The URL can be used to link to this page

Home My WebLink AboutS2021-0123 - Permitsygwr•rjj? City of Newport Beach - Building Division IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ermit Counter Phone (949)644-3288Civic Center Drive, Newport h, CA 92660 S 2 0 2 1 0 1 z 3 P V L' t t�r��YV1Y�i~ Job Address: 4818 SURREY DR Floor: Suite: Bldg: 1 Description of Work:SFR ADD SPA 65 SF, REMODEL (E) POOL W/YARD DRAINAGE Inspector Area: 5 Legal Description: TR 3519 LOT 52(AND E1/2 LOT 51 Owner: CLAASSEN BRIANIANNA MARIE Address: 4818 SURREY DR CORONA DEL MAR, CA 92625 Phone Applicant: GABRIEL LOU Address: 28241 CROWN VALLEY F293 LAGUNA NIGUEL CA 92677 Phone: 949-295-4417 Building Rear: Setbacks: Front: Left: Right: Construction TVPe : VB Construction Valuation: $46,000.00 Building Permit Fee : $762.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $662.94 Building PC Investigation : $0.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,874.94 PROCESSED BY: ZONING Plan Check No: 1123-2021 Code Edit: 2019 Contractor: OUTDOOR CONCEPTS Architect: Address: 28241 CROWN VALLEY PKWY, F293 Address: LAGUNA NIGUEL CA 92677 Phone: 949-363-7932 Phone: Con State Lie: 831378 Engineer. Lie Expire: 02/28/2022 Address: Bus Lie: ST30060506 Lie Exp Date: 09/30/2021 Phone: Worker's Compensation Insurance Carrier: BENCHMARK INS CO Policy No: CST5021783 Expiration: 0611812022 Record Management: Drainage Permit Fee Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES POOLPermit : S2021-0123 Project No : 1123-2021 Inspection Requests Phone (949)644-3255 z M State Lie: �J ZHANG YAO 16376 BARRANCA PKWY, H106 IRVINE CA 92618 949-788-0424 State Lic:C-074572 Special Conditions: Issued Date: 0710812021 $12.00 Water Quality -- Building Dept Inspection Fee: $237.00 Water Quality Dept Insp Fee: $199.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $848.37 Fee Due at Permit Issuance : $1,026.57 PLAN CHECKED BY:: APPROVAL TO ISSUE: = i—va 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 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, priorto its issuance, also requires the applicant for the permit t0 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 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). 15375 BARRANCA PKWY, H106 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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-Builderwill have the burden of proving that it was not built or improved 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 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). ❑ I 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 I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that aof 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 linfo.ca.gov/calaw.ht 1. Signature of Property Owner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of is' of the Business and Profess; od and y ense full force and effect. License Class License No Dat Contractor Signature WORK RS' ION DECLARATION VARNINE: FAILUN TO 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 :OST O COMPEN ATION, 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 the ormance of the work for which this permit is issued. Policy No. have and will m i In 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 nsarance carrier an olic number ;arrier ` y CiAer Expiration Date Jame of Agent 0" Phone # :1I certify that, in the perfo anc of t war or ich thi a it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become s bj t to wor rs' pens o rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % f Signature of Applicant 6 2/ )ECLARATION REG D G ENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 property owner's behalf. I have read this application and the information rovided is ct. p I agree to comply with all applicable city and c my ord ce nd ate elating to building construction. I authorize representatives of this city, or cou e r the ov dent; property for inspection purposes. Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION I DATE I BY RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED POOLALARMS INSTALLED REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LE 1403 15UBiyiD ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO .SROPOSED DEMOLITION. SIGNATURE: gates & fences which serve as part of a pool / spa barrier, shall be in place prior to approval 111 pool/spa & shall remain in plat g& maintained for w Fr�i CD F N W W U� �a 'Sul M o MWM a F+H Aza° 0) Z� O(D Q 1 � �Oc7xU a 4 con U a a e W — O pay Ca O z y U U Uo o Cy 0 0 c c 0 u r� u 3p E 0 ro d Z ': /k� EF, E . \0 \\}\ ! ) -: _ - § \ \ to } z 0 $ 7>! !!!i !!!!/!2! §\!>! k {2§$§ !k(j) \k\\\