The URL can be used to link to this page

Home My WebLink AboutS2018-0196 - PermitsCity of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII POOLPermit : S2018-0196 J 100 Civic Center Drive, Newport Beach, CA 92660 - S 2 0 1 8 0 1 9 6 Project No: 2587-2018 g Permit Counter Phone (949)644-3268 - '"arm}%,, Inspection Requests Phone (949)644-3255 Job Address: 928 VIA LIDO NORD Floor: Suite: Bldg: 1 Setbacks: Front: Carrier: BENCHMARK INS CO Description of Work:SFR POOLISPA REMODEL (YARD DRAINAGE ON REV19.0067, X2019-0142) Right: Inspector Area: 1 Construction Tvoe : Plan Check No: .2587.2018 $0.00. Code Edit:. .2016 - Legal Description: TR 907 LOT 329 POR OF LOT(AND POR OF LOT 330 Drainage Permit Fee: .$0.00 Owner: ATKINS CRAIG Contractor: OUTDOOR CONCEPTS Architect: .Address: 928 VIA LIDO NORD Address: 28241 CROWN VALLEY PKWY, F293 Address: NEWPORT BEACH, CA 82627 Grading Consultant Fee: LAGUNA NIGUEL CA 92677 Phone: Phone: 949-363-7932 Phone: Applicant: LOU GABRIEL.. Con State Lie: 831378 Engineer: Address: 28241 CROWN VALLEY Lie Expire: 02128/2020 Address: LAGUNA NIGUEL, CA 92671 Bus Lie: BT30060506 WQ Compliance Insp Fee: Phone: - 949-295-4417 Lie Exp Date: 09130/2019 Phone: Building Rear: Worker's Compensation Insurance. Setbacks: Front: Carrier: BENCHMARK INS CO Left: Policy. No: CST5013017 Right: Expiration`. 06/1812019 Construction Tvoe : LACHERTODD. 1201 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 Special Conditions: Issued Date: Water Quality Building Dept Inspection Fee: Water Quality Dept Insp Fee: - Building Dept WQ Plan Check: Others TOTAL FEE $847.24 Plan Check Fee C $705.24 PROCESSED BY: e c ®U o P O ° E ` 'FLAIMMECKED BY:: . ZONING APPROVAL: ° e b $ �. o v ° o Fi;PPROV'AL TO ISSUE:_ coo - PERMIT EXPIRES 180 DAY,4 AFTEIrt ISStiAWCH qR LAST�YALID INSPECTION edo ea eo c o quo oo State Lie: State Lic:C-067656 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : Construction Valuation: $26,000.00 Building Permit Fee: $452.00 Record Management:. $0.00. Permit Issuing Fee: $0.00. Investigation Fee: $0.00. - Drainage Permit Fee: .$0.00 Building Green Fee: $2.00 Drainage. Plan Check: $0.00 .Plan Dept. Plan Check: $0.00 Grading Consultant Fee: $0.00 Building Dep Plan Check: $393.24 Building PC Investigation : $0.00 Additional Fee: $0.00 Plan check EM: Fee: $0.00 WQ Compliance Insp Fee: $0.00 LACHERTODD. 1201 N TUSTIN AVE ANAHEIM CA 92807 714-630-6100 Special Conditions: Issued Date: Water Quality Building Dept Inspection Fee: Water Quality Dept Insp Fee: - Building Dept WQ Plan Check: Others TOTAL FEE $847.24 Plan Check Fee C $705.24 PROCESSED BY: e c ®U o P O ° E ` 'FLAIMMECKED BY:: . ZONING APPROVAL: ° e b $ �. o v ° o Fi;PPROV'AL TO ISSUE:_ coo - PERMIT EXPIRES 180 DAY,4 AFTEIrt ISStiAWCH qR LAST�YALID INSPECTION edo ea eo c o quo oo State Lie: State Lic:C-067656 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : 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) 1 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 he 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 rrofessions 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 lot more than five hundred dollars ($500). 1201 N TUSTIN AVE I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 n roved for the purpose of sale). 1, 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 Ipply 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: - 3y 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 legally ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/A w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent #Profeio to -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00 o Diwsi n 3 of the Business and de, and my license is i full force Ind effect. License Class License No Dat Contractor SignatNORKERS' COMPENSATION DECLARATIONVARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDOLLARS ($100,0 I. IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 IN Ie ormance of the work for which this permit is issued. Policy No. have and will in ' ain 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 a po y numbers )arrier �Po' 3 bar Expiration Date Jame of Agent Phone # :1I certify that, in the perfor nce f 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' compen ation laws of California, and agree hat, if I should become bje to t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .3 �/ L Signature of Applican )ECLARATION REG NG CONSTRUCTION LEXPING AGENCY hereby affirm under p nalty of perjury that there is kPonstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address 3y 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 dl ances and state laws relating to building construction. I authorize representatives of this city or count to a ve-identified property for inspection purposes. 3i nature of Property Owner or Authorized A en Print PropertyOwner's or Authorized A ant's Nam a ACTION DATE BY DECLARATION OF COM IA CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY alawhicht REGULATIONS PART( 0 ITLE 40 AND AQMD RULE All rerlUlred erV dr fences which serve 1403 , , . , , ... ••• gates PERMIT EXPIRED 0 I SU BMITTED ASBESTOS NOTIFICATION TO • • • • ' i • • • •' as barrier, shall be in place prior to approval to fill pool/apo &shall remain in lace & be maintained for place PERMIT CANCELLED EPA ' ' " " ' ' PERMIT EXTENDED QMD POOL ALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED PROPOSED DEMOLITION. ' • "' ' ` .��( "' e Of the UsPa p the life e poo SIGNATURE: • • • ` ' ' ' X 5:Z2 u d • • • • • • • • �