HomeMy WebLinkAboutS2019-0180 - PermitsCity of Newport Beach - Building Division I 111�111111111111p111111111111111111p11p11p11p111
100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 1 8 0
Permit Counter Phone (949)644-3288
Job Address: 2518 WAVECREST DR Floor:
Description of Work:SPA 44 SF
Inspector Area: 4
Legal Description: N TR 6113 LOT 19
Owner: ROE TROY
Address: 2518 WAVECREST DR
CORONA DEL MAR, CA 92625
Phone: 949-939.8490
Applicant: AQUA SCAPES/ELLISON PAUL
Address: 321 CALLE FELICIDAD
SAN CLEMENTE CA 92672
Phone: 949-295-4611
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type :
Construction Valuation: $20,000.00
Building Permit Fee :
$418.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$40.00
Building Dep Plan Check:
$373.00
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $827.00
PROCESSED
ZONING
Suite: Bldg:1
Plan Check No: 2528-2019
Code Edit: 2016
Contractor:
AQUA SCAPES POOLS & SPAS
Address:
321 CALLE FELICIDAD
$0.00
SAN CLEMENTE CA 92672
Phone:
949-448-7665
Con State Lic:
754729
Lic Expire:
11/30/2020
Bus Lic:
BT30069893
Lic Exp Date:
11/30/2020
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
Record Management:
Drainage Permit Fee :
Drainage Plan Check:
Grading Consultant Fee
Additional Fee:
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FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
POOLPermit : S2019-0180
Project No : 2528-2019
Inspection Requests Phone (949)644-3255
State Lic:
LACHER TODD
1201 N TUSTIN AVE
ANAHEIM CA 92807
714.630.6100 State Lic:C-067656
Special Conditions: `��!
Issued Date: 11,21,2,1) N S P E(/1, -r1 0" gp�'$► `
$6.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Dept WQ Plan Check
$0.00
Others :
$0.00
Plan Check Fee : $362.00
PLAN CHECKED BY::
APPROVALTO
.•• o00 G • o co
?e611 EXPIF'ES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
0
®9 dOD OG GO 00 000
$0.00
$0.00
$0.00
$0.00
$0.00
Due at Permit Issuance : $465.00
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
ie 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). 1201 N TUSTIN AVE
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
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
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 I 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 legally
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://www.leginfo.ca.gov/calaw.htmi.
',ignature 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 7 00) of Div' ion 3 of the Business and Prgfessio rise is In full force
nd effect. License Class License No Dale / Contractor Signature\)
YORKERS' COMPENSATION DECLARATION l/
ARNING: 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 (8100,000(, IN ADDITION TO THE
OST OF COMPENSATION, 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:
] 1 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 the
rmance of the work for which this permit is issued. Policy No.
Ihave 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' compensation
stu ante carrier and policy number are:
Policy Number
Date
lame of Agent vnone s
�I certify that, in thgrman f r or ich 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 agree
Tat, if I should becow er ' mpensation provi 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Iignature of ApplicaDat IECLARATION RE RUCTION LENDING AGENCY
hereby affirm undery that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI it Code).
ender's Name Lender's Address
ly 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 ve p ovided is correct.
I agree to comply with all applicable city and c unty ordi e n tate la lating to building construction. //
I authorize representatives of this city or cou Ey toe th ab-identi ' propert for mspectio purposes. _ / j���
l innahlre of Prnnarfv Owner or Allthori7PC An . i rint ProDertv Owner's or Authorized Aoent's N e �Y�1/1 (((/// Date
ACTION
DATE
pOF COMPLIANCE WITH CODE OF FEDERAL
BY' /) tC�CCdRAT191Q
FOR OFFICE USE ONLY
x�/� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED
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ae part of a pool•P�1 a
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prior to approval to fill
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PERMIT CANCELLEDEPA
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SIGNATURE:
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PERMITFINAL
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