HomeMy WebLinkAboutS2021-0223 - PermitsCity of Newport Beach - Building Division
�'- 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
,lob Address: 18 HARBOR ISLAND Floor: Suite: Bldg: 1
Description of Work:SFR EXTEND (E) POOL AND ADD SPA 900 SF
Inspector Area: 2
Legal Description: P BK 182 PG 43 PAR 1
Owner: MORFONTAINE HOLDINGS LLC
Address: 18 HARBOR ISLAND
NEWPORT BEACH, CA 92660
Phone:
Applicant: PETROV PLAMEN
Address: 28161 CASITAS CT
LAGUNA NIGUEL CA 92677
Phone: 714-717-7542
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $100,000.00
Building Permit Fee :
$440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$4.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WO Compliance Insp Fee:
$0.00
TOTAL FEE:
PROCESSED BY: 13 1
ZONING APPROVAL: S?..
*S2021-0223*
IN01-��
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Plan Check No: 2313-2021
Code Edit: 2019
Contractor: WINKLE CUSTOM HOMES
Address:
33971 SELVIA RD #110
DANA POINT CA 92629
Phone:
949-873-3125
Con State Lie:
992007
Lie Expire:
03/31/2022
Bus Lie:
BT30063271
Lie Exp Date:
05/3112022
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9122252
Expiration: 01 /1012022
Record Management
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee :
FEES
$14.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Architect:
Address:
POOLPermit : S2021-0223
Project No : 2313-2021
Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
ON THE WEEKEND
Phone:
State Lic:
°
Engineer:
PETROV PLAMEN
Address:
28161 CASITAS CT
••••
LAGUNA NIGUEL CA 92677
°°o°o°
Phone:
714-717-7542 State Lic:C-066947
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Special Conditions:
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LIQUEFACTION
DEVORE POOLS R SPAS
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Issued Date:
10122/2021
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Water Quality- --
Building Dept Inspection Fee:
$0.00
Water Quality Dept Insp Fee:
$152.00
Building Dept WQ Plan Check:
$0.00
Others
$0.00
$0.00
PLAN CHECKED BY::
APPROVAL TO ISSUI
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance : $610.00
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, priorto 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). 28161 CASITAS CT
❑ 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
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 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 legall,
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.htm].
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessjQns od an y license is in full force
andeffect. LiLreM9Cjass License No Date �?C I0-7T.Z1 Contractor Signature YL
9R&RS' COMPENSATION DECLARATION
IIVARNIN& FAILUR6T4)"CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$1011,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under p natty of perjury one of the following declarations:
3.1 Rave and*w 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
erf ance of tre wpl;k for which this permit is issued. Policy No.
PI have and 1*4aintain 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
ance carrier and policy number are:
Policy Number
Date
Ify that,ja Pr iterformance of the work for which thiSpernmt 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,
should become sllbjgct to the workers' compen_saTon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant AR! \ (/
iECLARATION REGDING CONSTR ON LENDING AGENCY
Date N- /0. zI_ ?I
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)
-ender's Name Lender's Address
3y 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 me the abov " entified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name q
ACTION
DATE
BY
DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY tcheS
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
All required alarms,
which serve
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fences
PERMITEXPIRED
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as part of a p00 lace
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PERMITCANCELLED
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prior to approval to
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PERMIT EXTENDED
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POOLALARMS
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
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SIGNATURE:
X
PERMIT FINAL
V
Date