e me subj/ wor s' t
�Hompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Barg U ate_
at
JC•41JUNKGIgHRUIIVb tiV1NJIRUl. 11UlY LCIYYIIYU' MVCIYVl
dere affirm unelenpenalty 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).
_eRM 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 owns s behalf.
I have read this application and the information I have provide s corre
I agree to comply with all applicable city and county ' n s s tate laws relating to building construction.
I authorize representatives of this city or county to r a e -identified property for inspection purposes.
3i nature of Property Owner or Autho Agent Print Pro ertOwner's or Authorized Ant' a
ACTION BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
gates & fences which serve
as part of a pool! spa
barriefr shall be in place
girl®r t® apR roval to fill
pgglJ$a@ ill %hall remain In
ix% maintained for
PERMITCANCELLED
DEPA
PERMITEXTENDED
EIAQMD
POOL ALARMS
INSTALLED
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
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