HomeMy WebLinkAboutX2022-1270 - Permitscy,Hrrr4, City of Newport Beach - Building Division IIIIIIIIIIIIII IIIIIIIIIIIIIIIIII II COMB Permit: X2022-1270
�100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 2 7 0
� Project No : 1168-2022
Permit Counter Phone (949)644-3288
si t Inspection Requests Phone (949)644-3255
Issued Date : 05131/2022
Combination Type - CIP ELEC PLUM
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 850 SAN CLEMENTE DR NB
Description: COMM 3 EXTERIOR CIRCULAR FOUNTAINS W/ PLUM & ELEC
Legal Desc.: P BK 81 PG 8 PAR 2
Owner:
VIVANTE NEWPORT CENTER LLC
Address:
1 MACARTHUR PL #300
SANTA ANA CA 92707
Phone:
Applicant:
ELLISON PAUL
Address:
24642 VIA RAZA
LAKE FOREST, CA 92630
Phone:
949-683-9861
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation:
$12,500.00
Building Permit Fee:
$300.00
Plan Check Fee: $261.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0,00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor:
MISSION POOLS OF ESCONDIDO
Architect:
HARRIER DONALD
,
Address:
22600 E LAMBERT
Address:
1030 TEHAMA AVE
LAKE FOREST CA 92630
MENLO PARK CA 94025
,
Phone:
949-588-0100
Phone:
415-356-3800 State Lic:CO21353
Con State Lic:
326760
Engineer:
"
Lic Expire:
12/31/2023
Address:
Bus Lic:
BT30049245
' -
Lic Exp Date:
11/30/2022
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
'
Carrier:
TRAVELERS PROPERTY
Address:
'
Policy No:
2T280708
-
. Expire:
0410512023
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: /
Left: I
Right: /
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Grading PC Fee: -
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNJ Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$78.54
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$50.49
$0.00
TOTAL FEE: $749.03 Plan Check Fee : $313.00 Fee Due at Permit Issuance : $436.03
/7
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: v PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: (,�
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
the 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
Professions 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
not more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
I, as owner of thR 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 a:r exempt from Iicensure under the Contractors' State License Law for the following reason:
By my slgnaturr b.,low 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 cover y this permit, I cannot Iegall,,
sell a structure that I nave 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, Se n 70 4 of the Bu ' s and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
S ignWure of Ploperty Owner or Authorized Agent Date
LICSNSED CONTRACTOR'S DECLARATION
hgreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 o ivisio 3 of the Business and Prof ns Co and is se is in full force
and effact. License Class License No Dat Contractor Signatur
WORKERS' CCMPENSATION DECLARATION
'ARNING: FAILURE TO ^r SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TKOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPS, SON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herehy 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
ormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are: �1
me of Agent
I certify that, in the performan of the
t, if I should became subjec o th✓
nature of ADpIICant{��
Policy Number
'or which this permit
compensation provy
iECLARATION REGA"G CONSTRUCTION LENDING
hereby affirm under penalty ooppeerjury that there is a constl
Ender's Name
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prop
I have read this application and the information I have p
I agree to comply with all applicable city and county d
I authorize representatives of this city or countyll ter
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
ction 3700 of the Labor Code, I shall forthwith comply with those provisions. :
//�� Date J � �✓.�/+LJ
.ncy for the performaA of the work for which this permit is issued (Section 3097, Ci I Code).
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ACTION
DATE
BY
DECLARATION OF COMPUANCC'WI"
REGULATIONS PART 61 OF TITLE 40
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CERTIFICATE OF
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SIGNATURE:
building construction.
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— Print Property Owner's or Authorized Ag
CODE OF FEDERAL I FOR OFFICE USE ONLY
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