HomeMy WebLinkAboutS2021-0234 - Permitsw� City of Newport Beach - Building Division II�III�IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II POOLPermit : S2021-0234
a't,y 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 2 3 4 Project No : 0987-2021
�, j,.� Permit Counter Phone (949)644-3288
r�$�lFi]LL•�t 0 Inspection Requests Phone (949)644-3255
.lob Address: 1726 CANDLESTICK LN Floor: Suite: Bldg: 1
Description of Work:SFR POOLISPA 560 SF. W/DRAINAGE (CITY STANDARD) **CHANGE OF CONTRACTOR**
Inspector Area: 3 Plan Check No,
Legal Description: ption: N TR 3763 LOT 32 _ bie:
Owner: S726 CA HIL RY
EST - - ontractor: BRADCM INC I' =APO 4 0
Address: 1726 CANDLESTICK LN heed: }-' �'� f0
NEWPORT BEACH, CA 92660 Address: 120 TUSTIN 01 Address: n.'1^./ C'I L-) "'�
Da RT BEACH CA 92663
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Phone: 949-331-5327 q„Ta.Ph:
one: 949-835 500 av
Applicant: MOORE JAMES nStat051'h ' f ;,a{°'p
Address: 2831 E GRETTA LN �, Ex I 03/3 0 °' �`�'4 l;y ,� s TAC SON MAT
THEW
P. > Tess: 12021 N TUSTIN AVE
ANAHEIM CA 92806 Lic: ANAHEIM CA 92807 -: •�:o.
Phone: 951-345-3505 :4 Exp D '61� 12022^ r1z714-630-6100 State Lio.C-086054=-
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Building Rear: Worker's Com n..s�ic�`>Yqg
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�� �. rAci� lions:
Setbacks: Front: :� A MR SUB CONTAGREEMENT ATTACHED °
Left: li Y - 56 4� 3 • g
Right: . Ex t�s:@B,E202 ew'
'-_ _ Issued Date: 10/14/2021 r
Construction Type : � .��-- n �°s � yE, . ,,0 � • e- -.
FEE L J 0 t
Construction Valuation: $0.00 �) ,y;:e ''�'�a.�v
BuildingPermit Fee: 4Pemit
$0.00 Reordant:rWater Quality -Permit Issuing Fee: $0.00 ��, 3: °'� `=��`"' Building Dept Ins 0 0Investigation Fee: $0.00 Dra agee : $0.00 -
Building Green Fee: $0.00 Drai a e Plan Check: I Y Dept Ins Fete:00
9 $0.00 Building Dept WQ Plan Chefk°
Plan Dept Plan Check: $0.00 Gradinpp Cton�uultant Fee . Others
Building Dep Plan Check: $0.00 y4, !`°4oL . - - $0.00
Building PC Investigation : $0.00 Addit`nal Fee, $38.�' ` $0.00
Plan check Ext. Fee : $0.00
WQ Compliance Insp Fee: $0.00
TOTAL FEE: $38.00 Plan Check Fee : $38.00 Fee Due at Permit Issuance : $0.00
PROCESSED BY: �ll PLAN CHECKED BY:: y
ZONING APPROVAL: APPROVALTOISSUE: t/
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
•
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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(s1 I hayE, Jaeed=next
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct alter, improve demoli h prior to its Issuance, I
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Cent 'a[ SYa � r�9 r nc na with Section 7000) of
professions Code) or that he or she is exempt from licensure and the emption. Any violation of Section 7031.5 by pnMa tTt for a permit subjects th
iot more than five hundred dollars ($500)t _ / 1202f I UOSi`ill
❑ I, as owner of the property, or my eml oyees with wages as theirs om atio m of the work, and the struct i i n� $A,A({ eerei
3usiness and Professions Code: The Co racto �a�t�L1 tense Law t-�p n owner of property who, thro gh emplpq�e rs ,�{(a1 ee ok= ror'ii 0e', Ves th
mprovements are not intended or offered r sak, �t`P3(nf r, a bul ding or improvement is sold w oryf iy mpletioll-th Mr -Builder will have the burden of pr
mproved for the purpose of sale).. r
❑ I, as owner of the property, am exclusi ly c h licetra to{ tf Ion 7'_ 4, Busirr�s�L,cjfs' n rectors'
apply to an owner of property who builds ompr es there6iS, and o contrae�roGts nSf rsitdYt fo the Contractors' State License Law)
❑ I am exempt from licensure under the ntra" ors' State icens',.6are foil ream:
By my signature below I acknowledge that, xcep onal resldence In which I must have resided for at least n ar prior to completion of the improvements cover(
sell a structure that I have built as an owne uilde as not be tend that a copy of the applicable lawGwii
Professions Code, is available upon reques hen this pp ation t r h n sit-. tt I info .gov/ealaw(.html.
Signature of Property Owner or Authorized ant E -=' _ I
LICENSED CONTRACTOR'S DECLA TI`' '' r
I hereby affirm under penalty of perjury that I m li rise u provfiap 9Jomme cing withSection 70 gq11,,of Di he Business and Pr essions Code
and effect. License Class nse o Date f� 1 n Contractor Signal re
WORKERS' CQM P�NSATION DECLA TION =��f
WARNING: FAILUREM%t URE WORKERS' COMPENS ION COVERAGE Is UNLAWFUL, AND SHALL SUBJ TAN EMPLOYER TO CRIM L P AL S i IN YOS UN N DOI
POST OF COMPENSATION, DAMAGES AS PROVIDED FO IN SECTION ]06 OF HE LABOR CODE, INTE T, �Bs1laI�IN FEES. `Li/ @�
j fiLl@5f affirm ylRBer'penalty of perjury one of e fo ec i` - started) , a
•.• J ppyy
12 1 have and will .maintain a certificate of c nsen -in for workers compensation, issued by the Director of I s'fria Relations as provided for by Section
' ante of the work for which this permit i issue Policy No.lY�A,
and dllfl' 914tain workers' compensa on i surance, as fequired by Section 3700 of the Labor Code, for t e performance c
uwce carrier and policy number are:
Clan" :aby Number
v.
N9hR'of Agent % C
I:certify that, im tfrWrf ante of the work f . which this
iat, if I'shouldb¢som ubject to the worke c sa Io
ionatute of AnDil
the applicable items)
I requires the applicant for
,Ision 3 of the Business and
pplicant to a civil penalty of
r sale (Section 7044,
roperty, provided that the
ng that it was not built or
to License Law does not
' this permit, I cannot legally
of Business and
y license is in fuliNrce
25 100,b001, IN ADDITION TO THE
10If
Labor Code, for th
10
issued.
er so eome subject to the workers' compensation laws of California, and agre
I shall fortwith comply with those provisions.
Date��
:reby affirm un of perjury that there is a construction lending agency for the performance of the work for
ider s Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provid corre t.
I agree to comply with all applicable city and county ordi ces and st a laws relat uilding construction.
I authorize representatives of this city or county to e r the above- tified pro rt inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owners
ACTION
PERMIT EXPIRED
PERMITCANCELI
PERMIT EXTENDI
POOLALARMS
INSTALLED
PERMIT FINAL
DATE I BY DECLARATION OF I REGULATIONS PART 610 TIITE 40 AND AQMD RULE
CE WITH CODE OF �L FOR
I SUBMITTED
TO
❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
this permit is issued (Section 3097, Civil Code).
USE ONLY
Name