HomeMy WebLinkAboutS2019-0101 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIIIIII II
'u 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 1 9 0 1 0 1
Permit Counter Phone (949)644-3288
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Job Address: 2027 ALTURA DR Floor: Suite: Bldg: 1
Description of Work:SFR YARD DRAINAGE "CTY STD" (S2019-0101)
Inspector Area: 5 Plan Check No: 1308-2019
Code Edit: 2016
Legal Description: N TR 2813 LOT 73
Owner:
MILLAR
Contractor:
INSTANT POOLSCAPES
Address:
2027 ALTURA DR
Address:
28562 OSO PARKWAY #D243
Plan Dept Plan Check:
CORONA DEL MAR, CA 92625
Building Dep Plan Check:.
RSM CA 92688
Phone:
$0.00
Phone:
949-795-0648
Applicant:
JCIINSTANT POOLSCAPES
Con State Lie:
1009644
Address:
28562 050 PKWY#D243
Lie Expire:
1213112019.
RSM CA 92688
Bus Lie:
BT30053469
Phone:
949.795.0648
Lie Exp Date:
1 213112 01 9
Building
Rear:
Worker's Compensation Insurance
Setbacks:
Front:
Carrier:
WC EXEMPT
Lek:
Policy No:
(NO EMPLOYEES)
Right:
Expiration:
Construction Valuation: $0.00
Building Permit Fee:
$0.00
Permit Issuing Fee:.
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$0.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:.
$361.00
Building PC Investigation :
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE: $1
PROCESSED BY:
ZONING APPR0%
Record Management
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee:
FEES
$6.00
$312.00
$312.00
$0.00
$294.00
Plan Check Fee :
Architect
Address:
Phone
POOLPermit : S2019-0101
Project No : 1308-2019
Inspection Requests Phone (949)544-3255
Engineer: LACHERTODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807:
Phone: 714-630.6100
Special Conditions
Issued Date: 0 6/1 012 01 9
Water Quality- --
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others :
PLAN CHECKED.
APPROVAL TO H
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
State Lie:
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Issuance:
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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
is 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
got more than five hundred dollars ($500). 1201 N TUSTIN AVE
J 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,
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
n roved for the purpose of sale).
I, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 1 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
lignature of Property Owner or Authorized Agent to
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seethe Business a d P o ns Co e, and tens is in u
nd effect. License Class License No Contractor Signa eYORKERS' COMPENSATION DECLARATIONDARNING: FAILURE]]O SC EWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSA'i1Qr� p MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
6arebyaffirm undwpenalty of perjury one of the following declarations:
•1 have and Mill 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 th
trrornlaffce of the work for which this permit is issued. Policy No.
and wWl••rpaigtRin 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
• . Y P
\cent •••• Phone#
to the
hereby affirm under qury the
ender's Name
ly my signature below, I certify to each of
I am the property owner or authorized
I have read this application and thei
I agree to comply with all applicable,
I authorize representatives of this�ity
xk or which this permit is issued, I shall not employ any person in any manner so as to become subject to the wofkg 'compensation laws of California, and ogre
tr cc ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions:
ate Ems' f 1
NCY
there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
Lender's Address
,fin the property owner's ehalf.
mation I have provided is cor ct.
and county ordinances an .3
��wlatlngi&4RUQding construction.
tauB(`Lto enter the -Identified property for ins ction purposes.
FOR OFFICE USE ONLY
1403
TITLE 40 AND AQMD RULE
PERMIT EMENDED UAQMD
POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
INSTALLED PROPOSED DEMOLITION.
1 _ SIGNATURE:
PERMIT FINAL
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