HomeMy WebLinkAboutS2020-0081 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II
01' 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 0 8 1
"g Permit Counter Phone (949)644-3288
Job Address: 1511 ORCHARD DR Floor: Suite: Bldg: 1
Description of Work:POOL AND SPA 432 SF/49 SF, DRAINAGE
Inspector Area: 8 Plan Check No: 1104-2020
Code Edit: 2019
Legal Description:
Owner:
WILSON QUEZADA
Contractor:
MASTERPIECE POOLS & SPAS INC
Architect:
Address:
1511 ORCHARD DR
Address:
22343 LA PALMA STE 104
Address:
Drainage Permit Fee :
NEWPORT BEACH CA 92660
Building Green Fee:
YORBA LINDA CA 92887
Drainage Plan Check:
Phone:
714-692-1132
Phone:
714-692-1132
Phone:
Applicant: MASTERPIECE POOLS& SPAS INC
Con State Lie:
804110
Engineer:
Address:
22343 LA PALMA STE 104
Lie Expire:
0212812022
Address:
$0.00
YORBA LINDA CA 92867
Bus Lie:
BT30072007
Phone:
714-692-1132
Lie Exp Date:
05131/2021
Phone:
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9042868
Expiration: 10/01/2020
FEES
Construction Valuation: $36,000.00
Building Permit Fee :
$418.00
Record Management:
$14.00
Permit Issuing Fee:
$0.00
Others
Investigation Fee:
$0.00
Drainage Permit Fee :
$322.00
Building Green Fee:
$2.00
Drainage Plan Check:
$322.00
Plan Dept Plan Check:
0
Grading Consultant Fee :
$0.00
Building Dep Plan Check:
73.00
Building PC Investigate
$0.00
Additional Fee :
$0.00
Plan check Ext. Fee .
$0.00
WQ Compliance Insp Fee: $0.00
TOTAL FEE :\$1,828.00 / Plan Check Fee :
PROCESSED BY:
ZONING APPRO\o
P001 -Permit: S2020-0081
Project No: 1104-2020
Inspection Requests Phone (949)644-3255
State Lie:
BIEDENBACH CHRISTOPHER m
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1201 N TUSTIN
ANAHEIM CA 92807 e•ocom
714.630-6100 State Lic:C-074003 o m m
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Special Conditions: a°e om
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Issued Date: 06124/2020 ....
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Water Quality- --
Building Dept Inspection Fee:
$269.00
Water Quality Dept Insp Fee:
$119.00
Building Dept WO Plan Check:
$0.00
Others
$0.00
$0.00
PLAN CI4 CCKKED BY::
APPROVAL T(i^4SSUt
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID
Fee Due at Permit Issuance :
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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)
(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 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' 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). 1201 N TUSTIN ❑
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure 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 who, through employees' or 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
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 legalh
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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underppenalty of F'ry t I ensed under provision o apter 9 (c m[nP�ncing with Section 700 iv ion 3 usiness and Pr ession nd icense is -fn full force
and effect. Liceple Claps 1 _ License No �I I��_ Date ractor Signature
MRKBRS' COIL gNSATION DECLARATION
WARNING: fAILURE(..6ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CO%T OF•COMPENSATIOM DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AerE . ffirm under penalty of perjury one of the following declarations:
Widawe and wig mAiratain 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
g Ace of thg fiork*for which this permit is issued. Policy No.
••••
PR 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 compensa loi
insNrea a carrier and poky number are:
'r•• • Policy Number Expiration Date
Nome of Agent •• •�� Phone#
1.1' rtifY that, in thIp piprform a of t e or for which thlrpermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Is s of Calif Gia, and agre
that,lPl"should bNggrpg 3ubj ct o t e e tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y [�
Signature of Applicant Date 1�7 lf-1 QP_
DING REG DING CONSTRUCTION LENDING AGENCY
I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, 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 pro owner's behalf.
I have read this application and the information I h prove ed is correct.
I agree to comply with all applicable city and coun ina es and state laws relay g to building construction.
I authorize representatives of this city or county t t a ve-iden' ' erty for inspection purposes. `l
Sionafure of Prooertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
All required alarms la
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
goes ences which serve
as part of a pool / spa
PERMIT CANCELLED
EPA
barrier, shall be in place
PERMIT EXTENDED
OAQMD
prior t0 approval pproval to fill
pool/spa & shall remain in
POOL ALARMS
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
place & be maintained for
SIGNATURE:
the I' the p
PERMIT FINAL
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