HomeMy WebLinkAbouts2022-0070 - Permitsw o", City of Newport Beach - Building Division
-00 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1706 MIRAMAR DR Floor:
Description of Work:SFR NEW SPA 56 SF
Inspector Area: 1
Legal Description
Owner:
BROWN JOHN
Address:
1706 MIRAMAR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
BIEDENBACH CHRISTOPHER
Address:
1201 N TUSTIN
ANAHEIM CA 92807
Phone:
714-630-6100
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $25,000.00
Building Permit Fee :
$440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE: $843.00
PROCESSED BY:
ZONING
Suite:
1
III'lS III IIIII IIIII IIIII II� I I 0 IIIII IIIII III II
Plan Check No:
Code Edit:
Contractor:
PROMONTORY POOLS INC
Address:
17401 IRVINE BLVD STE B
TUSTIN CA 92780
Phone:
714-993.0554
Con State Lic:
404194
Lic Expire:
0313112023
Bus Lic:
BT30043247
Lic Exp Date:
0513112022
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expiration:
FEES
Record Management: $6.00
Drainage Permit Fee :
$0.00
Drainage Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Additional Fee :
$0.00
0728-2022
2019
Architect:
Address:
POOLPermit : S2022-0070
Project No: 0728-2022
Inspection Requests Phone (949)644-3255
Phone: State Lic
Engineer: BIEDENBACH CHRISTOPHER
Address: 1201 N TUSTIN
ANAHEIM CA 92807
Phone: 714-630-6100 State Lic:C-074003
Special Conditions:
LIQUEFACTION
Issued Date: 03/18/2022
Water Quality- --
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others :
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$0.00
$0.00
$0.00
$0.00
$0.00
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Plan Check Fee : $0.00 Fee Due at Permit Issuance : $843.00 II
PLAN CHECKED BY-
APPROVAL TO ISSUE: _MOGH—�
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 by the checkmark(s) I have placed next to the applcable 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 tl•"`kVsiness 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 (_) all of or (_) 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).
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
apply to an owQw4 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 finni licensure under the Contractors' State License Law for the following reason:
By,IV.signatyre 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 11%1 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.
Slgpafbre of Property Owner or Authorized Agent
41C�NSED CjlMTJ:ACTOR'S DECLARATION yy
I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section*00vo 3 the Business and Pro srs" o , a m ten n full force
ancreffect. LicenaeM�lass License No Date- ontractor Signature)
%CffERS' COMPENSATION DECLARATION V
WARNING: FAILURE FO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE
d4T 16€COMPEN$ATIOAI DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm'uptler penalty of perjury one of the following declarations:
I have and %illlrfl'lintain 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,
performance of Itie work for which this permit is issued. Policy No.
I ha 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' compensatior
ins carrier and policy number are:
ignature
rr' P �c Number Expiration Date
a of Agent Phone #
art' at, in the perfor ante rk r w c his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio lawsof California, and agre,
t ' should beco a ubj ct to a wo a co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. g1//��
of Applicant DBt J_ 3 0 w
DECLARATION RE RDIN C UCTI LENDING AGENCY �i// �)
I hereby affirm under penalty f perjury th ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 pr o ner' a If.
I have read this application and the information I h e pro ' ad is orr I.
I agree to comply with all applicable city and cou ty ordin nces nd ate s relating to building construction. L)�
I authorize representatives of this city or coun o ant a ab -ide led roperty for inspection purposes. ,{'-,.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam yc ° � D L
ACTION DATE BY P REGGULATIOULATIO EOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED ISUBMI E AS" NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED I AQN1D
I INSTALLED
J F I J BE9U05 h TIVEATION IS NOT APPLICABLE TO
I PERMIT FINAL