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HomeMy WebLinkAboutS2021-0024 - PermitsCity Newport Beach a h-.BuildingDivision oVic p BaIIII�III�II0III�III0I4�I II Permit Counter Phone (949)644-3288 S2u�-I -UUzy- �13 Vi 01 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 'm ® - �FeeeDDuie � PROCESSED BY: •4 • -, PLAN CHECKED BY:: vim, ZONING APPROVAL: € ° . `� c a c • a' ec —• APPROVAL TO ISSUE: ° .,PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION % .1] W O 41G 09 EOp 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: PEks _ RMITFINAL • •• iy ` {{ S OteLL y", Z fi i4IL F �ma �►MNQ o^`ll � O T ama 1V �- O u 1 T Qpm � U"" WO ��LL66p iV , �► .aq t F -m tic+ oo Cp V ,a C iR 9R 96 G. m I►a�w 0 0 S Pcai 5 a ZEL �► EZ U� N2 W W J c+iV 90w 0 LgQ� W U Nm� N C 6 S gi O a E w U IL Nix NUO FF oo '► W W ii ii W ZKW W Z m W U� ° Z" �= g'�F 1► Q UO dZ Ra d��z �► Q O a<g /►_ _ 0 /► W COa m N 2C !q Z J a c Q Z d ILI v R z Z C C7 Ix ' Y� m H= az z rc j a W >W G'W O^ V W VV zVoFWF F fA O w Lu O UiLL�W Q W n V gt Ir 0 CL W ImQVQ t.1WgV W V Z -j 2 1- W and 4�4V �F V 0)Q D N ..] z Z Z O za N CD > Z O a N y Q W F v Z a W Z F z �u Oo LL 3 m U W CJ s U) CL Z >-Z OZ a' O _j F W W x U FLL- W =� y p O U Q L LU X sitCL F- U W 0 elQl Z Lu It Nom. z U S o a O 3 Y T J U O z Z U G U>5 c W dz W c � n wW LU W F Y g N �j m d O Yg 0 o o INX �O�E N r = LL ��XXj FFF Q� N N a0 N ^ vj S x m V N c pp C4 N N coO — LL Ak i � I] w o z � z x U a V L = ~_ 4 O Se 5 Z o iii yo`�=rc�® z Z Z O za N CD > Z O a N y Q W F v Z a W Z F z �u Oo LL 3 m U W CJ s U) CL Z >-Z OZ a' O _j F W W x U FLL- W =� y p O U Q L LU X sitCL F- U W 0 elQl Z Lu It Nom. z U S o a O 3 Y T J U O z Z U G U>5 c W dz W c � n wW LU W F Y g N �j m d O Yg