HomeMy WebLinkAboutS2021-0183 - Permits���,•r,4 City of Newport Beach - Building Division *S2021-0183*
100 Civic Center Drive, Newport Beach, CA 92660
W •�. Permit Counter Phone (949)644-3288
Job Address: 900 NEWPORT CENTER DR Floor: Suite: Bldg: 1
Description of Work:COMM NEW POOL 2500 SF & NEW SPA 149 SF "MARRIOTT"
Inspector Area: 7
Legal Description: P BK 75 PG 33 PAR 1
Plan Check No: 1862-2021
Code Edit: 2019
Owner:
NEWPORT CENTER HOTEL LLC
Contractor:
AQUATIC TECHNOLOGIES
Address:
1400 NEWPORT CENTER DR #230
Address:
32232 PASEO ADELANTO #A
NEWPORT BEACH CA 92660
SAN JUAN CAP CA 92675
Phone:
Phone:
949-493-9548
Applicant: AQUATIC TECHNOLOGIES
Con State Lic:
744177
Address:
32232 PASEO ADELANTO, STE A
Lic Expire:
1213112023
SAN JUAN CAPISTRANO CA 92675
Bus Lic:
BT97021623
Phone:
9491493-9548
Lic. Exp Date:
06/30/2022
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe :
Construction Valuation: $175,000.00
Building Permit Fee : $1,714.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$7.00
Plan Dept Plan Check:
$104.00
Building Dep Plan Check: $1,491.18
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
PROCEE
ZONING
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN
Policy No: WC450355509
Expiration: 10/01/2022
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
POOLPermit: S2021-0183
Project No : 1862-2021
Inspection Requests Phone (949)644-3255
State Lic: o "
CANFIELD JEFFREY '
1050 CAMPANILE o
NEWPORT BEACH CA 92660
714-623-6962 State Lic:C-063595 `.
Special Conditions: " ,
Issued Date: 01127/2022
Record Management:
$62.00
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: $1,491.10 Fee Due at Permit Issuance : $1,887.00
PLAN CHECKED BY:: l i
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
ie 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). 1050 CAMPANILE
as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
nproved for the purpose of sale).
I, as owner ofthe 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 pruperty who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from linensure under the Contractors' State License Law forthe following reason:
,y my signature 1,6;Gw ; 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 legally
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
rolessions Code, Is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
lipnature of Prooertv inner or Authorized Agent Date
.ICENCED CONTRACTOR'S DECLARATION
hereby affirm coder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) of Divi ion 3 of the Business and Prof ions , and y Ijc:1se is in f II force
Ind efte,t. Licerse Class License No Date �/ Contractor Signature
I/ORKERS' COMPENSATION DECLARATION
'AR'IING: FAILURE TO SE:LRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
3ST OF LOMPENSATIO.d, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;u.abr 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 IN
e(formance of the work for which this permit is issued. Policy No.
II(L4ave 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' compensatior
Isurance carrier and p licy number are'
:arrier1,lA YIC l/1 �C 1 C• CA, Policy Number Expiration Date
lame of Agent #09MOW949
I certify that, in the performance 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 agref
t, if I should bete subje t t e workers' compens rev—isi/ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1n
(nature of Applican�8/ZO,Gtda>
CLARATION REGARD( ONSTRUCTION LENDING AGENCY
=.reby 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 3097, Civil 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 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 counW ordinances and state laws relating to building construction.
I authorize representatives of this city or county ent the above- ed property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQM D
POOLALARMS
INSTALLED
BESTOS NOTIFICATION 15 NOT APPLICABLE TO
P OPO DiMOLIIIQN.
Date
PERMIT FINAL