HomeMy WebLinkAboutS2019-0113 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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P001 -Permit: S2019-0113
0,. 100 Civic Center Drive, Newport Beach, CA 92660
5 2 e" 1 9 0 1
1
3
Project NO
`4 Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255.
Job Address: 1527 ANTIGUA WAY Floor
Suite: Bldg: 1
Description of Work:SFR POOL/SPA REPLASTER ONLY 148 SF
Inspector Area; 3
-
Plan Check No:
.Code Edit:
..2016:
rs ,-
Legal Description: N TR 5287 LOT 1
Owner. WEBERJOHN
.Contractor:
SOUTH COUNTY POOL BLDRS INC
Architect:-�
-t•••°
Address: 1527 ANTIGUA WAY
Address:
31911 VIA BELARDES APT B
Address:
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• o a o
NEWPORT BEACH, CA 92660
SAN JUAN CAPISTRANO, CA 92675:
Phone:
Phone:
.949-324-3369
Phoney
State Lie;
Applicant: SOUTH COUNTY POOL BLDRSINC
Con State Lie:
1023064
Engineer.
-Address: 31911 VIA BELARDES APT B
Lie Expire:
01/31/2021
Address:
: ' • T .` `�
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ec c
SAN JUAN CAPISTRANO, CA 92675
Bus Lie
'BT30063285 `
•°+ 0,
Phone 949-324-3369
Lie Exp Date:
05131/2020
Phone:.
• n-
State Lie: • °
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Building Rear: '
Worker's Compensation
Insurance
Special Conditions
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Setbacks:- Front
Carrier.
STATE COMP
Left:
Policy No:
9244696
-
. ®•
e
Right:
Expiration:
01123/2020
Issued Date:
06/2712019
Construction Type: -
FEES
Construction Valuation: $12,368.00
Building Permit Fee: $28000
; Record Management:
$2.00 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:- $1.00
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: $243.60
-
$0.00
Building PC Investigation : $0.00
Additional Fee:
$294.00
$0.00
Plan check Ext. Fee: $0.00
WQ Compliance Insp Fee: $0.00
TOTAL FEE : -$820.60
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $820.60
PROCESSED BY:
PLAN
CHECKED BY::
ZONINGAPPROVAL:
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 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
e 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
)t 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
A 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
iprovements 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
r roved 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
)ply 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).
I I 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
A a structures Niall 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 C&V h available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
IIn%ure of VnOr K Owner or Authorized Agent I Date
ICENSED-CONTRACTOR'S DECLARATION
igreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of ivisi n 3 of the Business and Prof otoO�nd n (cense is in force
A effect. Lisensp Class License No Date Contractor Signatur
rQPKERSrCUMPENSATION DECLARATION
SRNING: FAILURE -"SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HU D THOU AND DOLLARS ($100, LIN ADDITION TO THE
ATPF COM*V6ATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
flafeby affirm Linder penalty of perjury one of the following declarations:
71;ave an4 will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
arformance oii'no°u$ork for which this permit is issued. Policy No.
nkve anV-Mil 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' compen
surnsur Ce carNer6a policy number are:
:arrier. Policy Number Expiration Date
flame of Agent Phone #
:1I certify that, in the pelfbrmance 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
hat, if I should become ubject-tp) the rke ' com n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant (. Da
)ECLARATION REG RIDING N LENDING AG
hereby -affirm under ena of p ry that there is a construct ending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
.ender's Nam Lender's Address
3y my signstu�,e w, 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 he provided is correct.
I agree to comply with all applicable city and coun ordinanc and tat relating to wilding construction.
I authorize representatives of this city or county er t -Id or inspection purposes. (�� �
3i nature of Property Owner or Authorized Age Print Property Owners or Authorized Agent's Name r1N1$_[ /Date ?
ACTION DATE AY RATION OF COMPO TH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1 require alarms,latches
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO gates & fences which serve
PERMITCANCELLED DEPA as part Of a pool / Spa
PERMIT EXTENDED qMD
barrier, Shall be in place
POOL ALARMS % I A9 �]� BESTOS NOTI ICATIO N AP 6 ABLE TO. prior t0 approval t0 fill
INSTALLED v PROPWD DEMO TI //�ppI poollspa & shall. remain in
gir:NATIIRF, �7 /—� place.- be maintained for
maintained
f