HomeMy WebLinkAboutx2020-2110 - Permitsgwrr City of Newport Beach - Building Division
fl$ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
IIP�����Z�����IIII COMB Project Der m7 zoso 020-2110
Issued Date, 10/05/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612023 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1561 MESA DR NB
Description: MFR DEMO POOL (REMOVE SHELL COMPLETELY) "CTY STD"
L����
Legal al Desc.:
Owner: PALM MESA LTD
Address: 12121 WILSHIRE BLVD #700
LOS ANGELES CA 90025
Phone:
Applicant:
SC SAX COMPANIES INC
Address:
645 WILLOWGROVE AVE
GLENDORA, CA 91741
Phone:
626-485-1401
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added Mew sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $8,000.00
Building Permit Fee: $212.00
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0A0
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $447.69
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: SC POOLS
Address: 645 WILLOWGROVE AVE
GLENDORA, CA 91741
Phone: 909-599-7820
Con State Lie:
862239
Lie Expire:
1013112021
Bus Lie:
BT30063272
Lie Exp Date:
09/30/2021
Workers Compensation Insurance
Cartier: STATE FUND
Policy No: 9007933
Expire: 0312212021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
'arkino SDaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee,
Fair Share :
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
.$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lie:
State Lie:
IT
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
o •
aaaa•.
a• me•
aa•.
maaa•
ua
•u�a
as
u
ue
ua
•mvs a•
•eaa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$447.69 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL: C
PLAN CHECK BY:
APPROVAL TO ISSUE:
a •
sae-oa
• c
a•a••
a
J60H3
uaa?ea
u a
•
�oaaa.
aa•.
OWNER -BUILDER DECLARATION
1 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 Rem(s)
:coon 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
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
-
ifessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;mass 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
)rovements 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
)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
)ly 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:
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 Iegall
I a structure Oat I Rave 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
VQWjtjils Code„ig available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Properbr•Oeener or Authorized Agent Date
SENSED CONTRACTOR'S DECLARATION
:reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 0) of Division 3 of the Business nd Professions Cod. d my license is in full force
teff4ct. Licepse'Cia,s C S3 License No ff6oL7.39 /C—S—AD Contract, ature
) &G&S' COWIINSATION DECLARATION
WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f74,,p„I, IN ADDITION TO THE
13ES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Tebt affirm under penalty of perjury one of the following declarations:
I•hav*e and will niE110ain 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 the
fgWpce of th@ lvork-for which this permit is issued. Policy No.
kave and vVW 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' compensation
Trance carrier gTllblliicy number are:
ner 5 q+ �U4 et Policy Number 9GG2 i3 3 Expiration Date
ne of Agent Phone # 7do 6c/0 - 33.z /
cedify 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 agree
if I should become subject to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,
of
)ECLARATIIEGARDING CONSTRUCTION LENDING AGENCY
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
.Ender's Name Lender's Address
ly 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 1 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 nor coin ' to enter the above-nt�ed property for inspection purposes.
;kmature of ProDertV Owner or AuthonzedllaLflt Print Property Owner's or Authorized Aaentzme
S4
O —C—
Code).
ACTION
DATE
By
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY t
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
D I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIEPA
PERMITEXTENDED
LJAQK4D
PERMITFINAL
'J,�
El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
•'w'
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: