HomeMy WebLinkAboutS2021-0024 - PermitsCity Newport
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Permit Counter Phone (949)644-3288
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Job Address: 213 VIA KORON Floor: Suite:
Description of Work:SFR 70 sf SPA w/ DRAINAGE
Inspector Area: 2
Legal Description: TR 907 LOT 677(ANO SWLY1/2 LOT 676
Owner: STEINMANN CHARLES P
Address: 213 VIA KORON
NEWPORT BEACH, CA
Phone
Applicant: WRIGHT JC
Address: 833 DOVER DR UNIT 7
NEWPORT BEACH CA 92663
Phone: 949-795-0648
Bldg: 1
Plan Check No: 0158-2021
Code Edit: 2019
Contractor:
INSTANT POOLSCAPES
Address:
833 DOVER DR #24
Water Quality ---
NEWPORT BEACH CA 92663
Phone:
" 949.795-0648
Con State Lic:
1009644
Lic Expire:
12/31/2021
Bus Lic:
BT30053469
Lic Exp Date:
1213112021
Building Rear: Worker's Compensation Insurance
Setbacks: Front: 0 AND 4 Carrier: WC EXEMPT
Left: 4 Policy No: (NO EMPLOYEES)
Right: 4 Expiration:
FEES
Construction Valuation: $30,000.00
POOLPermit : S2021-0024
Project No: 0158-2021
Inspection Requests Phone (949)644-3255
Architect:
Address: (�
Phone: �ggrr,���,yywlS oL�ic`'
Engineer: HIED�t ¢HtiISTOPHER
Address: pe1$4) IN
0! 2607
6100 92807
714-630-6100
Special Conditions:: Pt"
°
Issued Date: 02/1012021
9
Building Permit Fee :
$430.00
Record Management:
$4.00
Water Quality ---
Permit Issuing Fee:
$0.00
-
Building Dept Inspection Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee :
$232.00
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 Plan Check:
$387.00
$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 : $1,055.00 -.
Plan Check Fee :
$0.00 at Permit Issuance:
$1,055.00
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PROCESSED BY:
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PLAN CHECKED BY:: vim,
ZONING APPROVAL:
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APPROVAL TO ISSUE:
° .,PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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(;)
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 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 H
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, Business
nd 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).
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 legall]
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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000of Division 3 of the Business and ions Code, a my license is in full DICE
nd effect. License Class License No Date --z t Contractor Signature
VORKERS' 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 HUNG ED THOUSAND DOLLARS ($100,000), IN A (TION 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:
7 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 th
erformance of the work for which this permit is issued. Policy No.
11 have 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' compensatio
isuranpe-parrier and policy number are:
Policy Number
Agent
Date
0;;; in the performance of the work ecomes c to the workerslicant REG D NG CONnder penally ofp Nry-EtratthaLender'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 or ' and state laws relating to building construction.
I authorize representatives of this city or countytoter the above -i Ei 'ed property for inspection purposes. ` / _ Z —( 0 — Z
mature of Prooertv Owner or Authorized AGent / Print Property Owners or Authorized Agent's Name X \C LJ\ V�� Date _
ACTION DATE BY DECLARATI WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R IONSPART61OFTITLE 40ANDAQMDRULE A{jes&redaswhi,iets8
1403 gates &fences which serve
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO .' • �atrier, $hat bb in dace
PERMITCANCELLED UEPA7ic' t apdreyal to ftl
PERMIT EXTENDED QMD • •• ':.ollspa & shall remElln in*
maintains for I ^�
POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE To place & be
INSTALLED PROPOSED DEMOLITION. the life Of th O 8•
• e
IGNATURE:
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