HomeMy WebLinkAboutS2021-0270 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 23 LANDPORT Floor: Suite: Bldg:1
Description of Work:SFR POOLISPA 462 SF
Inspector Area: 4
Legal Description: N TR 15479 LOT
Owner:
WILSON KYLE
Address:
23 LANDPORT
NEWPORT BEACH, CAS
Phone:
Applicant:
CORONA PJ
Address:
3040 E SHEA BLVD
PHOENIX AZ 85028
Phone:
714-926-7656
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type : VB
Construction Valuation: $50,000.00
Building Permit Fee :
$440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
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: $994.00
POOLPermit : S2021-0270
Project No : 2891-2021
Inspection Requests Phone (949)644-3255
"ss / Plan Check No: 268S93'�
9,1-2021
I Code Edit: 2tn�Pi)Ga�JIG'•
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—1. C, i0UQ.t M:
Contractor: SUNSET POO S N I A te�Gl;-+ r0 O4
ress,� 1MR3
T-/ Address:
092869mom
§PjeWi:J lil. — --SfaFe Lic:
—Mn State Lic: 473735 Engineer: BIEDENBACH CHRISTOPHER
Lic Expire: 02/28/2023 Address: 1201 N TUSTIN
1 [.50m
a ANAHEIM CA 92807
is Ex e:F13Jns]01 9phone: 714-630-6100 State Lic:C-074003
p uce - Special Conditions:
Carrier: EXEMPT E� d IA SPED I
roR
Policy No: NO EMPLOYEES ®V9
/ Expiration: ssued D e: 01 24 P
,. '�R e .�. cra tom, �n �a &
(vrork started)
Record Management:
Poke:_ --
Drainage Permit Fee
Drainage Plan Check:
Additional Fee
/I10 Work stared)
$4.00
ME
$0.00
Plan Check Fee : $396.00
$0.00
$152.00
$0.00
$0.00
$aao
Fee Due at Permit Issuance :
PROCESSED BY: 4�Jt • n. ... ... • ° • °PLAN CHECKED BY:: 4l
Q
ZONING APPROVAL: Ir','rN 0° ® . • O° a PPROVAL TO ISSUE:
o°o o°o
PERMIT EXPIRES t80 L!AY-S AETERLSSU°AN°CC-L�R LAST VALID INSPECTION
o ° o
� °• e e . °o 0
••o eee • e •• •c •°a
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)
;lion 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
'essions 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).
I, as owner of the property, or my employees with
iness and Professions Code: The Contractors' St;
rovements are not intended or off re or sae. ,
roved for the purpose of sale).
[,as owner of the property, am a usivaete
ly to an owner of property who bu s or Improves
I am exempt from licensure unde
y my signature below I acknowledge
ell a structure that I have built as an
'rofessions Code, is available upon I
signature of Property Owner or Authe
.ICENSED CONTRACTOR'S DI
hereby affirm under penalty of perju
nd effect.
icense Class
as their sole
with
he Contractors' State
tat,a
vnelueszed
:LA/
that I am licensed ul'
JORKERS' COMPENSATION D CLJ
'WANING: FAILURE TO SECURE WORKERS' MPE
OST OF COMPENSATION, DAMAGES AS PR IDEO
hereby affirm under penalty of perju one of
I have and will maintain a certil
formance of the work for which th
I have and will maintain workers'
urance carrier and policy number
The of Agent
I certify that, in the performance of
I. if I should become subject
/tothe
(nature of Applicants /<
will do U all of or (J portions of the work, and the structure is not intended or offered for sale (Section 7044,
19w„y1er cf property who, �proves the property, provided that the
Int is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
7044, BA114* Hxa6fas Code: The Contractors' State License Law does not
tractor pursuant to the Contractors' State License Law).
ne year-0ortTcbrhpMriof7M fffe-TnTprbVeme DT covered by this permit, I cannot
I understand that a copy of the applicable law, Section 7044 of the Business and
Iginfo.cfAoin.14" Wll _ .X i Ill 0/2022
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
following declarations:
of consent to self -insure for workers' compensation, issued by he Director of Industrial Relations a provide for by Section 3700 of the Labor Code, for
m ed. c No. 1 • ,,,�,.
,+P�� gqp�q.,' rGp �y r
Ie sat ins a Ire b4al �0 f the Labor r Ih �rFuaYlSedu w r striis�permit is issued. My workers' compensa
Pol(wlrkersta rted) Wo wor"trai ed)
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
ereby affirm under penalty of perjur $th-t ih w^^r ^n � �_, •`-
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 an 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 the ove-identified property for inspection purposes.
nature of ProOertv Owner or Authorized Acerb ee .62,bJZ12 Print Prooertv Owner's or Authorized
ACTION I DATE I BY
I p€,RAfiTCANCELLED I e ' I - I
I PFRAliT€XTEA4?ED I I I
PERMIT FINAL
CERTIFICATE OF
OCCUPAAJ'CYISSU€D
❑ e'E13d
❑ A011D
❑ ASBESTOS M077FICA77ONIS NOT APPLICABLE TO
PROPOSF13 WMWTIOU.
e • e e • e•o Q•e e•
SIGNATURE.'°° _ ° ° o o o °
Code).
PETER CORONA
FOR OFFICEUSE ONLY