HomeMy WebLinkAboutS2021-0111 - PermitsCity of Newport Beach - Building Division II�IIIIII IIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
II
POOLPermit : S2021-0111
,$�,•„4�
ix 100 Civic Center Drive, Newport Beach, CA 92660
Project No : 1008-2021
F ; r Permit Counter Phone (949)644-3288
P,itY )l�N,f
Inspection Requests Phone (949)644-3255
Job Address: 1720 CANDLESTICK LN Floor: Suite: Bldg: 1
Description of Work:SFR POOL REMODEURE-DESIGN & ADD SPA. 470 SF. CITY STANDARD DRAINAGE
Inspector Area: 3 Plan Check No:
1008.2021
Code Edit:
2019
Legal Description: N TR 3763 LOT 31
Owner: SHARPE IAN Contractor: AQUA SCAPES POOLS & SPAS
Architect:
Address: 1720 CANDLESTICK LN Address: 321 CALLE FELICIDAD
Address:
NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92672
Phone: Phone: 949-448-7665
Phone:
State Lic:
Applicant: ELLISON PAUL
Address: 24642 VIA RAZA
LAKE FOREST CA 92630
Phone: 949-683-9861
Building Rear:
Setbacks: Front:
Left:
Right:
Construction
Con State Lic:
754729
Lic Expire:
11/30/2022
Bus Lic:
BT30069893
Lic Exp Date:
06/30/2021
Workers Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
FEES
Construction Valuation: $40,000.00
Building Permit Fee:
$679.00
Record Management:
$6.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee :
$232.00
Building Green Fee:
$2.00
Drainage Plan Check:
$195.00
Plan Dept Plan Check:
$0.00
Grading Consultant Fee :
$0.00
Building Dep Plan Check:
$590.73
Building PC Investigation :
$0.00
Additional Fee:
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone:
714-630-6100 State Lic:C-067656
Special Conditions:
1IV.-rop
Issued Date:
INSPE
0510612021
Water Quality- —
Building Dept Inspection Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Dept WQ Plan Check:
$0.00
Others
$0.00
$0.00
II TOTAL FEE: $1 7704.73 Plan Check Fee : $0.00
PROCESSED BY: v ` PLAN CHECKED BY::.
ZONING APPROVAL: p APPROVAL TO ISSUE
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VPL.ID INSPECTION
Fee Due at Permit Issuance : $1,704.73
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 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
not more than five hundred dollars ($500). 1201 N TUSTIN AVE
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 builtor
im roved 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 licensure 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 legalh
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION ff��
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) vis n of the Business and Pro fe Sion 0 gaa my a is in full force
and effect. License Class License No Date —�LContractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
he by affirm under penalty of perjury one of the following declarations:
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 th
rmanca of the work for which this permit is issued. Policy No.
e 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' compensatiol
,an carrier and policy number are:
rner Policy Number Expiration Date
dame of Agent Phone #
:1I certify that, in the performa4thor orw ' 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
hat, if I should become subjectco nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Signature of Applicant D
)ECLARATION REGARDINN LENDING AGENCY
hereby affirm under penalty ofre is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on t operty owner's behalf.
have read this application and the informatiD hav provided is correct.
I agree to comply with all applicable city, and c unty ' nce stg ws relating to building construction.
I authorize representatives of this city or coun e r th b e-i ified property for inspection purposes. /�,✓/� '�-
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NarneV 241Z Date
ACTION DATE BY lA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403 All required alarms,latches
PERMITEXPIRED U I SUBMITTED A5BESTUS NOTIFICATION TO gates & fences which serve
PERMIT CANCELLED UEPA _ as part of a pool / spa
PERMIT EXTENDED QMD barrier, shall be in place
prior to approval to fill
POOLALARMS U ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO pool/spa & shall remain in
INSTALLED PROPOSED DEMOLITION. place & be maintained for
SIGNATURE: the Ilfe of the pool/spa
PERMIT FINAL _ _ Y o _