HomeMy WebLinkAboutS2021-0026 - Permits (3)City of Newport Beach - Building Division 11pil1111111111111111111111111111111111111111p111111
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 8 TORREY PINES LN Floor:
Description of Work:NEW SPA (110 SF)
Inspector Area: 4
Legal Description: N TR 7638 LOT 31
Owner: WILLIAM COSMO TAORMINA
Address: PO BOX 820
ANAHEIM CA 92815
Phone:
Applicant: LACHER JACK
Address: 13 POINTE SUR
LAGUNA NIGUEL CA
Phone: 949-310-8001
Building Rear:
Setbacks: Front:
Left:
Right:
Construction TVoe :
Construction Valuation:
Building Permit Fee : $430
Permit Issuing Fee:
$0
Investigation Fee:
$0
Building Green Fee:
$1
Plan Dept Plan Check:
$0
Building Dep Plan Check:
$387
Building PC Investigation :
$0
Plan check Ext. Fee :
$0
WQ Compliance Insp Fee:
$0
TOTAL FEE : $818.00
PROCESSED BY:
ZONING
Suite: Bldg:1
Plan Check No: 1727-2020
Code Edit: 2019
Contractor: CABRERA POOLS AND SPAS INC
Address: 1111 WALNUT STREET
�'�=�4195TIN'CA-92780 """"ate
Phone: 714-630-6100
Date, __ Con Stale I it AA2160 _ _
Lic Expire 08/31/2022
�us Lic 300Zr 159 .r r
te Exp Date 10 0/202
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Worker's Compensas(on Insuranikx `/
-•-- Carrier. EXEMPT NO EMPLOYEES
Policy No:�-,t�,
rums. Expiration.. -sF
Architect:
Address:
S Z1Z0 - 6�4
POOLPermit : S2020-0148
Project No : 1727-2020
Inspection Requests Phone (949)644-3255
Phone: State Lc:
AAPP1lC@0k@N, BACH CHRISTOPHER
Address: 1201 N TUSTIN ,
rl 80% 6 H 1490"6refund '
Phone: 714-630-6100 State :C-074003
CONTRACTOR AUTH kTTACHED
Issued Date: 10/29/2020
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Note.
Additional Fee: $0.00
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$0.00
Insp. initials: '��/ J
_ Fee_ ue at Permit Issuance : $0.00
PLAN CHECKED BY::
APPROVAL TO ISSUE: `✓—
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 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 ($500). 1201 N TUSTIN ❑
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from
' P r�nlr�-1 .1' efat .. f � c I>,Inyyng,
3y my signature bell
I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I
professions Code, is
Eve built as an owner -builder if it has not been constructed in its entirety by licensed ppntractor . I under tend that a copy of the applicable law, Section 7044 of the Business and
vaila�2quest when this application is submitted or at the followinD Web site:Http'.yov/calaw.html.
signature of Propert
Owner or Authorize gent Date
LICENSED CONT
CTOR'S DECLARATION (�7 Rio O ��o�•.
dh -'
hereby affirm under
ena t I a ed lr er pr$Vlsions of ChapW 9;(cominenoing with tl'on ) v 3 of floe B sin Co d my license is in full force
and effect. Livens,•
''ass License No =,:a Cont c r
IVORKERS' COM
I NS, � D = LARATICN• - -. i ho
YARNING: FAILUR3 TO SECURE WOKE RS$LOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HUND THOUSAND DOLLARS ($100,00M), IN ADDITION TO THE
:DST OF COMPENSF. ]ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES.
hereby affirm under
enalt of. perjury one of. the. following declarations: -.
I have andwillntair
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 the
jerorm'ance of thew
K for which this permit is issued. Policy No,
-1I tEve and v: ill Ina chin t�.q�tceFs F pensafion-ihsurance�' as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
gsnra�ce carrier and
olicy number are:
'rr-i^.r
Policy Number Expiration Date
(lame of Agent
�' t, in thA.
_�- _ 1 one #
an i h his e t I shall not ploy any, er s to a bject to the works 'compensation laws of California, and agree
should i,es
5rf
s do o i f ection 3700 `-Labdr ode, she fo wi h compl ith those provisions.
started
3ignature of Appli a
no work p
]ECLARATION-
T L DI G CY
hereby affirm under
n y o pe that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
-ender's Name
Lender's Address
3y my signature belo
I ertI to bAWFG Ire-Tol owing:
I am the property
Tuner or authorized to act on the propert wner's behalf. Insp. initials: _.
I have read this a
I to
li ct-
agree comply
(�
I authorize representatives of ' Ity or ounty e. a 'ad property for inspection purposes.
2A
signature of Property
Owner or rized A e Print Property Owners or Authorized A Name C/ Date
ACTION
DATE
LARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONL f
EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
13EPA
PERMIT EMENDED
LJAQmD
POOLALARMS
INSTALLED
OASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL