HomeMy WebLinkAboutS2018-0152 - PermitsCity of Newport Beach - Building Division I 11pil111111111111111p111111111111111111p11111111111
r� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
P"txrru�''c
Job Address: 1981 PORT DUNLEIGH CIR Floor:
Description of Work:SFR GUNITE SPA
Inspector Area: 4
Legal Description: N TR 7027 LOT 51
Owner: ZUBLIN JR. CASPER W
Address: 14981 PORT DUNLEIGH
NEWPORT BEACH, CA 92660
Phone:
Applicant: CHUCK/BACKBAY CUSTOM POOLS
Address: 215315 SAN MICHEL
COSTA MESA, CA 92627
Phone: 949-412-0447
Building Rear:
Setbacks: Front:
Lek:
Right:
Construction Tvoe :
Construction Valuation: $18,000.00
Building Permit Fee :
$380.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$338.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:
ZONING
Suite: Bldg:1
Plan Check No: 2045-2018
Code Edit: 2016
POOLPermit : S2018-0152
Project No: 2045-2018
Inspection Requests Phone (949)644-3255
Contractor:
BACKBAY CUSTOM POOLS
Architect:
Address:
2153-B SAN MICHEL
Address:
COSTA MESA CA 92627
Phone:
949-412-0447
Phone:
State Lie:
Con State Lie:
813938
Engineer:
LACHER TODD
Lie Expire:
10/31/2018
Address:
1201 N TUSTIN AVE
Bus Lie:
BT30055011
ANAHEIM CA 92807
Lie Exp Date:
10/31/2018
Phone:
714-630-6100 State Lic:C-067656
Worker's Compensation Insurance
Career: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
Special Conditions:
Issued Date: 08/2712018
q T . w
�
S.� K
FEES
Record Management:
$4.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee:
$0.00
$0.00
Plan Check Fee : $0.00
Fee Due at Permit
PLAN CHECKED BY:: ofto
APPROVALTOISSUE:
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 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 Itcensure 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). 1201 N TUSTIN AVE
❑ 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
im roved 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 legal[I
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 Property Owner or Authorized Agent D e
LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Division 3 of the Business and Pr sions de, nd my license is in full force
and effect. License Class License No Dat Contractor Signatur --
NORKERS' COMPENSATION DECLARATION - --
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 th
oerformance of the work for which this permit is issued. Policy No.
have and will maintain workers'
rance carrier and policy number
ter ,t
of Agent
c rtify that, in the performance c
f I should become subject to t
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant V \.
CLARATION REGARDING CONSTRUCTION LENDING
;reby affirm under penally of perjury that there is a constr
ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the Op
I have read this application and the information I hale p
I agree to comply with all applicable city and county ordi
I authorize representatives of this city or county an rr
mature of Prooertv Owner or Authorized Agent_
ACTION
Z 1
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
behalf.
state laws relating to building construction.
entified pro erty for inspection purposes.
Print Property Ownel
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
UEPA
PERMIT EXTENDED
LIAQMD
POOLALARMS
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
INSTALLED
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY