HomeMy WebLinkAboutS2018-0145 - PermitsCiicNewport, Beach00 ivCerDwport Bach, 4AA 0@60 Rivjsj0 a MII'IIIIIIII II IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIII II
F Permit Counter Phone (949)644-3288 • e • • m • o o e
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.lob Address: 2232 PORT DURNESS PL Floor: • Suite: O°°Bid°g:°1
Description of Work:POOL & SPA 450 SF W/ DRAINAGE
Inspector Area: 4
Legal Description: N TR 7845 LOT 115
Plan Check No: 1998-2018
Code Edit: 2016
Owner:
NIETO TOM & MARSHA
.Contractor:
LA PAZ LANDSCAPE DEVELOP
Address:
2232 PORT DURNESS PL
Address:
10 PORTLAND PL
Plan Dept Plan Check:
NEWPORT BEACH, CA 92660
Building Dep Plan Check:
LAGUNA NIGUEL CA 92677
Phone:
$0.00
Phone:
949-443-4200
Applicant: GLASS NANCI
Con State Lic:
937052
Address:
1 CORPORATE PLAZA"STE 110
Lic Expire:
09130/2018
$0.00$0.00
NEWPORT BEACH CA 92660
Bus Lic:
BT30059605
Phone:
949-756-8393
Lic Exp Date:
07/31/2019
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe :
Construction Valuation: $35,000.00
Building Permit Fee:
$380.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$338.00
Building PC Investigation :
$0.00
Plan check EM. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,310.00
PROCESSED BY:
ZONING APPROV
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9210309
Expiration: 05/11/2019
FEES
P001 -Permit: S2018-0145
Project No : 1998-2018
Inspection Requests Phone (949)644-3255
�, "'JOR
Architect :�.
,
Address:
Phone: State Lic:
Engineer: LACHER RONALD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630-6100 State Lic:C-020949
Special Conditions
Issued Date: 0812212018
Record Management:
$4.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$293.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$293.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00$0.00
Additional Fee :
$0.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance:
$1,310.00
PLAN CHECKED
APPROVAL TO I;
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION . `I ..l I I
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the realonls) ii1cQca1ed beJdw by fhe chockmark(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, improv ey1elndIIIIIT, oT jepafrAy;:Ucture, 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' Stateticense 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 ($500). . 1201.N TU$TIN AVE
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_)l)pRion§ Ef the Ivork, and the siolctuie 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 wAo,lthrolgh emplb%ees•ar peronDl eDfo$, 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 yeer ofoompletion!the Elwner-Beilder evill have the burden of proving that it was not built or
improved 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 legally
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.html.
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 700 ivi to 3 of he Business and Prof salon Rsa is i
and effect. License Class License No Dat���! /Contractor Signatu
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE HUNG D 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:
sihav 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
ante of the work for which this permit is issued. Policy No.
I ve 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' compensatiol
nsur ce carrier and policy number are:
r Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the pe rma ce of he rk f c, 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 agre
hat, if I should beco subjec cLt rke co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applic G -
)ECLARATION REG C NST 10
hereby affirm under pen of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
-ender's Name Lender's Address
3y my signature below certify to each of the following:
I am the property owner or authorized to act on the property owner's alf.
I have read this application and the information I ave ovided is r ct
I agree to comply with all applicable city and cc my ordi nces s e la Sting to building construction.
I authorize representatives of this city or county enter a- entifie o rty for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date
ACTION DATE BY LA TI F OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATI PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMITEXTENDED
LIAQMD
POOLALARMS
L1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
SIGNATURE:
PERMITFINAL
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