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Home My WebLink AboutX2019-2585 - PermitsY x1'or City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F r' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 x spa i' Combination Type - BLDG COMB Permit: X2019-2585 IIIIIIIIIIII�IIIII�IIIIIIIIIIIIIIIIIII� II Project No : 1847-2019 Issued Date: 11/1312019 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1220 W BAY AVE NB Description: Legal Desc.: TR 626 OT 8 B K FOR 3(AND PA TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BLK 3 ��_r� Owner: SABO ELIAS Contractor: FLUID DYNAMICS POOL & SPA Architect: Address: 1220 W BAY AVE Address: 620 E WALNUT AVE, #B Address: NEWPORT BEACH, CA 92661 FULLERTON CA 92831 Phone: 714-319-2917 Phone: 714-213-8047 Phone: State Lie: • ° °°aaa• Applicant: SARAHIFLUID DYNAMICS Con State Lie: 809954 Engineer: COX STEVEN Address: 620 E WALNUT #B Lie Expire: 12131/2020 Address: 1219 FLYNN RD STE 203 . °° °°• ° ° FULLERTON, CA 92831 Bus Lie: BT30055899 CAMARINO, CA 93012 ° Phone: 714-213-8047 Lie Exp Date: 07/31/2020 Phone: 805484-4115 State Lic:C-048940 ° ° • • ° Code Edit: 2016 Type of Construction: Occupancy Group:- U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $636.00 Plan Check Fee: $553.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FRE : $1,427.32 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5049838 Expire: 08/1212020 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: PROCESSED BY: -/ ZONING APPROVAL: GRADING APPROVAL: S Rear: I Front: I Left: I Right: I larkina Spaces $0.00 $236.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: 9 ••a°•• • a • Address:"° a a Phone: NO CON g g °.... @ 69 109� Special Conditions: LIQUEFACTION ......�®�� ° aaac•• riro Wn-�� A 7- m ° a 99`� pT� ®ram y{� 9� a• Y , • ® HI= tl/llH� Lero-a 0C ea•• Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P)W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $553.32 Fee PUBLIC WORKS PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 11 er 'Issuance : $874.00 VAL: r ,I I l 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). ❑ 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). ❑ 1 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.htmi. Signature of Prope" Owner or Authorized Agent Date ti.CMSED CONTRACTOR'S DECLARATION I-herebyefrirm urU& malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div'sion 3 of the Business and Profess' an y_l rise is in full force and effect. License Class License No Date /7 /3 Contractor Signature WIORIEERS' COMPENSATION DECLARATION NARNING: FAILUR`=QWDRE 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 COSYO.F tOMPENSATION, FAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. L�eJjby affirm ender penalty of perjury one of the following declarations: 04.heve and will 1d ntain 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, fiance of thE?work for which this permit is issued. Policy No. and wilsraarhin 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' carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work for which 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 agre t, if I should become subject to thqA"rs' compensooR,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant uJ lGi( O % - Date �� / CLARATION REGArj ING CO CTION LEN A /��^� :reby affirm under pe alty 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). 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter hee above -identified propert for inspection purposes. j nature of ProDertv Owner or Authorized ADent , / SIT424 , l3LfiTf}/G ( Print Prooertv Owner's or Authorized Anent's Name _ Date( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED Z1U l 1� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: