HomeMy WebLinkAboutS2019-0174 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllll
P001-Permit: S2019-0174
H 100 Civic Center Drive,
Newport Beach, CA 92660
S 2 0 1 9
0 1 7 4
Project NO ' 2382-2019
Permit Counter Phone
.(949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 1030 SANDPIPER DR
of
'Floor. Suite: Bldg 1
Description Work:SFR SPA 108 SF (YARD DRAINAGE WIX2019-3441)
-
Inspector Area 4"
Plan Check
No: 2382-2019
Code Edit: .2016
Legal Description: N TR 3660 LOT 31
Owner: LANE `
Contractor:
INSTANT POOLSCAPES
Architect
Address: 1221 W COAST HWY #311
Address:
28562 OSO PARKWAY #D243 Address:
NEWPORT BEACH CA 92663
RSM CA 92688
ill
Phone:
Phone.
949-795-0648
Phone: State Lic:
Applicant WRIGHT JC
Coo State Lic
1009644
Engineer LACHER TODD
Address 28562 OSO PKWY #13243
Lic Expire:
1213112019
Address: 1201 N TUSTIN AVE
RSM CA 92688
Bus Lic:
--BT30053469
:.'ANAHEIM CA 92807
Phone 949-795-0648
Lic Exp Date:
.1213112019 `
phone: ' 714-630=6100 .State Lic:C-067656
Building Rear.
Worker's Compensation Insurance.
Special Conditions:
Setbacks`. Front :
barrier:
WC EXEMPT
Left: -
Policy No
` (NO EMPLOYEES)
LANDSLIDE AREA
.Right.
.Expiration:
issued Date: 10/3012019
Construction Type
FEES
Construction Valuation. $45,000.00
Building Permit. Fee $41800
Record Management:
$8.00
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 Greed 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: $373.00
$0.00
Building PC Investigation : - MOO
'Additional Feer
$648.00
-. $0.00
Plan check Ext. Fee: ': $0.00
WQ Compliance Insp Fee: $0.00
-
-
TOTAL FEE : $1,438.90
Plan Check Fee :
i
$616.00: Fee Due at Permit Issuance : .$822.00
PROCESSED BY:
v c v c
a ..PlaAN CHECKED BY::1 r' li
ZONING APPROVAL:
A�PkOVAL TO ISSUE
PERMIT EXPIRES 180 brYS,#FTER°IzSSIJ NC'2UReu4ST 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)
>ection 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
ie 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
3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
IUsiness 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 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
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:
',y: 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 legall;
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:http://www.leginfo.ca.gov/calaw.html.
'ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 DW f?Business an ro ns Code, a ens ' In full force
nd effect. License Class License No Date Co tractor Sign
YORKERS' COMPENSATION DECLARATION
ARNING: 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
OST 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:
7 I 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
e mance of the work for which this permit is issued. Policy No.
1 have and wpsQaintain 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
isuraance carriellii number ar '�%
%/„�1-•�'\ ,P.,tiFv KXmhar Expiration Date
re of AgentPhone #
certify that, in the performan of the wor or whi Is 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
if I should become subj ct the wor rs' co sation provisions of Section 3700 of e,-Ishall forthwith comply with those provisions. �� %/ �T
tature of Applicant DatA( P �i 7G� l t
JLARATION REGAR C R N LENDING AGENCY
reby 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 3097, Civil Code).
der's Name. Lender's Address
Try 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 count ordinas ah state laws relating to building construction..
I authorize representatives of this city or county tqt enter a abo�te- ified AHeri c Ion purposes.
iature of Prooety Owner or Authorized Acent� Print Propertv Owner's or Authorized Agent's Namk
DATE 8Y DECLAR. REGULA ,INS PARTOF DMPLIACE WITH CODE OF 61 OF TITLE 40 ANDD AQMD RULE AL FOR OFFICE USE ONLY
16,
alarms,latches
PERMIT EXPIRED
❑I SUBMITTED ASBESTOS NOT4FICATION TO
as part Ota p001/Spa
+. •� barrier, Shall be in place
prior toapproval to fill
- .pool/Spa & Shall refftal
PERMITCANCELLED
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PERMITEXTENDED
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POOLALARMS
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ASBESTOS NOTIFICATION IS NOT APPLICABLE
place & be main
INSTALLED
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