HomeMy WebLinkAboutS2020-0208 - Permits9 City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIII P001 -Permit: S2020-0208
100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 0 0 2 0 8 Project No : 2332-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
,lob Address: 1718 NEWPORT HILLS DR W Floor: Suite:
Bldg:1
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Description of Work:POOL & SPA W/DRAINAGE 512 SF
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Inspector Area: 4
Plan Check No: 2332-2020
Code Edit:
2019
Legal Description: N TR 7032 LOT 13
Owner: HARRISON
Contractor:
INSTANT POOLSCAPES
Architect:
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Address: 1718 NEWPORT HILLS DR W
Address:
833 DOVER DR #24
Address:
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92663
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Phone: 949-795.4881
Phone:
949-795-0648
Phone:
State Lie: ° • °
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Applicant: INSTANT POOLSCAPEIJC
Con State Lie:
1009644
Engineer: BIEDENBACH CHRISTOPHER
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Address: 833 DOVER DR #7
Lie Expire:
12/3112021
Address: 1201 N TUSTIN
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NEWPORT BEACH CA 92663
- Bus Lie:
BT30053469
ANAHEIM CA 92807
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Phone: 949-795-0648
Lie Exp Date:
12131/2020
Phone: 714-630-6100
State Lic:C-074003 0 ° • ° ° °
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Building Rear:
Worker's Compensation Insurance
Special Conditions:
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Setbacks: Front:
Carrier:
WC EXEMPT
.
•s000
Lek:
Policy No:
(NO EMPLOYEES)
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Right:
Expiration:
Issued Date: 1211612020
Construction Type:
mm°moo
FEES
Construction Valuation: $40,000.00
Building Permit Fee: $430.00
Record Management:
$10.00
Water Quality ---
Permit Issuing Fee: $0.00
Building Dept Inspection Fee:
$278.00
Investigation Fee: $0.00
Drainage Permit Fee :
$232.00
Water Quality Dept Insp Fee:
$120.00
Building Green Fee: $2.00
Drainage Plan Check:
$195.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check: $0.00
Grading Consultant Fee:
$0.00
Others
Building Dep Pian Check: $387
$0.00
Building PC Investigation : .00
Additional Fee :
$0.00
$0.00
Plan check Ext. Fee : $0.00
WQ Compliance Insp Fee' $0.00
TOTAL FEE : $1, 4.00
-
Plan Check Fee :
$0.00 ee Due
at/PerCmit Issuance : $1,654.00
PROCESSED BY:
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PLAN CHECKED Yr. I
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ZONING APPROVAL:
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APPROVAL TO ISSU i
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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)
;action 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
-ofessions 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
It more than five hundred dollars ($500). 1201 N TUSTIN ❑
as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
Id 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
I 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 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
III 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
"ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
gnature of Prouft.QIner or Authorized Agent te'—
ICENSVD CONTRACTOR'S DECLARATION
)QRDf Affirm underRally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7��000)yy����i�jSID (� �oof fheBusiness an ro ode, and my It ense 1
I� effect. License lass License No Date Contractor Signatur
` PJi L -RS' COMPENSATION DECLARATION
VA$NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
Q IO?QOMPENSATIOR,4*MAGES AS PROVIDED FOR IN SECTION 5708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
tereb9 affirm untjgr penalty of perjury one of the following declarations:
ADDITION TO THE
•�� .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
Ie ce of the work for which this permit is issued. Policy No.
' I Tlav and wiRm i rinin 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
isura a Carrier as policy number are:
Policy Number
is of Agent ••••
Date
certify that, in the pertormanc f the work for whichtk' 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
I, if I should become subject t he workers' compensat' f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �n _
nature of Applicant Date C�
CLARATION REGAR ING cpmwrFTUCTI N LENDING AWRCY
:reby affirm under penalty of pe t -there -I - s ruction4anding or the performance of the work for which this permit is issued (Section 3097, Civil Code).
Idler'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 a
I agree to comply with all applicable city and county ordinan sand state awsul ing construction. 'U
I authorize representatives of this city or county n r the bove- d ope y action purposes.
nature of Prooertv Owner or Authorized Aoen Print rty Owner's or Authorized Agent's Name`{-�'�
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
DATE I BY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
I SUBMITTED
POOLALARMS /�J/rye /{r/(Qj UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
i ,_ SIGNATURE:
FOR OFFICE USE ONLY
All required alarms,latches
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain in
place & be maintained for