HomeMy WebLinkAboutS2018-0226 - Permitst City of NewylortGeaohr t3t1U0inq Division
100 Civic Center Dive, Newpo6 peich %1026' 0 m
Permit Counter Phage (989)644-0288. ® o m
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Job Address: 2 CAPE ANDOVER Floor: Suite:
Description of Work:SFR POOLISPA 366 SF (see REV19-0103 for drainage)
Inspector Area: 3
Legal Description: N TR 15012 LOT 7
Owner: RAVVIT CRISTOPHER
Address: 2 CAPE ANDOVER
NEWPORT BEACH, CA 92660
Phone:
Applicant: SAPP JIM
Address: 8 CALLE AVE
SAN CLEMENTE CA 92672
Phone: 949-218-0735
Building Rear:
Setbacks: Front:
Left:
Right:
Construction TVDe :
Construction Valuation: $38,000.00
Building Permit Fee :
$405.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$361.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1.112.00
I) IIIIIIIIII IIII IIII III IIIIII l�i IT ILII II IIIIilIlII
Plan Check No: 3002-2018
Code Edit: 2016
Contractor: CONTEMPORARY POOLS & SPAS
Address:
8 CALLE AMEND
Address:
SAN CLEMENTE CA 92672
Phone:
949.463-0569
Con State Lic:
456476
Lic Expire:
02128/2019
Bus Lic:
BT96011220
Lic Exp Date:
09130/2019 -
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1016832
Expiration: 04101/2019
FEES
Architect:
Address:
Phone:
POOLPermit : S2018-0226
Project No: 3002-2018
Inspection Requests Phone (949)644-3255
State Lic:
Engineer:
BIEDENBACH CHRISTOPHER
Address:
1201 N TUSTIN
ANAHEIM CA 92807
Phone:
714-630-6100 State Lic:C-074003
Special Conditions:
Issued Date: 0113112019
Record Management:
$6.00
Water Quality- --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WO Plan Check:
.$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee
$294.00
$0.00
Plan Check Fee :
$659.00 Fee Due at Permit Issuance
: $41
PROCESSED BY: J% PLAN CHECKED BY:: . '1' —
ZONINGAPPROVAL: Pl - 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 by2he tlieokmvrk%s)J h°yve,plaoed 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 rep ai ifagy.ruttJre, prior toffs is%tance, 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 subjectsthe applicant to a civil penalty of
not more than five hundred dollars ($500). 1201 N TUS7IN • . ; , :° • • ' ' ❑
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 tle §truclure is not int ad or oilered foj sale (Section 7044, Business
and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or persor" efforl, builds a imprptes thgjjoperty, 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 bwnei•®dilder lNtliave the burden of proving that it was not built or
im roved 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 legall
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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 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) of Division 3 of the Business and P e; and iy license is in full force
and effect. License Class License No 4¢ 5 *1 6 Date Contractors u �'✓
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ZILTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 it
W) rf1 rfor ce of the work for which this permit is issued. Policy No.
have 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' compensatio
n4rance carrier and policy number are:
Policy Number 1 b l C. t ti -- Expiration Date
of Agent
I certify that, in the performance oft 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 agre
I, if I should become subject to the ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )
nature of Applicant Dat, / /'�3 / 7
CLARATION REGARbPONCONSTRUCTIO11tkENDING AGENCY
�reby affirm underpTniffity, of a construction lending a ency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
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 o cmances and state laws relating to building construction.
I authorize representatives of this city or county to an above entified property for inspection purposes. J.
nature of Property Owner or Authorized ADent _..o,= —ti � Print ProDertv Owners or Authorized AGent's Name 1 1
ACTION DATERA [ON OF I REGULA ONS PART61 OFTITITLLE 40 AND AOMD RULE ct WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED
❑ I SUBMITTED A513ESTOS NOTIFICATION TO
gates & fences which servE
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
poollspa & shall remain In
place & be maintainedmaintainedfor
PERMITCANCELLED
OEPA
PERMIT EXTENDED
L1AQMD
POOLALARMS
INSTALLED
(i °1'n
y ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: