HomeMy WebLinkAboutS2021-0279 - PermitsCity of Newport Beach - Building Division 'S2021-0279'
1,rt L 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
ME CTCr)
POOLPermit : S2021-0279
Project No: 2938-2021
Inspection Requests Phone (949)644-3255
Job Address: 5 RUE BIARRITZ Floor: Suite:
Bldg: 1
Description of Work:SFR REMODEL (E) POOL AND INSTALL BBQ. REPLACE ELECTRICAL AND PLUMBING LINES.
Inspector Area: 4
Plan Check No:
2938-2021
Code Edit:
2019
Legal Description: N TR 7809 LOT 24
Owner: LI JIAHWILIU XIN
Contractor:
LUNA POOL CONSTRUCTION
Architect:
^ ' ^ • -
Address: 30781 VIA CONQUISTA
Address:
720 W WHITTIER BLVD
Address:
SAN JUAN CAPISTANO CA 92675
LA HABRA, CA 90631
- -
Phone:
Phone:
562-400-4499
Phone:
State Lic:
Applicant: LUNA JESSE
Con State Lic:
1005039
Engineer:
^ -.
Address: 720 W WHITTIER BLVD
Lic Expire:
06/30/2023
Address:
LA HABRA, CA 90631
Bus Lic:
BT30077472
-
Phone: 562-400-4499
Lic Exp Date:
12/31/2021
Phone:
State Lic: -
Building Rear: 15
Workers Compensation Insurance
Special Conditions:
- -
Setbacks: Front: 10
Carrier:
EXEMPT
Left: 5
Policy No:
Right: 5
Expiration:
Issued Date:
1211512021
;onsrrucuon
FEES
Construction Valuation: $20,000.00
Building Permit Fee :
$419.00
Record Management:
$2.00
Water Quality ---
Permit Issuing Fee:
$0.00
Building Dept Inspection Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Green Fee:
$1.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check:
$52.00
Grading Consultant Fee :
$0.00
Others
Building Dep Plan Check:
$364.53
$0.00
Building PC Investigation :
$0.00
Additional Fee :
$0.00
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
11 TOTAL FEE : $838.53
PROCESSED BY: e J
ZONING APPROVAL: DL
Plan Check Fee : $0.00
PLAN CHECKED BY:: M
APPROVALTOISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance : $838.53
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, prior to its issuance, also requires the applicant for
is 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 Iicensure 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).
as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
nd 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 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
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).
I am exempt .`rom I:censure under the Contractors' State License Law for the following reason:
;y 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
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
'rofess'ans CoJe, is a%ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
tlgnat'Ire of Property Owner or Authorized Agent Date
.IC,FMSED CONTRACTOR'S DECLARATION
hereby affirm I'rder nwnalty of gy TF I;rricensed under provisions of Chapter 9 (commencing with Section 7000)• I is! 3 of the Business and Profession Code, nd my licensedi jn full force
nd effect. License Class eh r License No Date ( /,f Z Contractor Signature/F�L<±r/ �(O
IIOR.KERS' C.UTAPENSATION DECLARATION
'PRNING: FAILURE TO bECURE 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT7ORNEY'S FEES.
hereby affirm urder penalty of perjury one of the following declarations:
I have and wilt 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 thi
erforri of tba worl: for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subject* ✓ the workers' compefnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant /� ftc ( Ccr, ,(`il DateK
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
y 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 county ordinances and state laws relating to building construction. )
I authorize representatives of this city or county to e9j</ ter the above-idensifigd property for inspection purposes. �• /n(l/.' /
ianature �l of Prooertv Owner or Authorized Aaent <.S �✓,� LO Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
LJ I SURMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMITEXTENDED
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POOLALARMS
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ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED
PROPOSED DEMOITION. </
SIGNATURE: )C i-< Ga✓✓. lL
FOR OFFICE USE ONLY
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Civil Code).
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