HomeMy WebLinkAboutS2022-0160 - PermitsT
�EWPoRr City of Newport Beach II II I I II I II i II III III II II
p� a Community Development Department- Building Division
F _ n 100 Civic Center Drive, Newport Beach, CA 92660
U S Permit Counter Phone: (949) 644-3288 .
aM Inspection Requests Phone: (949) 644-3255
C9G/F00.N�P newpodbeachca.gov/inspections `�. "`¢
Combination Type -
Work Class - New
COMB Permit : S2022-0160
Plan Check No : PC2022-1830
Issued Date : 08/22/2022
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1323 SANTIAGO DR
Legal Desc: N TR 3851 BILK LOT 49
Description: SFR (E) POOL REMODEL WITH NEW SPA &
DRAINAGE
Owner: PAYNE MARK/PANATTONI CHARLOTTE
:,Contractor,: TEKTON GROUP INC
Architect
Address : 1323 SANTIAGO DR NEWPORT BEACH, CA
Address : 2749 SATURN ST BREA, CA
92821 -. Address
92660
Phone :
Phone: (949) 573-7090
:Phone
;Con State Lie : 1083703
: State Lie
Applicant: TEKTON GROUP INC
Lie Expire `. 11/30/2023
Address: 2749 SATURN ST BREA, CA 92821 "
>Bus Lie,: ': BT30077339
:" Engineer: THOMPSON MATTHEW
Phone: (949) 573-7090
Bus Lie Expire: 11130/2022
Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807
Workers' Compensation Insurance
Phone: (714) 630-6100
Owner/Builder :
Carrier: STATE COMPENSATION INSURANCE FUND:
Address :
Policy No: 9139164
Designer:
Phone:
W. C. Expire: 8/4/2023
Address
Phone:
Code Edition : 2019
fire Sprinklers:' NO
, Construction Valuation : $100,000.00
Type of Construction :
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : -
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 20, Side: 6, Rear: 6
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Flood Zone: X
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Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)'
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SPECIAL CONDITIONS;
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rovements are not intends
roved for the purpose of s.
I. as owner of the propert.
ly to an owner of property
I.am exempt: from licensu
)N
o that I am exempt from the ContractorsState
Ile. If, however,the building or improro
contracting with licensed Contractors
rroves;thereon, :and who contracts fors
n(s) indicated below by the
ate License Law (Chapter 9 (oammencmg with Section 7000) of Division 3.of the Business and
ation. of Section 7031.5 by arty applicant for a permit subjects'. the applicant to a civil penalty of
I portions of the work, and the structure Is not intended or offered for sale (Section 7044,:
tho, thro t gh employees' Or personal effort, builds. Or improves. the property, provided that the
year of c mpletion. the Owner -&udder will havethe burden of proving that it was not built or
ectton Business and Professions Codw The Contractors State License, Law does not
rd Contm ctor pursuant to the Contractors"State License Law)...
raby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing: with Section 70.110) of Division 3 f the Business and Professions Code, and my license is in fullforce
effect. License Class License No Date Z Contractor. Signature Y l'i /�—
IRKERS' COMPENSATION DECLARATION III "
WING' FAILURE TO SECURE WORKERS'` COMPENSATION COVERAGE IS UNLAWFUL, AND'. SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PExNALTIF.S AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS-tSt00,0001, IN ADDITION TO THE
T OF COMPENSATION] DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, IWEREST,.AND ATTORNEYS FEES.
repy affirm under penalty Of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation. issued: by the. Director of Industrial Relationsas provided for by Section 3700 of the Labor Code. for th
formance Of the work for which this permit is issued. Policy; No.
-have and will maintain workers' compensation insurance, as required by Section 3700:of the Labor Code, for If e performance of the work for which this permit is issued, My workers` compensatioi
Nance carrier and policy number are:.
Tier Policy Number —Expiration Date
no of Agent:. Phone #
certify that. In the performance of the York forwhichthis permit is issued, I shaft not employ any person in any me ner sD as to become subject to the workers' compensation laws of California, and agre
4 If I should become :subject tttoo the workers �comp e tiara provisions of Section 3700 of the Labor Code, I shall fo with comply with those provisions.
nature atA30ioant25 ////(/ �`/l.... Cates , F' Z Z - Z�
CLARATION REGARDS G cor s�"w�tUCTiDN LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for rich this permit is issued .(Section 3097, Civil Code):.
ey my a ITS urq pgigw,: 1. eemry t
I.amthe frytWipwnerora'.
.. fgave r`ea4thi•S application:a
I agree td prlywhh all api
i authorize 7presentalives o
• 91g4ture of Piliperty Owner or I
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•PE rT CANCEtI:ED
.. FERMir EXTRWIb
• iiRMIT FINAL •• ^
CERTIFICATi' f.IF;• • Gl rlr!
All required alarms, latches gate!
be In pi priorto approval to'fl
IFICATION IS NOT PPLICA.BLE TO life of the pool.
,TIC, �T/I Z-6- Z 3
pool/spabarrier, shall
be maintained for the
PERMIT FEE DETAILS FOR PERMIT S2022-0160
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Building Permit Fixed Fee - Pool/Spa $449.00 $0 00
Building Plan Check Fixed Fee - Pool/Spa
07/21/2022 Check
Drainage Permit Fee
Drainage Plan Check Fee
07/21/2022 Check
Drawing Fee
Green Building Fee
Plan Check Fee - Planning
07/21/2022 Check
Plan Check Fee - PW
07/21/2022 Check
Public Works WQ Inspection Fee - Low
GRAND TOTAL:
$404.00
$404.00
$404.00
TEKTON GROUP INC
$242.00:'-
$0.00'-..
$203.00
< $203.00
$203.00
TEKTON GROUP INC
$16.00
_ $0.00
$4.00
$0.00
$53.00
$53.00
$53.00
TEKTON GROUP INC
$51.75
'. $51.75
$51.75
TEKTON GROUP INC
$155.00
$0.00
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