The URL can be used to link to this page

Home My WebLink AboutS2021-0219 - Permitswtr,� City of Newport Beach - Building Division *¢ 100 Civic Center Drive, Newport Beach, CA 92660 !� v Permit Counter Phone (949)644-3288 Job Address: 1951 PORT DUNLEIGH CIR Floor: Description of Work:NEW POOL & SPA 406 SF Inspector Area: 4 Legal Description: N TR 7027 LOT 46 Owner: SCHEAR BRIAN & BRITTANY Address: PO BOX 2348 COSTA MESA CA 92628 Phone: 714-720-4199 Applicant: MATA JOSE Address: 910 E 4TH ST SANTA ANA CA 92701 Phone: Building Rear: Setbacks: Front: Left: Right: Construction Construction Valuation: $45,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $396.00 Building PC Investigation : $0.00 Plan Check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $846.00 PROCESSED BY: Suite: Bldg: 1 Plan Check No: Code Edit: Contractor: MATA'S CONSTRUCTION CO Address: 910 E. 4TH ST SANTA ANA CA 92701 Phone: 714-393-6358 Con State Lic: 861880 Lic Expire: 07/31/2023 Bus Lic: BT30016664 Lic Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: MAWC128604 Expiration: 02/01 /2022 Record Management: Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee ZONING APPROVAL: FEES POOLPermit: S2021-0219 Project No : 2273-2021 Inspection Requests Phone (949)644-3255 �t 2273-2021 d 2019 6 Architect: Address: Phone: State Lic: Engineer: BIEDENBACH CHRISTOPHER JAMES °••° Address: 1201 N TUSTIN AVE • .... ° ANAHEIM, CA 92807 • °° ° 0°0Y°° ° • Phone: State Lic:S-074003 ®° C J V , ° Special Conditions: •• Issued Date: 09128/2021 •°®•°• °O° •• °°,°• • B 043G, • • • • ° ° $8.00 Water Quality--- Building Dept Inspection Fee: $0.00 $0.00 Water Quality Dept Insp Fee: $0.00 $0.00 $0.00 Others Building Dept WQ Plan Check: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $846.00 PLAN CHECKED BY:: 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 repair the checcture, prior have placed next to the applicable pplica) ction 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 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 fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section ; N TUSTIN y applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, sines$ 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 lrovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cimpietion, the Owner -Builder will have the burden of proving that it was not built or )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 )ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least c sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http11www.l Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION tion 70C 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate� and effect. Licerjlse• ass License No WORKERS' CQUp.04SATION DECLARATION COSST OFCFAILURE OMPEN6ATIONCPAMAOES AS PROVIDED FOR IN SECTION COVERAGE1OF THE `LABOR CODE, INTERFUL, AND SHALL EST, AND ATTORNEY'S FEESECT AN EMPLOYER TO . P Ll%rebyaffirm unc%'r penalty of perjury one of the following declarations: • • t ' certificate of consent to self -insure for workers' compensation, issued by the Direct e year prior to completion or me inl Piwc understand that a copy of the applicable g i n fo. ca. g o v/ca I aw. h t m I. lft6)� - i '0 3 f the Business and Pro contractor Signature _ JALTIES AND OML FINES UP TO ONE HUNDRED vents covered by this permit, I cannot law, Section 7044 of the Business and Date in full force DOLLARS ($100,0001, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for lu I have and vJtll , 1.4n aIn a rve tth for which this permit is issued.Policy No. will rpaintain 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' ri�g9nd•Itolicy number are:Expiration Date Policy Number o�.,,.,e 8 acme if Agent • • . , 3e2Qify that, Ilt•the performance of the work for wlfitD this permit is issued, I shall not employ any person In any r Ig; of should become sulbis6 to the w sation provisions of Section 3700 of the Labor Code, I shall ignature of Applicant IECLARATION REGARDING ry L ING AGENCY hereby affirm under penalty of juthat there is a construction lending agency for the peerformance Lener's Address of the work f Ender's Name {y my signature below, I certify to each of the following: 1 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 iz comply reswith all s ofthableo and count ordi � staterelating to building construction. I authorize representatives of this cityor count enter th bov -i Ified r4y-for inspection purposes. Print Property Ownel DATE BY I ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD POOL ALARMS INSTALLED LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. so as to become subject to the workers' comperisation laws of California, and agree i comply with those provisions. Date this permit is issued (Section 3097, Civil Code). USE ONLY All required alarms,latches as part of a pool / spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for theJifEpLoe pool/spa FINAL