The URL can be used to link to this page

Home My WebLink AboutS2021-0184 - Permitsr�w:.rk City of Newport Beach - Building Division 11111111111111111111111111111 Ili 1111111p1111�111111 o" r� 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 2 1 0 1 8 4 Permit Counter Phone (949)644-3288 rrll/`911��x Job Address: 900 NEWPORT CENTER DR Floor: Suite: Bldg: 1 Description of Work:COMM RAIN CURTAIN FOUNTAIN @ PORTE COCHERE ENTRANCE "MARRIOTT" Inspector Area: 7 Plan Check No: 2953-2021 Code Edit: 2019 Legal Description: P BK 75 PG 33 PAR 1 Owner: NEWPORT CENTER HOTEL LLC Address: 1400 NEWPORT CENTER OR #230 NEWPORT BEACH CA 92660 Phone: Applicant: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO, STE A SAN JUAN CAPISTRANO CA 92675 Phone: 9491493-9548 Building Rear: Setbacks: Front: Left: Right: Construction Type : VB Construction Valuation: $20,000.00 Building Permit Fee : $419.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $364.53 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $798.53 PROCESSED BY: ZONING APPROI Contractor: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO #A SAN JUAN CAP CA 92675 Phone: 949-493-9548 Con State Lie: 744177 Lie Expire: 12/31/2023 Bus Lie: BT97021623 Lie Exp Date: 06/30/2022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC450355509 Expiration: 10/01 /2022 FEES Architect Address: POOL -Permit: S2021-0184 Project No : 2953-2021 Inspection Requests Phone (949)644-3255 Phone: State Lie Engineer: CANFIELD JEFFREY Address: 1050 CAMPANILE NEWPORT BEACH CA 92660 Phone: 714-623-6962 State Lic:C-063595 Special Conditions Issued Date: 12/1612021 Record Management: $14.00 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 : PLAA OHIRCKED BY:: APPROVAL TO ISSUI PERMIT EXPIRES 180 DAYSF.FTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance : $434.00 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). 1050 CAMPANILE - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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, sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Profes ions e d- lice 's in fu force and effect. License Class License No Date Contractor Si natur :, l WORKERS' COMPENSATION DECLARATION Is NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 oerfo,Vnance of the work for which this permit is issued. Policy No. have and wi(`mair ain workeq;�Wpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date ame of Agent V If Phone # ]I certify that, in the performance of the ork 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 lot, if I should become subject the war is ' compens[a/Jlon provis' n of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant7iil �u g_ �O� Date DECLARATION ICTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). ender'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 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 ordinances and state laws relating to building construction. ,� /e ,� ,/,� ,{� gip/ I authorize representatives of this city or county �e above-ider)jifigdyropert for inspection purposes. afl Ivl l�/.G�i� knature of Prooertv Owner or Authorized Agent- A 7/? n sJ� Print Prooertv Owner's or Authorized Agent's Nam .S Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE - 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION FO PERMIT CANCELLED LJEPA ' PERMIT EXTENDED ❑AQMD POOLALARMS OA5BESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. .. .... _ _ i SIGNATURE: