The URL can be used to link to this page

Home My WebLink AboutS2019-0135 - PermitsAwa p City of Newport Beach - Building Division _ t :I Ob Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 es' sJob Address: 1215 BERKSHIRE LN Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL & SPA (432 SF), YARD DRAINAGE Inspector Area: 3 Legal Description: N. TR 3031 LOT 17. iiipiiiiiii II Plan Check No: 1747-2019 Code Edit: 2016 Owner: CLOSE DAVID & STEPHANIE Contractor: OWNERIBLDR Address: 1215 BERKSHIRE LN Address: DAVID CLOSE Plan Dept Plan Check: NEWPORT BEACH, CA 92660 Building Dep Plan Check: $361.00 Phone: 949-246-3313 Phone: 949-246-3313 Applicant: INSTANT POOLSCAPES Con State Lic: OIB Address: 28562 OSO PKWY #13243 Lic Expire: $0.00 Additional Fee: RSM CA 92675 Bus Lia $0.00 Phone: 949-795-0648 Lic Exp Date: Building Rear: Workers Compensation Insurance Setbacks: Front: Carrier: Left: Policy No: Right: Expiration: Construction Valuation: $45,000.00 Building Permit Fee : $405.00 - Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $361.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1.692.00 PROCESSED ZONING APPS POOLPermit : S2019-0135 Project No: 1747-2019 Inspection Requests Phone (949)644-3255 Architect: $6.00 .Address: Phone: Engineer: LACHER TODD Address: 1201 N TUSTIN AVE Water Quality Dept Insp Fee: ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions: $0.00 FEES Issued Date: 0810812019 State Lic: State Lic:C-067656 Record Management: $6.00 Water Quality- -- Building Dept Inspection Fee: $0.00 Drainage Permit Fee : $312.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $312.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee: $294.00 $0.00 Plan Check Fee: $294.00 PLAN CHECKED BY:: — c c o e omo oo- r PROVAL TG,SSUE: PERMIT EXPIRES 180 DAYS AFTEP, ISSUANCE OR LAST VALID INSPECTION �' o rz C4 ) ni 0 '-1 O M Fee Due at Permit Issuance : $1,398.00 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 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 ements 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 I 0 for the purpose of sale). El 1, s 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). ❑ I 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 st ted 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 th' 'cationed or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. , Signature of:Property Owner or Authorized Agent De LICENSED CONTRACTOR'S DECLARATI N I 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 and effect. License Class License No Date' Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 Jerformance 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' compensatioi rance carrier and policy number are: ler Policy Number Expiration Date ie of Agent Phone # certify that, in the performance of the w 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 agre if I should become bje the wo r mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. eture of Applicant `I AOATInM RFP Rni C NSTRI Olrt6m 1 Pmn[NP APPNCV hereby 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) ender's Name Lender's Address y 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 ordinance s to laws relating to building construction. I authorize representatives of this city or coun�ty,�"� the o ntified property for inspection purposes. J InnahlrR of PrnnRrtv Owner or Authorized ADent 75H7A/ Print Property Owner's or Authorized Agent's Named ACTION DATE BY DECLARATIOA't5F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 All re wired alarms latches PERMITEXPIRED 0 1SUBMITTED ASBFSTO$NOTIFICAiIONTO gates & fences which serve PERMITCANCELLED EPA •• • • - e as part of a pool I spa PERMIT EXTENDED QMD • s e• *• • • • . : barrier, shall be in place POOLALARMS Q f ASBESTOS NOTIFICATION IS NOT APPLICABLE TO prior to approval to fill INSTALLED PROPOSED DEMOLITION. pool/spa & Shall remain in SIGNATURE: •• ••• • • • ••• place & be maintained for PERMITFINAL •• the po I p