HomeMy WebLinkAboutS2019-0010 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644.3288.
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Job Address: 1501 MARINERS DR Floor:
Description of Work:SFR POOLISPA 354 SF
Inspector Area: I
Legal Description: N TR 3004 LOT 38
Owner: HALL RANDALL
Address: 1221 W COAST HWY #213
NEWPORT BEACH, CA 92663
Phone:. „
Applicant: DEVON/PROMONTORY POOLS
Address: 17401 IRVINE BLVD #B
TUSTIN CA 92780
Phone: 714-606-5710
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Valuation: $40,000.00
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 EM. Fee:
$0.00
WQ Compliance Insp Fee:
N
$0.00
TOTAL FEE : $818.00
PROCESSED BY:
ZONING APPRO%
Suite:
Bldg: 1
iiiiiiip0 II
Plan Check No:. 0152-2019
Code Edit: 2016
Contractor: PROMONTORY POOLS INC
Address:
17401 IRVINE BLVD STE B
Water Quality- --
TUSTIN CA 92780
Phone:
714-993-0554
Con State Lie:
404194
Lie Expire:
03/31/2019
Bus Lie:
BT30043247
Lie Exp Date:
05/31/2019
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO. EMPLOYEES
Expiration:
FEES
Architect
Address:
Phone
12001 -Permit: S2019-0010
Project NO : 0152-2019
Inspection Requests Phone (949)644-3255
Engineer: LACHER TODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630-6100
Special Conditions
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MIA
State Lia
State Lic:C-067656
YARD DRAINAGE ON X2018-3597
Issued Date: 0111812019
Record Management:
$6.00
Water Quality- --
Building Dept Inspection Fee: '
$0.00
Drainage Permit Fee :
$0.00
Water Quality Dept Insp Fee:
- $0.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Grading Consultant Fee:
$0.00
Others
$0.00
Additional Fee :
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $818.00
oa,P4AN CHECKED BY::
OCO EE F E¢
o e a i AF PKtOVAL TO ISSUE'
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE,OFd LST VALID INSPECTION
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E, E Ei c O C C O C E
O 000 O 4 OGO OO
OV! OOE
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
he 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
Irofessions 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
iot 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved for the purpose of sale).
1, 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
Ipply 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Di is' n 3 of the Business and Prgfes fro , and my license is '' full force
Ind effect. License Class License No Date Contractor Signat Rr�'v
YORKERS' COMPENSATION DECLARATION
IARNING: 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
: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:
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
erfo_vnance of the work for which this permit is issued. Policy No.
have and will rIT�a1etain 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'
rance carrier aIT I) ev numberA rea
Date
ie of Agent �'r %-_� t �`/_ Phone #
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 sujt7eet.(,o thX4orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • e- , , r 1� 1
of
rR
rreby 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 Lender's 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.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or couuntv�s� '- eerr I" above -identified roparty for inspection purposes. � /) (� fir.,{
nature of Prooertv Owner or Authorized Ace' nfl( V 4,�/� Print Prooertv Owner's or Authorized AGent's NaAre 1/�✓�/j (.. �UIJI
ACTION
DATE
BY k -
I}ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY '
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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1403.
PERMITEXPIRED
131 SUBMITTED ASBESTOS NO_W9C'A TO
Ali required alarms.131IMIll�
gates & fences which serve
':'
PERMIT CANCELLED
-
EPA •_ ••+ '
• •• as part of a pool / spa
PERMIT EXTENDED
LJAQMD :' '
• t$aRtef, shall be in place
.' •• • .prior to approval to fill
POOLALARMS
ypyo
S
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO '
INSTALLED
PROPOSED DEMOLITION.
pool/spa & Shall remain In
SIGNATURE:.• •e ••• .
place & be maintained for
•••
PERMIT FINAL
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