HomeMy WebLinkAboutS2020-0026 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111 Jill
a
100 Civic Center Drive, Newport Beach, CA 92660Permit Counter Phone (949)644-3288
NO CONSTRUCTION NOISE
Job Address: 3712 CHANNEL PL Floor: Suite: Bldg: 1 ®N SATUR®p r
Description of Work:IN-GROUND FIBERGLASS POOL SA rl A
Inspector Area: 1 Plan Check No: 0305.2020
Code Edit: 2019
Legal Description: CANAL SECTION LOT 7 BLK 637 ALL -INC BET SAME & HIGH TIDE
LINE -
Owner: WELLS WINFIELD
Address: 3712 CHANNEL PL
NEWPORT BEACH CA 92663
Phone: 323573-4055
Applicant: VIP CONSTRUCTIONIMICHAEL
Address: 22365 EL TORO RD #201
LAKE FOREST CA 92630
Phone: 949444-2286
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $28,500.00
Building Permit Fee: $418.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$373.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:,
Contractor:
V I P CONSTRUCTION
Address:
22365 EL TORO RD #201
LAKE FOREST CA 92630
Phone:
949-444-2286
Con State Lic:
664861
Lic Expire:
12131/2020
Bus Lic:
BT30071902
Lic Exp Date:
0613012021
Worker's Compensation Insurance
Carrier: STSTE COMP INS
Policy No: 9161431
Expiration: 06/23/2020
Record Management:
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee:
ZONING APPROVAL: i Y."rN
FEES
Architect:
Address:
Phone:
POOLPermit : S2020-0026
Project No: 0305-2020
Inspection Requests Phone (949)644-3255
State Lic:
Engineer:
POINDEXTER DONALD
Address:
10140 STARR RD
WINDSOR CA 95492
Phone:
707-495-0420 State Lic:C-024420
Special Conditions:
HIGH DENSITY & LIQUEFACTION AREA
Issued Date: 05/18/2020
$18.00
Water Quality --
Building Dept Inspection Fee:
$0.00
$0.00
Water Quality Dept Insp Fee:
$0.00
$0.00
Building Dept WQ Plan Check:
$0.00
$0.00
Others:
$0.00
$0.00
$0.00
Plan Check Fee :
Fee Due at Permit Issuance :
.os a
° PCAN CHECKED°3Y:. ' 0. i e .C'^1 a P✓�i
- - AP?ROYAL TO I5SUE:
a°Y
PERMIT EXPIRES 180 DAYS AFTER ISSUAN`iE ORIASTVkLICI IMSPECT!DN
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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). 10140 STARR RD ❑
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
6 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/celaw.html.
,Signature of Property Owner or Authorized Agent Date 117
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 f i}{is'on 3 of the Business and P essions Dice sin II for
and effect. License Class License No Dat !1 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will 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 the
performance of the work for which this permit is issued. Policy No.
have and w M!intain 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'
is of Agent ® � `/1"''O
certify that, in the performance of the yiork for
. if I should becomesubiEORte Aha em, ca
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
D 5 ,48/261
CLARATION REGA IN CONSTRUCTION LE IN ENCY
:reby affirm under p 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
By 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 rdinances d sta ws rel ing o building construction.
I authorize representatives of this city or county ^ 'led p arty r inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
Name
PERMITEXPIRED
❑ISUBNiIT9ED4StE5T 1 NQTIFNF-ATION70• .' ,
gates & fences which serve
as part of pool/spa
barrier, shall be in place
prior to approval to fill
PERMIT CANCELLED
EPRP • • . ' °'• ° + •• :
PERMIT EXTENDED
LJAQMD •••
POOLALARMS
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
INSTALLED
PROPOSED GEVICLSR.ON.-
pool/spa & Shall remain In
SIGNATURE- ° ° ° °
o ° � � - -
place & be maintained for
the Iife ool/spa
PERMITFINAL