HomeMy WebLinkAbouts2022-0076 - PermitsCity of Newport Beach - Building Division
.'�. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 208 EMERALD AVE Floor: Suite: Bldg: 1
Description of Work:SFR ROOF DECK PORTABLE SPA
Inspector Area: 2
Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 4 LOT 22
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Plan Check No: 1430-2020
Code Edit: 2019
Owner:
SCHISLER JON
Contractor:
RENAISSANCE CUSTOM BLDRS
Address:
208 EMERALD AVE
Address:
120 TUSTIN AVE
NEWPORT BEACH, CA 92662
NEWPORT BEACH CA 92663
Phone:
949-684-2077
Phone:
949-278-3381
Applicant: HARRISON [AN J.N.
Con State Lie:
763698
Address:
220 NEWPORT CENTER DR #11-342
Lie Expire:
11130/2022
NEWPORT BEACH CA 92660
Bus Lie:
BT20072802
Phone:
949-723-1091
Lie Exp Date:
0513112022
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $6,000.00
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:
PROCESSED BY:
ZONING
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
FEES
POOLPermit : S2022-0076
Project No : 1430-2020
Inspection Requests Phone (949)644-3255
Architect:
HARRISON [AN J.N.
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Address:
220 NEWPORT CENTER DR #11-342
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NEWPORT BEACH CA 92660
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Phone:
949-723.1091 State Lie C006947
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Engineer:
REZAEI ALI
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Address:
18021 SKYPARK CIR #E2
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IRVINE CA 92614
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Phone:
949-466-9394 State LiaC-041068
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Special Conditions:
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REV22.0592
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AUTH LETTER ATTACHED
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Issued Date:
04119/2022
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Record Management:
$8.00
Water Quality- --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee :
$396.00 Fee Due at Permit Issuance
: $4,
PLAN CHECKED BY:: J�
APPROVALTOISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 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 penaity of
iot more than five hundred dollars ($500). 18021 SKYPARK CIR #E2
I, 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
'mprovements 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
mproved 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).
I am 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 Cafe, Is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
$ignatgfe of Prop@rVOwner or Authorized Agent Date
210ET1$ED C0111TRACTOR'S DECLARATION /
I rerepy affirm unAergenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 i i n 3 of the Business and Pro, s io s o , and my icen sr full
and effect. License Class License No Da t Contractor Signature
.•
I ORJKERS' COMPENSATION DECLARATION
NARNINe: FAILURE TO SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
C008F COMPENVIION,.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
tg&t% affirm %gIr p2nalty of perjury one of the following declarations:
I. have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the
Iet'orhiance of We W for which this permit is issued. Policy No.
.1 r$Ye and wl 4atntain workers' compensation insurance, as required by Section 3700 of the Labor Code,
isurance carriepand.policy number are:
arrier •••• Policy Number
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
`her ify that, 1n the perform a of the work for which this per 1 Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
F, if I should beco a ubj t t thAVI^^e��///(/py���orkers' co nsati n I Ions of Section 37 f the Labor Code, I shall forthwith comply with those provisions.
CBLAre of AppRAT10N IREG CONSTRUCTION LENDING AGENCYDate x 6 Z
ereby 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, C it ode).
Ider'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 is correct.
I agree to comply with all applicable city and county finances an splate V lating to building construction.
I authorize representatives of this city or cou ty to th above-i ntif inspection purposes.
Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Ag m >`F L.CTL.r Dat !�
ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL`illaias 81 f In which'sarye
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE as part of a pooh / s
1403 b9FrIaC ue.
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO p Htr ;D aFProval to fill
PERMITC4NCELLED EPA 1000Us1a & sha9 remain in
PERMIT EXTENDED AQMD � )? aife 49 m81n}� df E
POOL ALARMS BESTOS OT T IS NOT LICABL TOthe
INSTALLED PR SED O TI
SIGNATURE
PERMIT FINAL L