HomeMy WebLinkAboutS2019-0026 - PermitsCity of Newport Beach - Building Division II IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII
II POOLPermit : S2019-0026
' .� 100 Civic Center Drive, Newport Beach, CA 92660
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8 2 0. 1 9 0 0 2
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BCt NO :2031-2018
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a. Permit Counter Phone (949)644-3288
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Inspection Requests Phone(949)644-3255
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Job Address: 2 MILANO DR Floor: Suite::
Bldg:t_
Description of Work.REPLASTER,TILE,COPING, NEW EQUIP FOR EXTG POOL1456 SF AND SPA 84 SF/POOL FENCING
"NEWPORT NORTH"
Inspector Area 9
Plan Check No:
2031-2018
Code Edit
2018
Legal Description: TR 12309 LOT 2 POR OF LOT
Owner. IRVINE COMPANY
Contractor:
CUESTA CONSTRUCTION CO •Architect:
..: Address . 550. NEWPORT CENTER DR .
> Address: ' .
3195A AIRPORT. LOOP DR .
Address:
NEWPORT BEACH, CA 92660
COSTA MESA CA 92626.
Phone .949-720.2828
Phone:
714-557-5877
Phone: '. State Lie:
Applicant CAZARES JOSE
Con State Lie:
668466
Engineer: WELSH STEPHANIE...
Address: 2605 STATE. S7, STE B
Lie Expire:
x05/31/2019 - `Address:
12722 BARRETT LN
SAN DIEGO CA 92103
'.Bus Lie:
BT20012806"
SANTA ANA CA 92706
Phone: 619-325-1993
Lie Exp Date:.
12/31/2019
Phone: 714-352.6297 State Lic:S-002998
`'
Building Rear.
Worker's Compensation Insurance.
a
.Special Conditions:�
Setbacks: Front:
Carrier:
INSURANCE CO OF THE WEST
5 9 .''� s u ,�J d
Left:
Policy No:
WSD503883000.j
Right
Expiration; ,
.1 2131 /2 01 9
issued Dater 0212112019 'r4
Construction Type
FEES
Construction Valuation: $55,000.00
Building Perm' 1-96°� .$75100
Record Management
$0.00 Water Quality
- -
.F9errn Nssuing Rau: $0.00
Building Dept Inspection Fee: $0.00
'10dallUation Fee: $0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee: $0.00
Buildin i Greerf da? ° a $3.00
Drainage Plan Check
$0.00
Budding Dept WQ Plan Check $0.00
,Rlem Dopt Plan Check: - $0.00
Grading Consultant Fee:
$0.00 Others
-,r.041ding Dep Plan Check:. $653.37
$0.00
' J3,pt1di0g PC InYe5tigot.0m:; $0.00
Additional Fee :
($653.37)
$0.00
- Plancheck Ext. S=ee:` $000
yN4 Complianco �In1sp fee:.:. $0.00
®TOTAL FLOE : $754.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $754.00 -
PR°p"WS`SED
1
BY; -
PLAN
CHECKED BY:: t
ZONINGAPPROVAL°`O� I�YY'N.
APPROVAL TO ISSUE
PERMIT EXPIRES 180. DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
11 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). 12722. BARRETT LN
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
EEm roved for the purpose of sale).
r 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 1 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 Iegallt
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 SectioQ7 00l of Division 3 of the Business and Pr s to s Code, and titans In full force
and effect. License Class License No Dat Z2f' t9 Contractor Signat re .r-...
INORKERS' COMPENSATION DECLARATION
NARNING: 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
:11 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'1e
VO mance of the work for which this permit is issued. Policy No.
^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
sur nce carrier and policy number are:
.. er ;SAS . w. of `;� .CLQ Policy Number /77 <n �O ��,30'^ D _Expiration Date ,j�� �51-119
Name of Agent o6-,C'Phone#
711 certify that, in the performance of the 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
that, if I should become subjec to the workers' cc ansa ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. "�
Signature of Applican Ai�i�i Dail 2--2/—/1..
DECLARATION REGAR'DlhfG CONSTIKILICTION LENDING AGENCY jT/% • • • • ° ° °
[hereby 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). ' • • , •_o ° ,; ;;
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 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 ordinances. and state laws relating to building construction..
I authorize representatives of this city or county to entero the above-identify€d pro rty for inspection purposes. /, / 6y/e• • • • °
. f Dr.. 11 n,Arnar „r A, dHnrlead. Ananf .. / JY OI/7ii/ �.���cs; Print Prcoertv Owner's or Authorized Agent's NameU Amy
u'my fT :.' Do ife -2-4-i
ACTION DATE BY OECLARAT16N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' • • °
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • • `
1403 ��• ••
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PERMIT EXPIRED ISUBMITiED ASBESTOS NOTIFICATION TO ••••
PERMITCANCELLED DEPA •.'•'
PERMIT EXTENDED OAQMD
POOL ALARMS El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
INSTALLED / PROPOSED DEMOLITION.
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