The URL can be used to link to this page

Home My WebLink AboutX2020-2569 - Permitsa" tUk City of Newport Beach - Building Division 3 h 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone (949)644-3288 D rG Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-2569 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 1163-2020 Issued Date : 11/0312020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412023 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: 63 WENTWORTH NB Description: SFR BLOCK WALL THIGH X 14 LF FOR POOL EQUIPMENT Legal Desc.: N TR 15409 LOT 41 1 ��® Owner: RABINOVICH NORMANIMEREDITH Contractor: VACATION POOLS INC Architect: Address: 63 WENTWORTH Address: P O BOX 10940 Address: NEWPORT BEACH, CA 92660 INDIO CA 92202 Phone: 6461267-1793 Phone: 760/775-0468 Phone: State Lic: Applicant: VACATION POOLS Con State Lic: 856835 Engineer: Address: P.O. BOX 10940 - Lic Expire: 0413012021 Address: INDIO CA 92202 Bus Lic: BT30072304 Phone: 7601775-0468 Lic Exp Date: 0613012021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: PREFERRED PROFESSIONAL Address: Occupancy Group: U Policy No: ON0966101 Added /New sq.ft. Bldg: 0 Expire: 04101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5 Special Conditions: No of Units : 0 Front: 15 Bldg Height: 0 Left: 5 Bldg Sprinklers: - Right: 5 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N _ Construction Valuation: $800.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $95.70 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 : $2.00 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 Safety: $0.00 WQ Insp. Fee: $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 %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $208.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $208.70 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 reasons) indicated below by the checkmark(s) 1 have placed next to the applicable items) (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 L 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 Licari a Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: I,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 improvem its ered by this permit, I cannot legal '.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 la action 44 of the Business and Professions Code, is aveilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ,Signature of Property 6wner or Authorized Agent Date LLCFNScD CONTRACTOR'S DECLARATION I hereby :.ffirm ul,Lz, rrel,alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of 'vision 3 of the Busi nd Prof sio s Code d y license is in full force ant effect License Class License No Date 12 Contractor Signatur WORKERS' COMPENSATION DECLARATION V � It l I - WARNING. FAILURE'.0 Si 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 CUMPENSAT,ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: kiy7eand will maintaina 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 thece of the work f rwhich this permit is issued. Policy No.and wil, ma,ntbi 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' compensatior carrier and polic number are: Car. -_ Policy Number Expiration Date Name of Agent Phone # ❑l certify that, in the p rf ante of a wo for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'///compensation I s of California, and agree that, if I should beco act to orker 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �' Signature of Apptic DE DECLARATION REG 1 TI I AGENCY I hereby affirm under penalty of perjury t ere is a con ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr F y owne behalf. I have read this application and the information I have ovide ' c mact. I agree to comply with all applicable city and count or i ant and fate law elating to building construction. �I I authorize representatives of this city or count ant -i Fitified party for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Da[ J ACTION DATE BY 7.7 DEC MPLIAN WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAR 1OF TI E40 AND AOMD RULE 1 PERMIT EXPIRED I SUBMI S STOS NO ICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED qM PERMITFINAL OVOUZI ASEITI I TO TION IS A LICABLE TO CERTIFICATE OF a�.rPROD OLI OCCUPANCY ISSUED srr,NAruRF