HomeMy WebLinkAboutX2020-2891 - PermitsCity of Newport Beach - Building Division IIIIIIII�IIIIIII'IIIIIIIIIIIIIIIIIIIII�IIII II COMB Permit: X2020-2891
4. 100 Civic Center Drive, Newport Beach, CA 92660 II� X 2 0 2 0 2 8 9 1 Project No: 2299-2020
rw ; in Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
p"� trap 's ` Combination Type - BLDG Issued Date : 1211112020
- - Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1V1212023 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: 2707 BLUE WATER DR NB
Description: DEMO POOL (METHOD B)
Legal Desc.: TR 6385 LOT 43 AND POR OF LOT 42
Owner: LAKE SARAH
Contractor:
LONGMAN CONSTRUCTION CO INC Architect: LAIDLAW SCOTT
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Address: 10601 CALM HILL CIR
Address:
2782 CIRCLE DR Address: 3111 2ND AVE
SANTA ANA CA 92705
NEWPORT BEACH CA 92663 CORONA DEL MAR CA 92625
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Phone:
Phone:
949-722-7711
Phone: 949-645-9982 State Lic:CO21061 •
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Applicant: LONGMAN CONSTRUCTION CO
INC Con State Lic:
393881
Engineer:
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Address: 2782 CIRCLE DR
Lic Expire:
08131/2021
Address:
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NEWPORT BEACH CA 92663
Bus Lic:
BT00001921
Phone: 949-722-7711
Lic Exp Date:
03131/2021
Phone: State Lic:
...
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Code Edit: 2019
Worker's Compensation Insurance
Designer:
•
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Type of Construction:
Carrier.
STATE COMP
INS FUND Address:
Occupancy Group: U
- Policy No:
9062475
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Added /New sq.ft. Bldg: 0
Expire:
07/01/2021
Phone:
....
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Added/New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear.: I
Special Conditions:
No of Units: 0
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone: N
Construction Valuation: $2,000.00
Building Permit Fee: $110.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $95.70
Additional Fee :
$0.00
Plan check Fee : $0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $6.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $212.70
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$212.70
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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)
ction 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
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
fessions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
rovements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
ly to an ownej 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 exemflt4r'o'm' Icensure under the Contractors' State License Law for the following reason:
mar spriature beloWJ 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 legaf)
a structure Oat (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
fessions Cody, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/celaw.html.
hfjlre of Propcty Owner or Authorized Agent Date
LENSED CMTUCTOR'S DECLARATION
reby-affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of ivisi 3 o the Business and Pro s' de, an r ' ense is in full force
eVect. License Class License No Date Contractor Signatur
WERS' COMPEiVSATION DECLARATION
:NING: FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D TH USAND DOLLARS (3100,000), IN ADDITION TO THE
T 9P toMPENSI,TION�gAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reby;ffirm dhjigl•pE:lalty of perjury one of the following declarations:
Xf fl a will- It 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
jb an yyyli for which this permit is issued. Policy No.
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' compensatiol
Vance carrier and policy number are:
Trier Policy Number Expiration Date
Tm of Agent Phone #
certify that, in the pe ortnan the wo w ' h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation Is:74
fomia, and agree
t, if I should becomg ub" he wo co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican ' Da
CLARATION R I CONSTRUCTIO ENDING AGENCY
areby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Clvll 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
I have read this application and the information I he
I agree to comply with all applicable city and county,
I authorize representatives of this city or count (�0
ACTION
DATE
BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
? I
and s relating to building construction.
Ne-1 ti d property for inspection purposes.
Print Property Owners or Authorized A ent's Name; �
I OF COIKIPLIANICE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -.
i PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOy}CEALKABLE TO