HomeMy WebLinkAboutS2018-0191 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
^v, Permit Counter Phone (949)644-3288
chi
Job Address: 1601 HARROW PL Floor: Suite: Bldg: 1
Description of Work:SFR POOL REMODEL (ADD SPA) AND CTY STD DRAINAGE
Inspector Area: 3
Legal Description: N TR 1896 LOT 49
II�III II ILII 0�I�I III�I III TVI 0I �I IIT I1 III
Plan Check No: 2524.2018
Code Edit: 2016
Owner:
SCHULER BRIAN
Contractor:
WATER SCENE POOLS & SPAS
Address:
1601 HARROW PL
Address:
31640 SWEETWATER CIR
Plan Dept Plan Check:
NEWPORT BEACH, CA 92660
Building Dep Plan Check:
TEMECULA CA 92591
Phone:
$0.00
Phone:
714.454-0549
Applicant: GRANITE CREEK POOLS & SPAS INC
Con State Lie:
691888
Address:
31640 SWEETWATER CIR
Lie Expire:
01/3112020
$0.00
TEMECULA CA 92591
Bus Lie:
BT30064930 —
Phone:
714464-0549
Lie Exp Date:
1 013112 01 9
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe :
Construction Valuation: $38,000.00
Building Permit Fee :
$572.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$497.64
Building PC Investigation:
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1.393.64
PROCESSED
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expiration:
FEES
13001 -Permit: S2018-0191
Project No: 2524-2018
Inspection Requests Phone (949)644-3255
Architect:
$10.00
Address:
Phone:
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE
Water Quality Dept Insp Fee:
ANAHEIM CA 92807
Phone:
714-630-6100
Special Conditions
Issued Date: 10/25/2018
State Lie:
o °
000eoe
State Lic:C-067656 "
0000
m
00000
0
00 "
0 00
0 coo
o 0
Record Management:
$10.00
Water Quality- --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$312.00
Water Quality Dept Insp Fee:
$0.00
Drainage 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
"
Plan Check Fee : $0.00 Fee Due at Permit Issuance:
PLAN CHECKED
APPROVALTOI
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 resson(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
is 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). 1201 N TUSTIN AVE
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
n roged f,9T 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
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 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legalh
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:hltp://www.leginfo.ca.gov/calaw.htmi.
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 Sect on 0 0) f Div Sion 3 of the Busin s nd Offessio�ns C_ode�al day-Iicerise is in full force
nd effect. License Class _ License No to .� '' Contracs�r y Iignatu Jr� -'�'i�
WORKERS' COMPENSATION DECLARATION U
• WARNING: FAILURTQ $M�CURE 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
• ,pIT OF COMPENSATI DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirmvnder penalty of perjury one of the following declarations:
1•have and "ll' 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, forth,
ArTormance of -the work for which this permit is issued. Policy No.
• • f.lave and wYl•rdaintain 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
Insurance cagier aAd policy number are:
• Gamier •: ' Policy Number Expiration Date
..
� of ent•• Phone
Ag
• edify that, 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 fo-the worker 'compensation laws of California, and agre
.,, trif slTAhdbecome subject to the workers' compensationprovisionsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.. n, sr-4.,.,n��nr_ -_ %Oath
DECLARMTT0411REGARDII140 CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code).
Lender's Name Lender's Address
By 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 thi�s city or county to ant e eabove-identified roperty for inspection purposes.
GZ�
1
Si nature of Property Ow e, Ruthol'zed Agent Print Pro ert Owner's or Authorized Agent'
am D e
ACTION
BV -
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
All required alarms,latches
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain in
PERMITCANCELLED
k'brATE--.
EPA
PERMIT EMENDED
QMD
POOLALARMS
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
place & be maintained for
_
SIGNATURE:
thejAe of the pOQI/Spa