The URL can be used to link to this page

Home My WebLink AboutS2022-0081 - Permitst City of Newport Beach - Building Division I 111�11111111p1111111111111111111111p111p11111111111 il 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 2 0 0 8 1 Permit Counter Phone (949)644-3288 { ay�t Job Address: 1718 IRVINE AVE Floor: Suite: Bldg:1 Description of Work:SFR REMODEL (E) POOLISPA W/YARD DRAINAGE (CHANGE OF CONTRACTOR) Inspector Area: 3 Legal Description: N TR 3082 LOT 10 Owner: MAJESTIC CASSIE Address: 1718 IRVINE AVE NEWPORT BEACH, CA 92660 Phone: Applicant: HOLDER AARON Address: 3939 E BETHANY WY ONTARIO CA Phone: Building Rear: Setbacks: Front: Left: Right: Construction Type : VB Plan Check No: 0949-2021 Code Edit: 2019 Contractor: YORBA RIDGE CONSTRUCTION Address: 20470 VIA TALAVERA YORBA LINDA CA 92887 Phone: 714-420-7926 Con State Lic: 642515 Lic Expire: 04/30/2022 Bus Lic: BT30075335 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expiration: FEES Construction Valuation: $0.00 Building Permit Fee : $0.00 Record Management: $0.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee : $0.00 Building Green Fee: $0.00 Drainage Plan Check: $0.00 Plan Dept Plan Check: $0.00 Grading Consultant Fee : $0.00 Building Dep Plan Check: $0.00 BuildingPCInvestigation: $0.00 Additional Fee: $38.00 Plan check Ext. Fee: $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $38.00 Plan Check Fee : PROCESSED BY: ZONING Architect: Address: Phone: POOLPermit : S2022-0081 Project No: 0949-2021 Inspection Requests Phone (949)644-3255 �4,� a� °o•••° •°•• State Lic: • ° ° ° Engineer: LACHER TODD Address: 1201 N TUSTIN AVE ° ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-067656 ®• • • Special Conditions: •• • • .• Issued Date: 04/05/2022 Water Quality- -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others $0.00 $0.00 PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : $38.00 • 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 the 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 Professions 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 not more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throw improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, apply to an owner gfyroperty who builds or improves thereon, and who contracts for the projects with a licensed Contra( I am exempLfiwii licensure under the Contractors' State License Law for the following reason: By my Signaturg blow I acknowledge that, except for my personal residence in which I must have resided for at least or Gel a structure th N have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I PfofeSsions Code, Is available upon request when this application is submitted or at the following Web site: http://Ww .le Siglteldhe of Propgrty Owner or Authorized Agent LJCENSED CORTRe.CTOR'S DECLARATION i hereby, affirm u11ECl"penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �06f and e%ct. Lioecee Class License No Date W(50RK£RS' i N4PENSATION DECLARATION ..... WARNING: FAILURE TOTI SECURE WORKERS' COMPENSATION COVERAGE IS THE LABOR AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEI EC1IbFOMPENs®TIOIy QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ggcje? ponalty of perjury one of the following declarations: -have and vdll maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire rfbMance ofl"itor% for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for urance carrier and policy number are: Policy Number of Agent 0 the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year that a copy of the applicable law, Section 7044 of the Business and Icalaw.html. Date 3pf the Business and Pr es Co e, ands license is in full force ,d Contractor Signatu 7lt 4 AND CIVIL FINES UP TO ONE HUNq'RED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date artily that, in the e r ance 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 agre at, if I should beco bj tn.th workers' compensation provisions of Section 3700 of the Labor Code, I shall forth ith comply with those provisions. �S Signature of Applicant Dat �-1 DECLARATION REG D N TRUCTION LENDING AGENCY I hereby affirm under i1enalty o that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. vl1 Code). Lender's Name Lender's Address By 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 cou, ty o din es and state laws relating to building construction. I authorize representatives of this city or county to ter t o enti " property for inspection purposes. �S -.3a Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date ACTION DATE BY Y DEC ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLPII required aiaTMS,IatChes REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE gates & fences which Serve 1403 as part of a pool ! s a PERMIT EXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO arrler,5 a be in place prior to approval to fill pool/spa & shall remain in PERMITCANCELLED EPA PERMIT EXTENDED AQMD place & be maintained for th }f+2 r; 5 POOL ALARMS INSTALLED SBESTOS NOT ATION IS NOTAPPLICABLE TO IT ON x SIGNATURE: