HomeMy WebLinkAboutS2018-0137 - PermitsCIV of Newport Beach ; Building Division
` 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
.a
in s'
*S2018-0137*
.lob Address: 1837 PORT STIRLING PL Floor: Suite: Bldg: 1
Description of Work:SOR NEW POOL & SPA 900 SF/48 SF (DRAINAGE SHOWN ON 0739-2018)
Inspector Area: 4
Legal Description: N TR 7027 LOT 7
P001 -Permit: S2018-0137
Project No : 1842-2018
Inspection Requests Phone (949)644-3255
Plan Check No: 1842-2018
Code Edit: 2016
Owner:
MAYO FAMILY TRUST
Contractor:
SCHWARZ POOLS
Address:
1007 EMERAL BAY
Address:
PO BOX 28437
LAGUNA BEACH CA 92651
Building Permit Fee : $380.00
SANTA ANA CA 92799
Phone:
949-494-7293
Phone:
714-241-7665
Applicant:
TOMISCHWARZ POOLS
Con State Lic:
967325
Address:
3303 HARBOR BLVD
Lic Expire:
09/3012018
$0.00
COSTA MESA, CA 92626
Bus Lic:
BT30038738
Phone:
949-872-0450
Lic Exp Date:
03/31/2019
Building
Rear: 23'
Worker's Compensation
Insurance
Setbacks:
Front: 10'
Carrier:
STATE COMP
Building PC Investigation : $0.00
Left: 5'
Policy No:
9108043
$0.00
Right: 5'
Expiration:
0411812019
Construction Type
Architect:
Address:
Phone:
Engineer: LACHER TODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630-6100
Special Conditions
Issued Date: 0810212018
State Lic:
State Lic:C-067656
PROCES
ZONING
PLAN CHECKED BY::� - n
APPROVAL TO ISSUE:iy �--
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation: $40,000.00
Building Permit Fee : $380.00
Record Management:
$4.00
Water Quality ---
Permit Issuing Fee: $0.00
Building Dept Inspection Fee:
$0.00
Investigation Fee: $0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Green Fee: $2.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check: $0.00
Grading Consultant Fee :
$0.00
Others
Building Dep an Check: $338.00
$0.00
Building PC Investigation : $0.00
Additional Fee:
$0.00
$0.00
Plan check Ext. Fee: $0.00
WQ Compliance Insp Fee: $0.00
TOTAL FEE : $724.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance:
$724.00
PROCES
ZONING
PLAN CHECKED BY::� - n
APPROVAL TO ISSUE:iy �--
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)
ction 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
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 Businessand
fessions 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
more than five hundred dollars ($500). 1201 N TUSTIN AVE
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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
rovements 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
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
ly to an owner of property who builds or improves thereon, and who contracts forthe 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:
my signatijrb"Toya I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the impro
a structure0ati 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 applicat
fgt,ions Code.i5 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.html.
nature of Pr90WVOwner or Authorized Agent
:ENSED CCINTRACTOR'S DECLARATION
Toby affirm andel penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) Di ision he Business and Pro
Effect. License glass License No Date L / Contractor Signature
3RRERS' COMP€NSATION DECLARATION ,t/
'NING: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUND4
T OP COMPENAARION,,*DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rebl affirm untler penalty of perjury one of the following declarations:
nents covered by this permit, I cannot
law, Section 7044 of the Business and
license is in full force
DOLLARS ($700,000), IN ADDITION TO THE
�_PI hrivd'and-Usrnaintain 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
pgrfgrnce of the work for which this permit is issued. Policy No.
have and will%sjjlttain 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
Insu nce carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent It Phone #
❑1 certify that, in the perfo ance t work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation ISO's of California, and agre
that, if I should become s b, e orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REG D NG CO TRUC ION LENDING AGENCY
hereby affirm under ena
t,
of jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
Lender'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 the property owns 's behalf.
I have read this application and the information I h e provided i orrect.
I agree to comply with all applicable city and coun ord' - s d t e laws relating to building construction.
I authorize representatives of this city or county erg a e-idehSif�ied property for inspection purposes.
Signature of Property Owner or Authorized Agent (-'� " L� Pnnt PropertOwner's or Authorized Agent's ams �� J P'��to a ��
ACTION DATE BY DkLA06170F C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMITEXTENDED qMD
POOLALARMS BESTO F ION IS NOT APPLICABLE TO
INSTALLED / PRnpnSFn M I _
0
r
1N
O
O
M
x
a
0
�
pO
V
�••'
V
U
Ua
QOM
CL
Mda cn
.cy
N
4'"
m
00
Ww
ocl,
VI
M--1
o
x 1
ti
�j
x 0 co U
0
FOFS� OA of O
ti R vI N •'' o �•' r.
a ° [��Qpcc
r,
y R TLff ,n 01
0 00
Cd
•� vel O1 � tU y�j � (J O �-.
N
cn ca w b •r+ ,.q v�
3
0 0 N O
O N C Ki'
&=U U O
Z C ,n
O o y a� o00
cd It
d O wC
a C m ° o c
O SOL � s• v .� a y `n CL
3 N
i O O N"
fa, aj
�
O •v
C) odo 0
A
� � `� G ?� N � •rn O O 4,� i. � 0.r•
i,' r•' A. O R3 N N