HomeMy WebLinkAboutS2022-0147 - PermitsCity of Newport Beach - Building Division 'S2022-0147*
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
r'�L#fil4ll��� I N SPEC • JY
Job Address: 315 ALISO AVE Floor: Suite: Bldg: 1 a
Description of Work SFR (N) POOL 290 SF & SPA 49 SF W1 DRAINAGE: PROVIDE HOT WATER (E) EXT SHOWY.
Inspector Area: 3
Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 17 LOT 17
Owner:
MALONEY JIM & KRISTA
Contractor:
Address:
315 ALSO AVE
Address:
NEWPORT BEACH, CA 92663
Phone:
Phone:
Applicant
TIFFANYIOC POOLSCAPES INC
Con State L
Address:
3107 CITY LIGHTS DRIVE
Lic Ex it .
ALSO VIEJO, CA 92656
Bus L,ir:
Phone:
949-444-3629
Lic.%p Date.
Building Rear: 5
Setbacks: Front: 20
Left: 4
Right: 4
Construction Type
Wo Keys Compb
rrier:
icyNo
I
Construction Valuation: $65,000.00
"�
Building Permit Fee :
$440.00
I ecord Ma�
Permit Issuing Fee:
Fee:
$0.0Q1
$0.00
Dr age P Fee
Investigation
Building Green Fee.
$3 00
r �p
Dr ge n Check
Plan Dept Plan Check:
$0.00
Gra sultan
Building Dep Plan Check:
Building PC Investigation :
$396.00Ti
$0.00
., ,g±?
Atl�l itional Feet/ ,�
Plan check Ext. Fee :
$0.00''..=
'w�^,�-=y
WQ Compliance Insp Fee:
$0.00
#' x:
TOTAL FEE : $1,287.00'
g�-�3
PROCESSED BY:
/
r p r 5 W
ZONING APPROVAL:
POOLPermit : S2022-0147
Project No : 1636-2022
Inspection Requests Phone (949)644-3255
Plan Check N& 1636- 22
Code Edit:Q`0 2p.
0 _
r7" Architect:
Address:
- \ R) Phone:
Engineer: BIEDEN CHRI
Wy. Address: 120 IN
/ xQ AN CA 92807
Phone: 7 - 0-6100
ihoh-'Insuranr:,•, ' Specialis
-7 .�.= .t, a i,.� ♦_.-
,,CJ p
051
�MS � fi 34
0 r Quality---
�. Buildin ept Ina n Fee:
�'. ,r $237.00 W uality ep nsp Fee:
$199.00 B ing De W, Plan Check:
$0.00?' Others
r� f�
.z
$0.00
$0,00
$0.00
$0,00
$0.00
1y' Fee Due at Permit Issuance : $692.00
CHECKED BY:: Y 6 L I
APPROVALTO
PERMIT EXPIRES 180 DAYS AF,TERASUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Licer,JL Law for
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit tgYconstruct,
the permit to file a signed statement that he or she is licensed pursuant to the provisions of)fie Contract)
Professions Code) or that he or she is exempt from Iicensure and the basis for the allegedxemption. Ai
not more than five hundred dollars ($500). ,(
I, as owner of the property, or my employees with wages as their sole compensation, wid do U all of QN
and Professions Code: The Contractors' State. License Law does not apply to an ownelyof property wVXQ
improvements are not intended or offered for sale. If, however, the building or impro _ mentA-sold�bRhl
improved for the purpose of sale). //��,,
El 1, as owns. -of the property, am exclusively contracting with licensed Contracto to co ructi pro'
apply to an owner of property who builds or improves thereon, and who contracts r the.6rbjectEi�aith a I
Eli am exempt+rom Iicensure under the Contractors' State License Law fort follow
t'4g rea@p:
By my signature below I acknowledge that, except for my personal residence i whi- 11- e re,si
se'.I a structure that I have built as an owner -builder if it has not been construe ad in dj`Ibntir y lice�'ie
Professions Coc'e, 's available upon request when this application is submittd or aRhe fojle mg W s
5ionan,re of Pi oon.rN Owner or Authorized Agent `/
LICENSED CONTRACTOR'S DECLARATION
le eas indicated below by the checkmark(s) I have placed next to the applicable item(s)
Po'lation
mprove; llsh 'ot xepairony structure, prior to its issuance, also requires the applicantfor
ate Lic nse L hapfer 9(commencing with Section 7000) of Division 3 of the Business and
I Section 70 any applicant for a permit subjects the applicant to a civil penalty of
J 1201 N TUS - ❑
portio of the work, and the structu not intended or offered for sale (Section 7044, Business
vough mployees' or personal effort, buil proves the property, provided that the
one y ar of completion, the Owner -Builder will h he burden of proving that it was not built or
ct action 7044, Business and P1 r ssions Code: T e Ct+tors' State License Law does not
e sed Contractor pursuant to tholpntractors' Stat Lic Law).
for at least one year prior to a" 7 llletioIT of the i Jr/ covered by this permit, I cannot legal
I contractors. I understand thopy of the ap liection 7044 of the Business and
http://www.leginfo.ca.gob(gylaW. �1.
�� ''3 7� Date
I `,�,edv affirm o�id.,l penalty of perjury that I am licensed under provisio of Chapter 9 (commencing with Section
=11 =•fact. License Class License N Date
7JORKERS' COMPENSATION DECLARATION A,
NARNING: FAILURc TO 3ECURE WORKERS' COMPENSATION COVERAGE IS ON LA FUL, AND HAI-Au TIE
COST OF, COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TH, LABOR C DE, INXEREST
hereby affirm under penalty of perjury one of the following declar ions:
❑ I haveand will maintain a certificate of consent to self -in re for rker `'cam
performance of the work for which this permit is issued. Policy o.
have and will maintain workers' compensation insuranc I
as
insurance carrier and policy number are: ,
me of Agent
certify that, in the performance of the work for whit
t, if I should become subject to R'compenature of Applicant 6CLARATION REGARDI CON6reby affirm under penalty of perj ry th
ider's Name
my signature below, I certify to each of theIowini,
I am the property owner Or authorized to to
tMe
I have read this application and the mfor atio r
I agree to comply with all applicable city`and co'Bf11
1 authorize representatives of this city en.GR.yl my to
DATE I BY
IVIFSIotn" _llp diffin
CT AN EMPLOYER 1 O CRIMINAL PENALTID CI1i16 FINES UP
ANOATTORNEY'S FEES. s,q U
k
sation sued by the Director )MdU&al Re /,ns
Fes..
the'Labor Code, for the performance o:
b P
any person in any manner so as etc
Labor Code, forthwith c with
,
ns uction ing ency fitMe' ormance of rk for whicl
Lends-. Address > , `
)ropety s DenaR. --
re p vided „� rect. v;�
or ;as stat _ relating to buildi strr ion.
nth de fi 6111i for insoe iol ),r ses.
1403 `
SUBMITTED
LI WITH CODE OF#EDERA6 I FO
61 E40 ANgp RULE ,
PERMIT CANCELLED I LJEPA �
PERMIT EXTENDED I LIAQMD :.,a
POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICA61!E',J,9
INSTALLED PROPOSED DEMOLITION„? Z/ 101" ,
ONLY
full force
THOUSAND DOI:CARS ($100,000), IN ADDITION TO THE
for by Section 3700 of the Labor Code, for
which this permit is issued. My workers'
bject to the workers' compensation laws of California, and agre
provisions.
Date
(Section 3097, Civil Code).
Dye —7
FINAL