HomeMy WebLinkAboutX2022-1309 - PermitsCity of Newport Beach - Building Division *X2022-1309* COMB Permit: X2022-1309
100 Civic Center Drive, flewport Beach, CA 92660 Project No : 1208-2022
Permit Counter RhbneJ949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 05/06/2022
Combination Type - BLDG
Inspection Area :`3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY
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:
1227 MARIAN LN NB
Description:
DEMO EXTG POOL (METHOD B)
Legal Desc.:
N TR 1973 LOT 41
Owner:
KLIEWER JASON & WENDI Contractor:
OWNER/BLDR Architect:��
B
Address:
316 ALISO AVE Address:
Address:
,
Phone:
NEWPORT BEACH, CA 92660
9251998-8246 Phone:
Phone:
State Lie: \.s
Applicant: KLIEWER JASON & WEND]
Address: 316 ALISO AVE
NEWPORT BEACH, CA 92660
Phone: 9251998-8246
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $6 000.00
Building Permit Fee: $178.00
Plan Check Fee: $154.86
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $333.86
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: O/B
Lie Expire:
Bus Lic:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: I
Engineer: ORELLANA FREDY
Address: 51 DEVONSHIRE
IRVINE CA 92620 „
Phone: 949.754-2826 State Lic:C-068955 ,
Designer: '
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N ,
$0.00 Planning Department- Fire Department
$0.00 Plan check Fee : $0.00 Fire Inspection: $0.00
$0.00 Fair Share : $0.00 Fire Plan Rev $0.00
$0.00 SJH Trans : $0.00 Demolition Fee
$0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00
$0.00 Public Works Department- General Service $0.00
$0.00 Park Dedication : $0.00 Refund Deposit $0.00
PAN Plan Check: $0.00 Grading Bond: $0.00
$0.00 San Dist: $0.00
$0.00 NMUSD Fee: $0.00 $0.00
$0.00 $0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $333.86
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
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).
1, as owner of the property, or my employees with wages as their sole compensation, will do i all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
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
p ved for the purpose of sale).
rI, 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
ply 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 t been constructe s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of a Business and
'rofessions Code, is available upon request when this a Ication is submitted r t o Io ng Web site:http://w .leginfo.ca.gov/calaw,html. 'Z Z
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATIO
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
4ARNING: 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 ($100,000), IN ADDITION TO THE
:DST OF COMPENSATIOii, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nelebv affirm under penalty of perjury one of the following declarations:
1 hLve and 'vill 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 thI
hrfbrmance of the work for which this permit is issued. Policy No.
�i nave and wall I,raintain 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'
,eu: cnce carrier and policy number are:
Policy Number
of Agent
Date
cert" y that, in the,.p.=rformance 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
if I should Uegome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date__
DECLARATION REGARDING CONSTRUCTION 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 3097, 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 ordina ces and state laws relating to building construction.
I authorize representatives of this city or county ent h above-' ntified property for inspection purposes.
ignature of Property Owner or Authorized ADenty Print Prooertv Owner's or Authorized Aaent's Name
DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ 15UBMITTED A5BEST05 NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
UAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
IO j0 Z3LJ
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: