HomeMy WebLinkAboutS2019-0130 - Permits,# City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII P001 -Permit: S2019-0130
-+ 100 Civic Center Drive, Newport Beach, CA 92660 S 2 9 1 9 8 1 3 9 Project No : 1712-2019
'+ Permit Counter Phone (949)644-3288
'�errnw Inspection Requests Phone (949)644-3255
Job Address: 1226 KEEL DR Floor: Suite: Bldg: 1
Description of Work:NEW SPA (46 SF), "CTY STD" DRAINAGE
Inspector Area: 4
Legal Description: N TR 6634 LOT 55
Owner: TIPTON WILLIAM
Address: 1226 KEEL DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: INSTANT POOLSCAPES.
Address: 28562 OSO PARKWAY #D243
RSM CA 92688
Phone: 949-795.0648
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Valuation: $40,000.00
Building Permit Fee: $405.00
Permit Issuing Fee:
$0.00
Investigation Fee:.
$0.00
Building Green Fee:
$2.00
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: $1,692.00
PROCESSED BY:
ZONING
Plan Check No: 1712.2019
Code Edit: 2016
Contractor:
INSTANT POOLSCAPES
Address:
28562 OSO PARKWAY #D243
Address:
RSM CA 92688
Phone:
949-795-0648
Con State Lic:
1009644
Lic Expire:
1213112019
Bus Lic:
BT30053469
Lic Exp Date:
12131/2019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
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:
INSPECTOR
Phone:
State Lic:
Engineer:
BIEDENBACH CHRISTOPHER
Address:
1201 N TUSTIN o
Water Quality Dept Insp Fee:
ANAHEIM CA 92807 o e m o
Phone:
714.630-6100 State Lic:C-074003 eom
m v
Special Conditions:
oe
emmem
Issued Date: 07/31/2019 ° m
com°om
0
$0.00 Fee Due at Permit Issuance
PLAN CHECKED BY::
APPROVALTO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Q°
aemoc
o°�mm
0
O
U O
oo°omc
D
nemm�
Om0®UO
Water Quality---
o ¢•
°""••
Building. Dept Inspection Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Dept WQ Plan Check:
$0.00
Others:
$0.00
$0.00
$0.00 Fee Due at Permit Issuance
PLAN CHECKED BY::
APPROVALTO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Q°
aemoc
o°�mm
0
O
U O
oo°omc
D
nemm�
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
to 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). 1201 N TUSTIN ❑
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 offered for sale (Section 7044, Business
nd 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
nproved for the purposeof 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
poly 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:
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 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.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Soktion 7 ✓ I Ion f the gisiness d my license is in full force
nd effect. License Class License No ate C,�(r`actor Ignature
VORKERS' COMG€NSATION DECLARATION
00
'ARNING: FAILURE TO.SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF TOMPENSPTION �ot1MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h�•ereby affirm u=ider penalty of perjury one of the following declarations:
•r 61ri wI •maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tt
Erf nce of toe wojk for which this permit is issued. Policy No.
41ave.and will•maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
urailbe carrier and policy number are:
Agent
to
t of Ayc.arR =
work
Policy Number Expiration Date
I notemploy. any person in any manner so as to become subject to the workers' compensation laws of California, and agree
3700 of the Labor Code, I shall forthwith comply with those provisions.
areby affirm under penwof perjury that there is a construction g-at,Jf:ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name ( Lender's Address
my signature below, I ce o e following:
I am the property owner or authorized to act o propertyo ner's half.
I have read this application and the inform on I have provided is corre I.
I agree to comply with all applicable cit nd county ordinances and to laws relating to building construction. -
I authorize representatives of this city r county to ante ''�—�^^r
nature of ProDertv Owner or Authorize Print Property
0y
ACTIONI DATE BV__ WITH CODE OF REGULATIONS PA TO61O TIIT E 40 AND AQMD RULERAL I FOR
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
NOTIFICATION IS NOTAPPLICABLE TO
INSTALLED��SIGNAT R DEMOLITION,
�J ,�r SIGNATURE:
PERMIT FINAL
Name J& Vv f"
E
r
00$ O
(p v N
N U
W y N
U o N
s
E
�m Q
E
D-0
m�
C O
J O
C M
M
O M
N
yr
r
N
LL
O
0
r;
0
E
N
0.
O
CL
c
O
E
It
0
LO
m
rn
ij
T
N
LO
O
N
O
U
c
U
.>`
c
0
U
cm0
c
c
0
NO
a
-0
'00
0
-0
a
C
m
E � -0
O
U
a
U
C
a7 L
O a)
N
r
3
0o
c
Q
E0
EE 8)i
CL
v
o
CL
m @
v
am
@t0
c
a
n
C
or
E_rnL)
atea))s
Z
0
_0c.
r
3 E
0
CU
a3
@oL
�
0
Z a
E
L@
C I- aci
Y
m
a)
c
m o
U
w a)
a)
O
E
w
a a)
0 a)
E
-.N. O
@ L
> C N
a)
N
Op-
7
a) } d
E
�-0
O
Q E
O
0� 3
a
0
�E �
u
Lr -c
@
s
ar
mL
y@y
o
a
O
@
E
a)
L
LO c
-O
-C
m
L E
E 3
m0
w
O
ur
C
fn
o-0
C
O
w'
O
U) 8S
-
O
@OUv�iy
Q
@
N
C
C
a),
@
@
E
E
ac
vMn
0
E O
N a) V) @
O
N
i
m
9
a)
N
C E
a)
U
N
o
LO
m
o
0
8 E.
c
0
0
0
°
�
aa))
m
m l
@
c
L
y
v!
N O
O
N
N 7 a 0 @
-0
@
O
E
N
O
�O
-0
D
m
N
N 0
O
pE
O -
NN
L rn m
O `-°
00
r
a.
O.
CO
N c
O N
a
a
E
0
-o
co E
O
,r-
p,
9
u) E a)
a
N
c+
y
0
0
a
cvcn
c
y'o
E a)
AZ @ c
E
c
a)
a)
�
U°
o
L
0
U u
0 E r-
y
O
E_
. n
@
N
m
u)
O N
s
y
- 0
@ 0
Z ,-. @ E O
a)
L
V.
C
-0
O
O
C O
C
O
��
r ca r-
E
-0 W
dace°>Oo
Y
0
o
m
aX�
c�
c
a� E a) o
o
0o
E
n
a
v
a
L
N
N �) Q
r
ami
'�
'�
o
N
a)
N—O.
@
N
@
@@
r r O C
S0
L
c
>
O>
()
a)C)
VJ 0
U
D-
c
N
0 E c@
O
@
a
O
@@
C
@
>, @
pL0
c
m
0
7 0
4) 0 @ N
-0
a)
/O0
-0
0
T O
O
@@
E
O T
m N a) C
N
O
y
0
C
0
0
N '00
c
>
0
O
7@
L' N
a) Ca
@
CJ
0@
c
C
C
g
r
@ L
@
0
ED
a
@
@
v
`m
0 N
3Z a) a
m
gi
a)
)
00
a)
a) LO 'o @ E
m
c
E
0
00
0
o
c
a)
0
0
Q E
Z IL c n@
—
c0
J
D
a
d
d
H c
m
"= Cl)
N
LO
O
N
O
U
c
U
.>`
c
0
U
cm0
c
c