HomeMy WebLinkAboutX2021-0987 - Permitswrf, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
-.{ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
gdrvRc* Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0987
Project No: 0904-2021
Issued Date : 05/1112021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511112024 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: 1978 PORT TRINITY CIR NB
Description: RETAINING WALLS FOR IN -GROUND TRAMPOLINE (INSIDE FOR PAL)
Legal Desc.: N TR 7031 LOT 11
Owner:
BINDER MARK N
Address:
1978 PORT TRINITY CIR
1222520
NEWPORT BEACH, CA 92660
Phone:
949.547-1366
Applicant:
DEVORE POOLS
Address:
PO BOX 828
Bus Lic:
SAN JUAN CAP CA 92693
Phone:
949-547-1366
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
DE VORE POOLS & SPAS
Address:
PO BOX 828
1222520
SAN JUAN CAPSTRNO CA 92693
Phone:
949.547-1366
Con State Lic:
401549
Lic Expire:
04130/2022
Bus Lic:
BT97026761
Lic Exp Date:
1113012021
2019 Worker's Compensation Insurance
VB Carrier:
STATE COMP INS
U Policy No:
1222520
0 Expire:
11/01/2021
0
CA Seismic Safety:
Building Setbacks
Rear: 10'
$0.00
Front: 20'
$0.00
Left: 5'
$1.00
Right: 5'
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$416.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,194.92
PROCESSED BY:
ZONING APPROVAL:
Architect:
Address:
Phone: State Lic
Engineer:
PETROV PLAMEN
Address:
28161 CASITAS CT
LAGUNA NIGUEL CA 92677
Phone:
714-717-7542 State Lic:C-066947
Designer:
Plan check Fee :
Address:
$0.00
Phone:
Special Conditions
Zone:N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans:
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0,00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $361.92
Fee Due at Permit Issuance:
$833.00
PT'JBLIC WORKS APP20VAL:
PLAN CHECK B9': °
GRADING APPROVAL: ° <. o ° ARPROYAL TO ISSUE:
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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
is 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).
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,
lusiness 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
n roved 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
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).
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.
signature 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 70 0) of Divi ion 3 of the Business and Profgs;jerfs�6ond my license is in fu force
nd effect. License Class License No Dat "�c Contractor Signature JJCC
VORKERS' COMPENSATION DECLARATION
)16
'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 ($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 the
erfAmance of the work for which this permit is issued. Policy No.
have and will ,main workers' n�pensation 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 carri and licv number .6re:1 r. t `l A
Expiration Date
of Agent
I 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 agree
I, if I should become subj ct to the rkers' compensation provisions of Section 7.00 -of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Z Date
CLARATION REGARPING PONSTIRUCTION LENDING AGENCY /
:reby affirmunder penal f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tder'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 rdinances and state laws relating to building construction.
I authorize representatives of this city or count ntert bove-identifiedrop erty for inspection purposes. / /�-,/
nature of Pro eed 4� /_.1%/JLirtv Owner or AuthorizAcent -Z. C. '`�RriaRRrsesrkw9wner's-or Authorized Agent's NamVl1'W1./Z-
ACTION DATE BY I'lDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED ISUBMITTEDA Sl*ft C)TIFT& IONTO
PERMIT CANCELLED UEPA
PERMIT EXTENDED LJAQMD
PERMITFINALi7 y� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCYISSUED•• �•� • • • �••
SIGNATURE: •
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