HomeMy WebLinkAboutS2021-0097 - PermitsCity of Newport Beach - Building Division11111111111���111111p1�������1��p������������g1ill
r d ' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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,lob Address: 1500 IRVINE AVE Floor:
Description of Work:POOL & SPA 238 SF
Inspector Area: 3
Legal Description: N TR 1763 LOT 9
Owner: EZ PROPERTUES
Address: 1500 IRVINE AVE
NEWPORT BEACH CA 92660
Phone:
Applicant: MASTERPIECE POOLS & SPAS, INC
Address: 22343 LA PALMA AVE #104
YORBA LINDA CA 92887
Phone: 714-692-1132
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Valuation: $35,000.00
Building Permit Fee :
$430.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$387.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $829.00
PROCESSED BY: - PLAN CHECKED BY::
ZONING APPROVAL: i APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Suite: Bldg:1
Plan Check No: 0852-2021
Code Edit: 2019
P001 -Permit: S2021-0097
Project No : 0852-2021
Inspection Requests Phone (949)644-3255
I PELT
Contractor:
MASTERPIECE POOLS & SPAS INC Architect:
Address:
22343 LA PALMA STE 104
Address: -
YORBA LINDA CA 92887
Phone:
714-692.1132
Phone: State Lie:
e•e•
Con State Lie:
804110
Engineer: PASOL DAWN
• e • e
Lie Expire:
02128/2022
Address: 1411 N BATAVIA STE 208
...
Bus Lie:
BT30072007
ORANGE CA 92867
Lie Exp Date:
05/31/2021
Phone: 714-363-3585 State Lic:C-061163
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Worker's Compensation Insurance
Special Conditions:
....
Carrier:
STATE FUND
• e
Policy No:
9042868
m e m e
Expiration:
10101/2021
Issued Date: 04/20/2021
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o e
FEES
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Record Management:
$10.00
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:
Fee Due at Permit Issuance :
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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)
lection 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 tb9. 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 ),byalty of
of more than five hundred dollars ($500). 1411 N BATAVIA STE 208
13 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,
usiness 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).
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:
y 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
911 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.loginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm uruies penalty of perju at I nsad under provisions of (RpD�}, r 9 c mMtngiDe with Section 7000) of 1 ision 3 f the Business and Professions de, nd licenseis in full force
rlc gfnt. LicpgW.Class License No m b V Date (. Itontractor Signature
IJO�'R'KtRS' COMPMSATION DECLARATION
Hryvl 4FAILURE TOSECURE 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
DST COMPENS �TIDNDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
here affirm ung erpenalty of perjury one of the following declarations:
I� ve and 4p wliintain 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
w I ce of t e vtofR for which this permit is issued. Policy No.
i1a 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' compensaliol
VSIQ ¢� carrier and pWicy nuf�ber are: a
ar' r '���1 ar are
Policy Number Expiration Date
ahfe o'fAgent Phone #
�I certify that, in the pdrfog
th w orwhichthis pbrmit is issued, Ishall not employ any person in any manner so as to become subject to the workers' compensation laws ofCalifornia, and agre
rat, if I should become su k s' e�T�ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.ignature of ApplicantECLARATION REGARTRUCTION LENDING AGENCY /—
hereby affirm under pen Ity 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).
antler'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 pro arty owners behalf.
I have read this application and the information I h pro ided is correct.
I agree to comply with all applicable city and cou y ordin s nd state laws relating to building construction. 1 G'!��l
e GOLLIL •�'
I authorize representatives of this city or county t n e-identified'property for inspection purposes.
ignature of Property Owner or Authorized A e t Print Property Owner's or Authorized Agent's Name
%CTION DATE BY DECLARATI F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIREDI
SUBMITTEDA5BESTOS NOTIFICATION TO
gates & fences which serve
as part of a pool / spa
barrier, shall be in place
prior approval to fill
pshall remain I
pllaceace aa & bee maintained farr
the life oft a poollspa
PERMITCANCELLED
EPA
PERMITEXTENDED
QMD
POOLALARMS
INSTALLED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
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