HomeMy WebLinkAboutS2021-0090 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111IN
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1324 ESTELLE LN Floor: Suite: Bldg: 1
Description of Work:SFR - NEW POOL & SPA 553 SF WIDRAINAGE
Inspector Area: 3
Legal Description: N TR 1645 LOT 16
Owner: KENDALL RENEE
Address: 1324 ESTELLE LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: SOUTH COUNTY BUILDERS
Address: 32432 ALIPAZ ST
SAN JUAN CAPISTRANO CA 92075
Phone: 949/324-3369
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type :
Construction Valuation: $60,000.00
Building Permit Fee : $430.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$3.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$387.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCESSED BY:
ZONING
Plan Check No: 0749-2021
Code Edit: 2016
Contractor: SOUTH COUNTY POOL BLDRS INC Architect:
Address: 31911 VIA BELARDES APT B Address:
SAN JUAN CAPISTRANO, CA 92675
Phone: 949-324-3369 Phone:
Con State Lic:
1023064
Lic Expire:
01131/2023
Bus Lic:
BT30074892
Lic Exp Date:
0413012022
Worker's Compensation Insurance
Carrier: FALLS LAKE
Policy No: FLA013456
Expiration: 01123/2022
FEES
Record Management: $12.00
Drainage Permit Fee:
$232.00
Drainage Plan Check:
$0.00
Grading Consultant Fee:
$0.00
Additional Fee :
$0.00
POOLPermit : S2021-0090
Project No: 0749-2021
Inspection Requests Phone (949)644-3255
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone:
714-630-6100
Special Conditions:
Issued Date: 0410712021
Water Quality- —
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others:
State Gcc.
State Lic: C-067656
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,064.00
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
(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 Businc s and
Professions Code) or that he or she is exempt from licensure 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 U all of or %) 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).
111, 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 legally
sell a structure that 1 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.html.
Signature of ProHCCy Owner or Authorized Agent Date
LICENSED CCI`7RACTOR'S DECLARATION
I nemoa affirm Jider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f "v 3 of the Business and Professi d my license is in full force
and effect. Licenses Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NIARNING: FAILURr "o SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST O- COMPEdSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby 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 Relations as provided for by Section 3700 of the Labor Code, for the
r ante of the work for which this permit is issued. Policy No.
have and -mill nrintain 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' compensatior
is rance tarn-, ano policy number are:
i
Pm.er Policy Number Expiration Date
lame of Agent Phone #
]I Certify that, in the performa5cof the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
eat, if I should become subj he workers' corVraNsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /d I '1 7
ignature of Applicant /� Date '7 /�/ C.. /
sn nonnnu ocr_e rorrr_ rnM rm rrnnu o=mmuYN_ nr_cury
I hereby affirm under penalty 6Fperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 provided is correct.
I agree to comply with all applicable city and counntLyordmances and state laws relating to building construction.
I authorize representatives of this city or co the bove- ntified property for inspection purposes. e I /��
Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Nam •J (,G Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarms,latches
1403 natpR R frencps Which Serve
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
as part of a pool / Spa
barrier, shall be in place
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PERMITCANCELLED
DEPA
PERMITEXTENDED
LIAQMD
POOL ALARMS
INSTALLED
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TO
PROPOSED DEMOLITION.
SIGNATURE: