HomeMy WebLinkAboutS2018-0163 - PermitsCity of Newport Beach - BCuilfiincrpiiisioliq° �I IIIIIIIIIIIIIIIIIIIIIIIIIIIullllllllllllllllllllllll
100 Civic Center Drive, Newport Beache�'A 92¢60 °•
F Permit Counter Phone (949)644-3288
°•° --° _e e s e s m
Job Address: 1806 MARAPATA DR Floor:
Description of Work:NEW POOL & SPA 400 SF
Inspector Area: 5
Legal Description: N TR 2813 LOT 29
Owner: MARAPATA PROPERTIES LLC
Address: 1806 MARAPATA DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: ELLISON PAULIURBAN LANDSCAPE
Address: 895 DOVE ST
NEWPORT BEACH CA 92660
Phone:
Suite: Bldg:1
Plan Check No: 2147-2018
Code Edit: 2016
Contractor: URBAN LANDSCAPE MAINTENANCE INC
Address:
895 DOVE ST 3RD FLR
Address:
$6.00
NEWPORT BEACH CA 92660
Phone:
949.637-8767
Phone:
Con State Lic:
962251
Engineer:
Lic Expire:
06/30/2019
Address:
Bus Lic:
BT30064424
$0.00
Lic Exp Date:
09/30/2019
Phone:
Architect:
P001 -Permit: S2018-0163
Project No : 2147-2018
Inspection Requests Phone (949)644-3255
State Lic:
LACHER TODD
1201 N TUSTIN AVE
ANAHEIM CA 92807
714-630-6100 State Lic:C-067656
Building Rear: Workers Compensation Insurance Special Conditions: �7 O w
Setbacks: Front: ' Carrier WESCO INS CO
Lek: Policy No: WWC3363464 �" 'x\/\
Right: Expiration: 06/03/2019 Issued Date: 09/10/2018
Construction Type : -
FEES
Construction Valuation: $50,000.00
Building Permit Fee:
$380.00
Record Management:
$6.00
Water Quality ---
Permit Issuing Fee:
$0.00
Building Dept Inspection Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Green Fee:
$2.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check:
$0.00
Grading Consultant Fee:
$0.00
Others
Building Dep Plan Check:
$338.00
Building PC Investigation :
$0.00
Additional Fee:
$0.00
$0.00
Plan check EM. Fee :
$0.00
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE:
Plan Check Fee:
$0.00 Fee Due at Permit Issuance
: $726.00
j$726.00
PROCESSED BY: -1
PLAN CHECKED BY::
ZONING APPROVAL:
APPROVAL TO ISSUE:
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 reaftAS) jnAca1acibe1ow by the d1BBkmark(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 jo 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 7031.54)yy any app•IicgItt Jor a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). • • •. ;' 1,20;1 If TURIN•4E
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U QodionSof the work, and the sNuctuItiJ3 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, thrALVh empldyeellof 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
im 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
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 legal)
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 7000 f o ision 3 of the Business and Professi •ad , a m license is in full force
and effect. License Class License No Date /D Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 -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
performance of the work for which this permit is issued. Policy No.
L4eve 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' compensatio
ce carrier and policy number are: Ca er Policy Number Expiration Date
Name of Agent Phone #
01 certify that, in the pe ance of hew 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 agref
that, if I should becom ubj e o e 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applic DatiaN C77 % 7
DECLARATION RE TRUCTION LENDING AGENCY
f the erformance of the work for which this permit is issued (Section 3097, Ci I Code).
hereby affirm under rally of perjury that there Is a construction lending agency or p
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 have provided is c act.
I agree to comply with all applicable city and cou y
�datews relating to building construction.1 authorize representatives of this citun o e r thproperty for inspection purposes.
i nature of Property Owner or Authorized A e Print Pro ert Owner's or Authorized Agent's Nam L>- LJ Date
>CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
SUBMITTED
TO
PERMIT EXTENDED Mu
POOLALARMS ESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED ROPOSED DEMOLITION.
PERMIT
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