HomeMy WebLinkAboutS2020-0124 - PermitsCity of Newport Beach - Building Division ��pllllllll�lll�llllllilllll�lilllllllllllllll P001-Permit : S2020-0124
a T 10C ;ivic Center Drive, Newport Beach, CA 92660 Project No: 1502-2020
E+ �+ Permit Counter Phone (949)644-3288
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i Inspection Requests Phone (949)644-3255
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Job Address: 1924 BERYL LN Floor: Suite: Bldg: 1
Description of Work:SFR POOL & SPA 385 SF WI DRAINAGE
Inspector Area: 3
Legal Description: N TR 1806 LOT 33
Owner: BRONCO NATALIE
Address: 1424 BERYL LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: MURPHEY SEAN
Address: 731 E BALL RD
ANAHEIM CA 92805
Phone: 714-724-8887
Building Rear:
Setbacks: Front:
Lek:
Right:
Construction
Construction Valuation: $36,000.00
Building Permit Fee:
$430.00
Permit Issuing Fee:
$om
Investigation Fee:
$0.00
Building Green Fee:
$2,00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$387.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE: $1
PROCESSED BY:
ZONING
Plan Check No it.1502-20n--, S v�tF
Code Ed—,�26-9 `1 ��N:`v �"J 10no/o refund
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Contractor CALIF�RNf °POOL c.% /� ehIIect v� �0
Addre�S �' '"F30 BOX 1765 2' ✓ Address
TUSTIN CA 9278
Phone �� r to 1A10 Btats Lie:
§ta%Lic fi99262 E n` 'THOI�IA NMATTHEW
Lie Expire 0513 ' '' ".,G�, re s: 12021 N TUSTIN AVE ,
BuA;lelc BT3 6465 ANAHEIM, CA 92807 -
Lie+Exp Date0313 21 j Phonei14 630 6100 State Lio:C-086051
a kers anion Insurance
�y STATE FIJtJ'
y No: 9069093 $ 8
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r8tionr 08) t/20 Issued Date: 0 2'Ug20 0
FEES
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V6
"Ilk Ff
Record Managerrnt'ter Quality--
q Buildinf
Drainage Permit Fe : $2rQ�O`7` Water
Drainage Plan Ch. ' k: $1 .00 G,
Grading Consultant*ee: $0.00 rs
Additional Fee:
y`a
Check Fee : $582.00
PLAN CHECKED BY::
APPROVALTO
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gqfion-fee
t Insp Fee: P� $i1.00
Plan C �" $0.00
$0.00
$0.00
Fy Due at Permit Issuance: $666.00
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PERMIT EKP-RES i8n DAYS AFIER ISSJANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the , Pplicable Hem(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 requ Fee 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 forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applics it to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, 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 offared.fous le (Section 7044,
Business and Professions Cade: The Contractors' State License Law does not apply to an owner M properly who, through employees' or personal elf s�aaimpfo'�Tr35}ie pro d /, provided that the
improvements are not mended ). altered for sale. If, however, the building or Improvement Is sold within one year of comPl r well have the burden of proving a. d was not bunt or
Improved for the purpose of sale). _ .. - 3 .,
11
I, as owner of the property, am exclusively contracting with licensedt" a turd the project (Section 7044, Buslne andd lo jG�' >;f�tte: The Contractors' State Lose Lew does not
apply to an owner of property who builds or im , — �"wR"o contracts for fhe ro'ed ft I' n ed Contractor pursu tbl rR ois State License Law). a1 ❑ I am exempt from Ilcensure under- a Contractors' State License Law for the follow;+ ;?A1 D � r10 I d
By my signature below I acknowledge at, except f r my personal residence I ave resided for at least one year pri0 qq NUI4 m ents covered by th_ permfl, I cannot Iegali,
sell a shucture that 1 have built as an o net-6tR"f�`I WINgs_pot onsWcted In its entirety by licensed contractors. IamderstentFLHafe copy of the applicable law, Section 7044 o 're Business and
Professions Code, is available upon r esf w en this application is submitted or at the following Web site:http:/Aw .legigfo.ca.gov/mlaw.html. Fs
Signature of Property Owner or Aumo' d Agent y
LICENSED CONTRACTOR'S DEC
I hereby affirm under penalty of perjury and effect t I a licensed 4'der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my DEE is in full force
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License Class G��J . ce as (� 992.b ZDal - 'L '[ t Contractor Slgnsturq
e s'
WORKERS' COMPENSATION DECNARNINGpgP,RA�"''-
MST OF FAILURE IN SECURE WORKERS' fAMFWN9AT0 OE Is UNLgY/Wty AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 31w I IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVrpFb FOR INA N OFTi OR CODE, INTERESr AND ATTOR
hereby affirm under penalty of perjury on
7 I have and will maintain a certificate
/
a Tminance of the work for which this pal
1[eve and will maintain workers' com,
is ofAgent _�4 j O_ 4I75�%I hL
certify that, in the performance of
if I should become ub to the
lature ofADolim., g ao
areby affirm under penalty of perjury that t
ide's Name
my signature below, I cerfify to each of th
I am the property owner or authorized to
I have read this application and the irlfor
I agree to comply with all applicable city
I authorize representatives of this city or
AC'DON
r_
PERMrTEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITRNAL
CERTIRCATEOF
OCCUPANCYISSUED
NEv S FEES. -
gi�larahpns: -> _
toas lsoInsure #�gr workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of th� La _'or Code, for
insurance, as required by Section 3700 of the Labor Code,
the
r
any pdrdon in any manner so as to become subject to the workers' compensation laws of
Labor Code, I shall forthwith comply with those pmvtsions./ I ------------
orhance of the work for which this permit
Address —_--
state laws raising to building construction.
fentified property for Inspection purposes.
BY VECLARA TION OF
FEDERALREGOLAT70NS PARriii bF77
AOMORLR E 140J.
❑ ISUMZT:EndiEFSTOSNO]iF(UTfONTO:
❑ Me,
❑ AUMD
❑ ASSESTOSNonRCA7701VLSNOTAPPLICAEFETO
PROPOSEDDEMOLIT/ON.
SIGNATURE.,
All required alarms,latches
gates & fences which serve
as part of a pool l spa
barrier, shall be in place
prior to approval to fill
poollspa & shall remain in
place & be maintained for
the life of the poollspa
I
and