HomeMy WebLinkAboutX2017-0240 - Permitswr�,y City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� IICOMB Permit: X2017-0240
a' 100 Civic Center Drive, Newport Beach, X 2 0 1 7 0 2 4 0 Bh, CA 92660
a Project No :2765-2014
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
"P'`kxroa' Combination Type - BLDG Issued Date : 01/24/2017
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Job Address:
2901 CAROB ST NB
Address:
895 DOVE ST. STE 300
Description:
SFR SITE WALLS 6'X 8 LF, 2 LF 8 2 LF W/(3) PILASTERS (INSIDE P/L) CITY STD PLAN
Legal Desc.:
N TR 5018 LOT 102
$0.00
Building Dept Adm
Owner:
RADOVANOVIC ALEX
Contractor:
ETHANS POOLS INC
Address:
2901 CAROB ST
Address:
895 DOVE ST. STE 300
Plan Check Fee:
NEWPORT BEACH, CA 92660
Additional Fee :
NEWPORT BEACH, CA 92660
Phone:
Phone:
714-337-4955
Applicant:
GARY/ETHANS POOLS INC
Address:
895 DOVE ST. STE 300
Bus Lic:
NEWPORT BEACH, CA 92660
Phone:
714-337-4955
Code Edit : 2016
Type of Construction:
Occupancy Group: U
Added /New/TI sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 24
Bldg Sprinklers:
Con State Lic:
998964
Lic Expire:
12/31/2018
Bus Lic:
BT30052307
Lic Exp Date:
01/31/2017
Worker's Compensation Insurance
Carrier: SECURITY NATL INS
Policy No: SWC1127183
Expire: 10/01/2017
Building Setbacks Rear: 6' (Street)
Front: 20'(View)
Left: 6'
Right: 6'
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
food cone:
X
Use Zone: R-1-6000
Parking
Spaces: 0
Fire H
Construction Valuation:
$800.00
$0.00
Building Dept Adm
General Service
Building Permit Fee:
$386.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$342.50
Additional Fee :
$0.00
Plan check Fee:
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety :
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
P/W Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $769.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
State Lic:
State Lic:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $769.00
°6IIB�IC WORKS APPROVAL:
a ° c °FoLAIJ: (,NECK BY:
o °
APPROVAL TO ISSUE:
CG0 OE C
Fire Department
$37.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $769.00
°6IIB�IC WORKS APPROVAL:
a ° c °FoLAIJ: (,NECK BY:
o °
APPROVAL TO ISSUE:
CG0 OE C
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)
(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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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).
❑ 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
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).
❑ 1 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 Iegall
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://www.leginfo.ca.gov/calaw.htmi.
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 Z096) of vi ion of the Business and Profe Kis Co e and Be is in full force
and effect. License Class License No Date L. Contractor Signature I
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL R ($'100,000), IN ADDITION TO THE
COST 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:
❑ 1 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 th
5oerfo
r ance of the work for which this permit is issued. Policy No.
RI have and +I iaintain 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
policy numbaf'dre:
�,.u,.,,,nl„4hb. Expiration Date
is of A
w�
31 certify tha, 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 laws of California, and agree
iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , j I
signature of Applicant a fT 117
)ECLARATION REGA ING CONSTRUCTION LENDING AGENCY
hereby affirm under p natty 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).
tinder's Name Lender's Address
ly 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 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 t ove-identified property for inspection purposes.
;ianature of Prooertv Owner or Authorized Anent \ 9-4, K-00 Z Print Property Owner's or Authorized Agent's n D 2N%17
ACTION
DATE
BY)DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY / %L
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
0 I SUBMITTED ASBESTOSNOTIFICAAON �a :
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° required illailms, latches gates and fences which serve as part of a pool/spa barrier, Shall
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PERMIT CANCELLED
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in place prior to approval to fill pool/spa & Shall remain in place & be maintained for the
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PERMITEXTENDED
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life of the Pool.
PERMIT FINAL
; Hofr ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
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OCCUPANCYISSUED
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