HomeMy WebLinkAboutS2021-0200 - Permits�gWPORT City of Newport Beach IIIIIIIIIIIIIII�I�IIII�I��I������� II COMB Permit : 52021 -�20�
600i
Community Development Department -Building Division S 2 0 2 1 - 0 2 0 010CvicCemar Drive, Newport Beach, CA 92660 Plan Check No : 2019-2021
Permit Counter Phone: 949 718-1888 ( ) Issued Date : 06/08/2022
newportbeachca.gov/civic Final Date:
,yFoav1P Combination Type - Permit Status: Expired
Work Class - Other Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 4261 UPTOWN NEWPORT DR Legal Desc : N TR 17763 BLK LOT 1 UN HOLD LOT 1
Description: COMM POOL & SPA 371/74 SF @ UPTOWN NEWPORT APARTMENTS
Owner:
Address
Phone:
Applicant
Address
Phone:
Owner/Builder :
Address :
Contractor:
AQUATIC TECHNOLOGIES
Address :
32232 PASEO ADELANTO #A
SAN JUAN CAPISTRANO, CA 92675
Phone:
(949)493-9548
Con State Lic
: 744177
Lic Expire :
12/31/2023
Bus Lic :
BT97021623
Bus Lic Expire : 06/30/2023
OF TR 17763; HOLD PARCEL -FOR CONDO PROJEC
Architect:
Address: i s/
Workers' Compensation Insurance
Carrier: ZURICHAMERICAN INSURANCE COMPANY
Policy No : WC450355509
W. C. Expire : 10/1/2023
Phone:
State Lic
Engineer: CANFIELDJEFFREY
Address: 1050 CAMPANILE
NEWPORT BEACH, CA 92660
Phone: (714)623-6962
Designer:
Address:
Phone: Phone
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone:
X
Use Zone :
PC - Uptown Newport
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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).
I, as owner Of the property, or my employees with wages as their sole compensation, will do L) 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).
11, 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 1 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 legalll
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:llwww.leginfo.ca.gov/calaw.html.
{ignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
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 (S100,DOD), IN ADDITION TO THE
OMPENSATION, 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:
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.
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' compensa
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 subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Heby 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 Lenders 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.
1 agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized AGent s Name Date
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches
gates & fences which serve
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CERTIFICATE OF
PROPOSED DEMOLITION
prior to approval to fill
OCCUPANCYISSUED
SIGNATURE:
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