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Home My WebLink AboutX2016-4250 - Permits0�"-.Wm City of Newport Beach - Building Division *X20164250* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 2901 CAROB ST NB Description: FIREPLACE 8' HI @ REAR YARD (X20143702) Legal Desc.: N TR 5018 LOT 102 Owner: RADOVANOVIKALEX Address: 2901 CAROB ST eseeem NEWPORT BEACH, CA 92660 Phone: 714-337-4955 Applicant: KURZ WES Address: 895 DOVE ST Bus Lic: NEWPORT BEACH CA 92660 Phone: 951-805-5241 Code Edit: 2013 Type of Construction: Occupancy Group: U Added /New/Tl sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Contractor: ETHANS POOLS INC Address: 895 DOVE ST. STE 300 eseeem NEWPORT BEACH, CA 92660 Phone: 714-337-4955 Con State Lic: 998964 Lic Expire: 12131/2018 Bus Lic: BT30052307 Lic Exp Date: 01/31/2017 Worker's Compensation Insurance Carrier: SECURITY NATL INS Policy No: SWC1127183 Expire: 10/01/2017 Building Setbacks Rear: 6 Front: 20 Left: 6 Right: 6 Architect: Address: Phone: Engineer: Address: Phone: COMB Permit: X2016-4250 Project No : 2916-2016 see Issued Date: 12/21/2016mo•® eemaem meeeGO e Inspection Area :B •m•mem e e e e a o n COLLINS JEFFERY 1201 N. TUSTIN AVE ANAHEIM CA 92807 714-630-6114 State Lic:C-080733 Designer: TLL/POOL ENGINEERING Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Building Permit Fee: •edam e e eseeem eeemm • a � � +gyp e m •• 6 • • o •� m e e ��3a m o $0.00 Plan check Fee : [6a� Ly,M Fire Inspection: •m • Wd' e O9�M1i1 State Lic: oeeom. o �i e e Fair Share : COLLINS JEFFERY 1201 N. TUSTIN AVE ANAHEIM CA 92807 714-630-6114 State Lic:C-080733 Designer: TLL/POOL ENGINEERING Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714-630-6100 Special Conditions Building Permit Fee: $386.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $342.50 Additional Fee : $0.00 Plan check Fee : $37.60 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check ; $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $775.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $775.00 PROCESSED BY: VIAD PUBLIC WORKS APPROVAL: \ [' ZONING APPROVAL: I " 1� PLAN CHECK BY: GRADING APPROVAL: - YJ APPROVAL TO ISSUE: I hereby affiim untler 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 applicableitem(s) 4Se'ciiora 7031.6,9usiness 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 R9VIATfiit to file a sigrwd 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 Fr ofessyons Coi10]Cr4t0at 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 m4mare than five hundred dollars ($500). ®+I+, 9% owner of the gfoperty, 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, BuaiNass 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 ynprgltpments 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 R oVtl for the 1) po:e of sale). prl .gsowner of theopToperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply tp%n 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). IF'r I arri exemplMlin Ijpensure under the Contractors' State License Law for the following reason: By mydVnature belo*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 legally 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 C084,19 9uailable upon request when this application is submitted or at the following Web site:http://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 Sectionof Divi ion of the Business and Profess' ns Cod ,and lic r �e is in full force and effect. License Class License No Date0) Contractor Signature NORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 thr *KQrmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent ]I certify that, in the performance of the work for whi h 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 lat, if I should become subject t the worker nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dat �z-l'GI /�lici DECLARATION REGA DI G CONST N I G AGENCY hereby affirm under penalty of perjury there is a cons tion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender'sName 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. F I agree to comply with all applicable city and county ordinances andto laws relating to building construction. I authorize representatives of this city or county Io entgr the abovq-jdeied l property for inspection purposes. l i YJ of Prooertv Owner or PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF /••S�� OCCUPANCY ISSUED r .6F COMPLIANZT-OdITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED TO foP- L_IASBESTOS NOTIFICATION IS NOT APPLICABLE TO J 1 PROPOSED DEMOLITION SIGNATURE: mens or Authorized Aaent's Name FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.