HomeMy WebLinkAboutS2020-0051 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111
w # l e m t Counter Phone (949)644328t1 Beach, Civic Center Drive, Newport CA 92660 S 2 0 2 0 0 0 5 1
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Job Address: 3501 SEABREEZE LN Floor: Suite: Bldg:1
Description of Work:SFR REPLASTER & RETILE EXISTING POOLISPA
Inspector Area: 4 Plan Check No: 0706-2020
Code Edit: 2019
Legal Description: N TR 6228 LOT 33
Owner:
CAZORT III JOHN GUY
Address:
3501 SEABREEZE LN
CORONA DEL MAR, CA 92625
Phone:
Applicant: ELLISON PAUL
Address:
660 DUNDEE CT
BREA CA 92821
Phone:
949.683.9861
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Construction Valuation: $10,000.00
Building Permit Fee : $235.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$204.45
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $444.45
PROCES
ZONING
Contractor: TIMELESS POOLS INC
Address:
660 DUNDEE CT
BREA CA 92821
Phone:
714-618-3326
Con State Lie:
1019202
Lie Expire:
0813112021
Bus Lie:
BT30071641
Lie Exp Date:
0413012021
Workers Compensation Insurance
Carrier: STATE FUND
Policy No: 9206353
Expiration: 0311012021
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Special Conditions:
POOLPermit : S2020-0051
Project No : 0706-2020
Inspection Requests Phone (949)644-3255
INSPECTOR
State Lie:
0
State Lie:
Issued Date: 04/17/2020
Record Management:
$4.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee:
$0.00
$0.00
Plan Check Fee : $444.45 Fee Due at Permit Issuance : $0.00
PLAN CHECKED BY:: l /�-/ X l/
APPROVAL TO ISSUE: r Ao
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 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
:he 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
'rofesslons Code) or that he or she is exempt from Ilcensure 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
iot more than five hundred dollars ($500). 1024IRON POINT ❑
, 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
mprovements 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
mproved for the purpose of sale).
3 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).
J I am exempt from licensurs 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 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.[eginfo.ca,gov/calaw.htmi.
3gnature of PrcpoCg-Owner or Authorized Agent Date
.ICENSED CUrI "r24CTOR'S DECLARATION
JAlble, affirm u1"Iet penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiontLNALTIES
of ivi on 3 of the Business and Profs Co I ce se is in full force
Ltd eHeut. License „ILss License No Dat-to Contractor SignatureYGRK�RS'COh1PENSATION DECLARATION
iARNING: FAILURE 1.1 SECCREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN AND CIVIL FINES UP TO ONE HUNDR D THOUSANO DOLLARS I$100,0001, IN A13DI71ON TO THE
O6T Oe nOMPENb1.'N+r', 9',MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES.
here%, affirm under penalty of perjury one of the following declarations:
J I hate and :✓.A 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 lh
c�crmsnce of the work for which this permit is issued. Policy No.
t:avt. and will mat ,t,iin 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'
5ance carriernrd pcacy number are:
ne'oi Agent___
certify that, in the
If I should becom
Iature of Applicant
Policy Number
Date
this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers'
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,
OLAMA1IVN KEG 6EONBTRUCTION LENDING AGENCY
Ireby affirm under ana of perjury thatthere is a construction lending agency for the
Ider's Name Lenr
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 co my a f aIII c a t law relatin
I authorize representatives of this city or county t H ab a ntif property
nature of Property Owner or Authorized Agent
ACTION
PERMIT CANCELLED
ormance of the work for which this permit Is issued (Section 3097
Address
to building construction.
;r Inspection purposes.
Print Procertv Owner
OF COMPLIANCE WITH CODE OF FEDERAL
PART 610E TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
rVVLAwmvm LJASBESTOSNOTIFICATIONISNOTAPPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
_. o,« SIGNATURE:
FOR OFFICE USE ONL
of California, and
Code).
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All required alarms,latches
as part of a pool / spa
barrier, shall be in place
prior to approval to fill
poollspa & shall remain in
place & be maintained for
the life of the Pooftoa