HomeMy WebLinkAbouts2020-0161 - PermitsCity of Newport Beach - Building Division
R _ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
�'riira>u�`
Job Address: 927 ALDER PL Floor: Suite: Bldg: 1
Description of Work:POOL & SPA W/DRAINAGE 672 SF
Inspector Area: 4
Legal Description: N TR 4705 LOT 5
Owner: ESKAHAZI FRANCINE
Address: 927 ALDER PL
NEWPORT BEACH, CA 92660
Phone: 949-295-9796
Applicant: GASTINEAU JAMES
Address: 216 APOLENA
NEWPORT BEACH CA 92660
Phone: 424-333-8408
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $55,000.00
Building Permit Fee: $430.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$3.00
Plan Dept Plan Check:
$0.00
Building Delp Plan Check:
$387.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE:
PROCESSED
IIIIIS IIlhlIIIIIIIIIIIIIIIIIYIIIIIIIIIIIIIII1 IIII
Plan Check No: 1848-2020
Code Edit: 2019
Contractor:
DOTTCROSSI INC
Address:
3082 RIVOLI
NEWPORT BEACH, CA 92660
Phone:
424-333-8408
Con State Lie:
1039050
Lie Expire:
05/31/2022
Bus Lie:
BT30067934
Lie Exp Date:
06/30/2021
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9249275
Expiration: 04/18/2021
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
POOLPermit : S2020-0161
Project No : 1848-2020
Inspection Requests Phone (949)644-3255
•
••.•°•
State Lie:
....
aO°B•°
BIEDENBACH CHRISTOPHER
• ° ° ° °
1201 NTUSTIN
°
°•.°
ANAHEIM CA 92807
•
714-630-6100 State Lic:C-074003_
° ° °
° o • °
°`
oo.e•
Special Conditions: • • ° ° • o
SUBCONTRACTOR AGREEMENT ATTACHED TO • °. • •.
PERMIT •• • °
Issued Date: 10/22/2020 0 ° ° • ° °
..•°.•
Record Management:
$18.00
Water Quality ---
Drainage Permit Fee :
$232.00
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
$278.00
Drainage Plan Check:
$195.00
Building Dept WQ Plan Check:
$120.00
$0.00
Grading Consultant Fee :
$0.00
Others
Additional Fee:
$0.00
$0.00$0.00
Plan Check Fee :
$582.00 Fee Due at Permit Issuance : $1,081.00
PLAN CHECKED BY:: /r
ZONING APPROVAL:. APPROVAL TO ISSUE:
PERMIT EXPIRES180 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 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 applrcant 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 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
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).
❑ lam 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 legally
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 Codg, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Preperty-Owner or Authorized Agent Date i
j Q& VISED CONTRACTOR'S DECLARATION q
f hereby affirm under prZnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiW70 o sio b Busin s and Professions dk, an I" IiYorce
a•d effect. Lice'htd Class License No GntraGtor.-tjnature
OR1t'ERS' COMPErNSATION DECLARATION / v
RNING: FAILURE TO$tyURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED,yH SAND DOLLARS ($100,000), IN ADDITION TO THE
O$'( QPCOMPENSRCON,0AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
j g a y affirm nder penalty of perjury one of the following declarations:
y pave and,!Irrtaintain 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
ce of thB work for which this permit is issued. Policy No.
we and will Allitain 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' compensatioi
iM2 aRce carrief °and policy number are:
Benier "' • Policy Number Expiration Date
of ADent
Certify that, in the performance of the work for
, if I should becQ[ome subject to the worker
lature of ApgRc�tlt % - ��
shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
tjon3700 of the Labor Code, I shall forthwith comply with those provisions.
Alli
e_ /V'� , zz�
LENDING AGENCY
:reby affirm under penalty of pe �at there is a construction lending agency 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 C501KO each of the following:
I am the property owner or authorized to act on the property owners
I have read this application and the information I have provided is c
I agree to comply with all applicable city and county ordin �
I authorize representatives of this city or c unty to enter a IC
ACTION
or Authopaill
DATE BY
to building construction.
Ir inspection purposes.
Print Property Owner
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMIT EXTENDED . .,.Ltmu
POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
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
the life of the pool/spa
PERMIT FINAL