The URL can be used to link to this page

Home My WebLink AboutS2022-0019 - PermitsCity of Newport Beach - Building Division ��III IIpIIIIIIIIIII1111111111p111111111111111111 y„rt r� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 1 9 Permit Counter Phone (949)644-3288 a CIY��BN Job Address: 710 AVOCADO AVE Floor: Description of Work:SFR NEW SPA 42 SF Inspector Area: 5 Legal Description: N TR 682 LOT 7 Owner: PAINTER ROBERT/DEBORAH Address: 730 AVOCADO AVE CORONA DEL MAR, CA 92625 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Building Rear: Setbacks: Front: Left: Right: Construction Tvoe : Construction Valuation: $20,000.00 Suite: Bldg:1 Plan Check No: 0134-2022 Code Edit: 2019 Contractor: LANDCRAFTERS INC Address: 29512 ANA MARIA LANE LAGUNA NIGUEL CA 92677 Phone: 949-249-1086 Con State Lic: 754071 Lic Expire: 09/30/2022 Bus Lic: BT30039467 Lic Exp Date: 05/3112023 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WC5097031 Expiration: 12/0112022 Building Permit Fee : $440.00 Record Management: $6.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Building Green Fee: $1.00 Drainage Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Building Dep Plan Check: $0.00 Building PC Investigation : $0.00 Additional Fee : $0.00 Plan check Ext. Fee : $0.00 WO Compliance Insp Fee: $0.00 TOTAL FEE : $599.00 PROCESSED BY: ZONING FEES Architect: Address: Phone POOLPermit : S2022-0019 Project No : 0134-2022 Inspection Requests Phone (949)644-3255 Engineer: THOMPSON MATTHEW Address: 12021 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: State Lic: State Lic:C-086051 Issued Date: 07/06/2022 •; �'x Water Quality -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $152.00 Building Dept WQ Plan Check: $0.00 Others: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $599.00 PLAN CHECKED BY:: APPROVAL TO ISSUE L i a PERMIT E(PIRFS 180 DAYS AFTER ISSUANCE LAST VALID INSPECTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 12021 N TUSTIN AVE 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 1, 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 pply 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION _- hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 71!1) j,D Tin3 of the Business and Profe Ion de, n�Ifcain full force nd effect. License Class License No Date ,�7 /i C.� Contractor Signatur NORKERS' COMPENSATION DECLARATION vj db NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS (E100,000(, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th ormance of the work for which this permit is issued. Policy No. I ave and will maintain 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' compensatiol su a carrier and policy number are: T", - olicy Number Expiration Date Vame of Agent Phone # �I certify that, in the perform ce wor for Ich his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati in s of California, and agre hat, if I should become subje t to a worke ' c pe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date l 6 )ECLARATION REG 13 CO ST LENDING AGENCY hereby affirm under penalty that there is a construction lending agency for performance of the work for which this permit is issued (Section 3097, Ci iI Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pro owner's b alf. have read this application and the information hav pro ridecrect.I agree [o comply with all applicable city and county rdin st la elating to building construction.'�///I authorize representatives of this city or county to nter h= ❑IM property for inspection purposes. (1/�O l Signature of Property Owner or Authorized Agent' Print Property Owners or Authorized Agent's Name �, Date V ACTION DATE BY I CLA ION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED T1 SUBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QM POOLALARMS ` \ ASBE OS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROSeSED DEMOLITION.