HomeMy WebLinkAboutS2022-0083 - Permitsraw:•r,�. City of Newport Beach - Building Division `S2022-0083*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 387 VISTA BAYA Floor: Suite: Bldg: 1
Description of Work:SFR POOL/SPA 396/66 SF W/YARD DRAINAGE
Inspector Area: 3
Plan Check No:
0953-2022
Code Edit:
2019
Legal Description: N TR 2609 LOT 15
Owner: RISCALIA DANIEL/MICH ELINE
Contractor:
SO - CAL POOLS
Architect:
Address: 387 VISTA BAYA
Address:
18223 BETONY PLACE
Address:
NEWPORT BEACH, CA 92660
SAN BERNARDINO, CA 92407
Phone:
Phone:
909-843-7172
Phone:
Applicant: SOCAL POOLS / AARON
Con State Lic:
877295
Engineer:
Address: 18223 BETONY PLACE
Lic Expire:
0513112024
Address:
SAN BERNARDINO, CA 92407
Bus Lic:
BT30065408
Phone: 909-843-7172
Lic Exp Date:
12/3112022
Phone:
Building Rear:
20
Setbacks: Front:
20
Left:
5
Right:
5
Construction
Construction Valuation: $30,000.00
Building Permit Fee : $440.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$396.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,486.75
PROCESSED BY:
ZONING APPRO'.
�P
POOLPermit : S2022-0083
Project No : 0953-2022
Inspection Requests Phone (949)644-3255
State Lic: .
BIEDENBACH CHRISTOPHER '
1201 N TUSTIN „
ANAHEIM CA 92807 ,
714.630-6100 State Lic:C-074003 ,
Worker's Compensation Insurance Special Conditions:
Carrier: EXEMPT NO EMPLOYEES
Policy No:
Expiration: Issued Date: 05/12/2022
FEES
Record Management:
$10.00
Water Quality --
Building Dept Inspection Fee:
$0.00
Drainage Permit Fee :
$237.00
Water Quality Dept Insp Fee:
$152.00
Drainage Plan Check:
$199.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Others
$0.00
Additional Fee :
$50.75
$0.00
Plan Check Fee :
$595.00 Fee Due at Permit Issuance : $891.75
PLAN CHECKED BY::
APPROVAL TO ISSUI
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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). 1201 N TUSTIN
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 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).
❑ 1 am exempt from licansure under the Contractors' State License Law for the following reason:
By 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 Iega111
s.1i a structure that' 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
Professions Cade, 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
LICENSED COR'TRACTOR'S DECLARATION
I hereby affirm under peralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof sion d , a Icense is in full force
ar,d effect. License Clacs License No Date(-T.-22 Contractor Signature'
WOIRKERS' CUMPE6'SATION DECLARATION
NARNING: FAILURE TO GECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST O' OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
, nave and will mairl ain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
perfaclunce of the wcrk jor which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subjegtAo-Me wgrkers,com3oesatyn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
re of
l �--\Z.-2Z
CLARATION REGARDIl CONSTRUCTION LENDING AGENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state I ws relating to building construction.
rt teyb v$-id I authorize representatives of this city or county to�5teproperty for inspection purposes. v n
of Property Owner or Authorized
or Authorized Aaent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY gates R fences which serve
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE as part of a pool / spa
1403 _1_„ .
L-1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED KJ A
PERMIT EMENDED qMO
POOL ALARMS AS OS NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED /$q POSED DEMOLITION---_j ------
PERMIT FINAL
prior to approval to fill
pool/spa & shall remain in
place & be maintained for
the I'fE h of/s a
X
Date S-Lz