HomeMy WebLinkAboutS2022-0013 - Permitsrf, City 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: 1030 SANDCASTLE DR Floor: Suite: Bldg: 1
Description of Work:NEW POOLISPA 315 SF *STOP WORK 121-3839
Inspector Area: 6
Legal Description: N TR 6425 LOT 20
Owner: DASWANI DILIP/LAVINA
Address: 1030 SANDCASTLE DR
CORONA DEL MAR CA 92625
Phone:
Applicant: WRIGHT JC
Address: 833 DOVER DR
NEWPORT BEACH CA 92663
Phone: 94-795-0648
Building Rear:
Setbacks: Front:
Left:
Right:
VB
Construction Valuation: $45,000.00
Building Permit Fee: $440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$440.00
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:
PROCESSED BY:
ZONING
'S2022-0013'
Plan Check No:
Code Edit:
Contractor:
INSTANT POOLS LLC
Address:
116 SENCILLO PL
RANCHO MISSION VIEJO CA 92694
Phone:
949-795-0648
Con State Lic:
1009644
Lic Expire:
07/31/2023
Bus Lic:
BT30053469
Lic Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
FEES
Record Management:
$22.00
Drainage Permit Fee :
$0.00
Drainage Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Additional Fee :
$0.00
/1 Plan Check Fee
POOLPermit : S2022-0013
Project No : 0091-2022
Inspection Requests Phone (949)644-3255
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0091-2022
2019
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�gn
B
Architect:
Address:
°°°•
Phone:
State Lic:
Engineer:
KOLODZIEJ KENNETH J
Address:
400 E ESTHER PLACE
PLACENTIA CA 92870
....
Phone:
714-996-1219 State Lic:C-064768
• ° °
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Special Conditions:
° °
LANDSLIDE & VHFHSZ
° °°°°®•
YARD DRAINAGE X2020-2652
Issued Date:
000°oo
00 °
Water Quality- --
Building Dept Inspection Fee: $0.00
Water Quality Dept Insp Fee: $152.00
Others Building Dept WQ Plan Check: $0.00
$0.00
$0.00
$396.00 Fee Due at Permit Issuance: $1.0:
PLAN CHECKED BY::
APPROVAL TO ISSUE:Cr
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 repair
the checcture, prior
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 7E 1.5 by any
STHER PLACE applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). 400
❑ 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to const CIS the project (Section ra1 44ctD 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 Coj1e'iS 9Yailable upon request when this application is submitted or at the following Web site:http://www.l ginfo.ca.gov/calaw.htmL Date
ySignature of Property -Owner or Authorized Agent
lKiEPI6ED CONTRACTOR'S DECLARATION
I hereby affirm uedef penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of IviE t 3�fi� usiness an fes "bns Rod,:a:nd�my license is in orce
and e4fP.ct. License Class License No Date i I Contractor Sign
�IVOIikERS' COMPENSATION DECLARATION
AGNINCw FAILURE TO SE RE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AN0 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'1 OO,OaO), IN ADDITION TO THE
COSLOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, ANO ATTORNEV's FEES.
f hereby affirm III
penalty of perjury one of the following OF
•I•have and I 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
ce of t)�e w� �k for which this permit is issued. Policy No.
and wi♦I rriailitain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrierandpplicy number are:
• _ y�- Policy Number
tify that, in the performan the work fo hich this
I should become subl to the workers' 30M
for the performance of the work for which this permit is issued. My workers'
Date
shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
:lion 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant
ECLARATION REGA ING R T ENDING Y
hereby affirm under penalty of perj t e struction lending agency for the Lendeerformance r's Address of the work for
ender's Name
y 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 rovided is correct.
I agree to comply with all applicable city and c y ordinances a tate laws relating to building construction.
I authorize representatives of this city or c my toter the aov t property for inspection purposes.
ACTION DATE BY DE RA N OF H CO OF FEDERAL
�r ,,"I AIDT Al ND AQMD RULE
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
QM D
POOLALARMS
INSTALLED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
this permit is issued (Section 3097, Civil Code).
Name
FOR OFFICE USE ONLY All required alarms,laccnes
gates & fences which serve
barrier, shall be in place
prior to approval to fill
poolispa & shall remain in
place & be maintained for
the fife of the oollsp
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