HomeMy WebLinkAboutX2021-1411 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1411
^ft ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 4 1 1
w Project No : 1653-2020
Permit Counter Phone (949)644-3288
! Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date:
Inspection Arearea :2021
5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/03/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m.
to 6:30 p.m. and Saturday from 8:00
a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 404 DE SOLA TER NB
Description: DEMO (E) POOLISPA METHOD B
Legal Desc.: N TR 1237 LOT 125
Owner: STAUBER MARTIN
Contractor:
LUXURY HOME SERVICES
Architect:®
Address: 404 DE SOLA TER
Address:
7671 WHITNEW DR
Address:
CORONA DEL MAR, CA 92625
HUNTINGTON BEACH CA 92647
'4-q
Phone: 714-595-2329
Phone:
714.235-4403
Phone:
State Lic:
i
Applicant: LUXURY HOME SERVICES
Con State Lic:
968701
Engineer:
CORREIA WILLIAM JOHN
Address: 7671 WHITNEW DR
Lic Expire:
12/31/2021
Address:
16912 BOLSA CHICA RD #101
HUNTINGTON BEACH CA 92647
Bus Lic:
BT30075387
HUNTINGTN BEACH CA 92649
�.
Phone: 714-235.4403
Lic Exp Date:
05/31/2022
Phone:
714-840-5582 State Lic:S-002132
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
NO EMPLOYEES
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : Y
Construction Valuation: $1,000.00
Building Permit Fee: $110.00
Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00 Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management : $0.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department -
General Service
$0.00
CA Seismic Safely: $0,011
WQ Insp. Foe:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $111.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $111.00
PUuLIC WORKS'F:PFROVAL:
FLAN CHECK F3K:
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
1e 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 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
of more than five hundred dollars ($500).
7 I, 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,
lusiness 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
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).
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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION aq , e, td //
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) of D si of the Business and Pr as m icense S in full force
nd effect. License Class License No Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE 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
DST OF COMPENSATION, 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 thl
erformance of the work 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:
of Agent
if I
of
Policy Number
Date
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 agree
become sVbj ct t tlye woC9rK co*ensaty@n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dat,xe — b I - c") /
CLARATION REG/(RDlNG CONSTRUOTION .ENDING AGENCY
;reby 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
lder's Name Lender's Address
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 cou ty n s an state s relating to building construction.
I authorize representatives of this city or county t er lfk kbove I lentifi d property for inspection purposes.
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I
y-1"t
'DECLARATION 07 COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Civil Code).