HomeMy WebLinkAboutS2019-0124 - PermitsCity of Newport Beach Building Division
100 Civic Center Drive, Newport Beach,CA 92660
r - Permit Counter Phone (949)644-3288
cue kFnii�ti�
Job Address: 1836 PORT SHEFFIELD PL Floor:
..Description of Work:SFR NEW POOL/SPA 280 SF
Inspector Area: 4
Legal Description: N TR 6620 LOT 7
Owner: PORT SHEFFIELD 1836 TRUST
Address: 1836 PORT SHEFFIELD PIL
NEWPORT BEACH, CA 92660
Phone:
Applicant: ADAMITONY VALENTINE CONST
Address: 2435E COAST HWY STEZ
CORONA, CA 92625
Phone: 949-723.6449
Building Rear:
Setbacks: Front:
Left:
Right:
.onmiucuou
Construction Valuation: $55,000.00
Suite: Bldg:1
*S2019-0124*
Plan Check No: 1636-2019
Code Edit: 2016
Contractor: TONY VALENTINE CONST INC
Address:
2435 E COAST HWY #2
Record Management:
CORONA DEL MAR CA 92625
Phone:
949-723-6449
Con State Lie:
467553
Lie Expire:
04/30/2020.
Bus Lic:
BT00021099
Lie Exp Date:
02/28/2020
Workers Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1794693.
Expiration: 07/01/2020
FEES
P001 -Permit: S2019-0124
Project No: 1636-2019
Inspection Requests Phone(949)644-3255
INSPECTOR
Building Permit Fee :
$405.00
Record Management:
$10.00
Architect:
...... oeoo
$0.00
Address:...
a -
m °
eeean
Investigation Fee:
$0.00
a o
0 0
Phone:
State Lie:
eo-
e
• °
e
Engineer:
LACHER TODD
Building Dept WQ Plan Check:
ee ,.
Address:
1201 NTUSTIN AVE
Grading Consultant Fee :
$0.00
Others
ANAHEIM CA 92807
e mmm
$361.00
Phone:.
714-630-6100 State Li¢C-067656
$0.00
Building PC Investigation :
$0.00
Additional Fee :
®moon
Special Conditions:
m
Plan check Ext. Fee:
$0.00
DRAINAGE W1 X2017-0167
ommoomo
o °
SUBCONTRACTOR AGREEMENT
ATTAC IED
o0omo
Issued Date:
07/25/2019
eoam•
Building Permit Fee :
$405.00
Record Management:
$10.00
Water Quality- --
. Permit Issuing Feer
$0.00
Building Dept Inspection Fee:
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee:
$0.00
Water Quality Dept Insp Fee:
$0.00
Building Green Fee:
$3.00
Drainage Plan Check:
$0.00
Building Dept WQ Plan Check:
$0.00
Plan Dept Plan Check:
.$0.00
Grading Consultant Fee :
$0.00
Others
Building Dep Plan Check:
$361.00
$0.00
Building PC Investigation :
$0.00
Additional Fee :
$294.00
$0.00
Plan check Ext. Fee:
$0.00
WQ Compliance Insp Fee:
$0.00
TOTALFEE:
Pian Check Fee : $655.00
Fee Due at Permit Issuance : $418.00
PROCESSED BY: w PLAN CHECKED BY::`�-
ZONING APPROVAL APPROVAL TO ISSUE:
/ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 belowby the checkmark(s) I have placed next to the applicable items'
fiction 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 tur
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 ofthe Business and 1
�fessions 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 ciyil penalty of
more than five hundred dollars. ($500). 1201 N TUSTIN AVE
1, 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,
siness 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
Provements 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
Proved 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
Ply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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
a structure tr2Pl9faye 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
�fessions Code,i9available upon request when this application is submitted or at the following Web site:http:/ANww.leginfo.ca.gov/calaw.htmi.
aati re of Property Owner or Authorized Agent Date
:ENSIED CbNTRACTOR'S DECLARATION
{ebSr affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the Business prid Professions ode and my license is in full force
I ditct. Lice%se Blass License No`g5ta � Q, Cont Ignatur��
3RKERS' CQfyIPgVSATION DECLARATION /�
!PIRG: FAILURE jq SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TONE NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
WOE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
sabj affirm under penalty of perjury one of the following declarations:
I TiAte and wjll majptain 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 the
formance offhen+wk forwhich this permit is issued. Policy No.
mve and will, inaintain 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'
SiTce carrieff and nfty number are:
Policy Number
of
Date
:1I certify that, in the performance of 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' compensation laws of California, and agree
hat, if I should become subject to the wwgckers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Q
31gnatuo plicant ��l ate �S r
)ECLA O REGARDIN CO STR TION LENDING AGENCY
I affirm der penalty of perjury that there is a construction 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 ordinances and state laws relating to building construction.
I authorize representatives th' ity or county to enter e -Identified property for inspection purposes. n
3ionature of Prooertv Owner or Adthorized ADent Print Propertv Owner's or Authorized Agent's a e o4l>41
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE All required alarmS,latCheS
Inns
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
a as part of a pool / spa
barrier, shall be in place
prior to approval to fill
pool/spa & shall remain
place & be maignJaWaTffor
t If pool/spa
X
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
DMD
POOL ALARMS
INSTALLED
r'• 3' Z01
NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
SIGNATU
PERMITFINAL
X20?
___
V� Q-
�� LO
1n o� F m
x zLoco
U H N
m
� x <o
WL)NM
a
as W 0
4z s
Q OF
�z50�
a A � m
C C7 X
W �Am )
�
'CC)
A�a
O O C
z
c
ISI � (D
Uo
U C)
O
u
W
Q
N N
C O L
O O O
C
21
U N O'
O.
a Co
C
l9 N
N L
EL N
w 1 C
U N
E
0
C 3 a
oU)-
_0C
cc
- U E
l9 N
L C
O O
N L
6
O
U .o m
LC
D O
O
U 7
U
a)
N tf O N
N O_ L
N L
M
oo
>N
Q � C
O_ �E O
T a'D
O
E L O
N s1 C
O O C O_
U O
R
N E n
= N L U
U p Y N
L 0)U
(n C .L-. y
y U
(Q
0 C
0'aU
v LY
c
U
N O
N
2 � N
1 N
O L
o --a
T O N
a w L
-0 Y L
N O N
3a
Cys
a O O
U
Co N
O O L_
` d 3
ao
U CC
a m Co
-o
y
m `o
L U
Y E c
L^N.
O E
O �
LL =m
0La
LU
m E
L
N N
w -
C C
V) O D Q
b Boz o n3H
78
bA
.Ln QJ U d O 'ti U y
Nuo
y ttl �Ll w
wfmZ
CIS u f H
CIS
T C o
J i • 7 w a`n. � Cl, � sy. di � y
CL
ar 3 c c� W-
N y 40 to Oxi
cc,
ani v
U
Z M N vi 5
W 6(."� `r
U Oft .Ly U 'm
Wi r-- Ua Q: Q c0 b0 C 14 ti _
O"
CD
bid v
Z
N
a
N to p0zzp
2
oo Ra
CLJ C:
m=)
Umw
Az
v
A 9N�°Gy
ff1 m G J
h
o
=ROB hMW
w
o crnm
w`E >maE C2
g0g�E �
y
03
'O
0 N y
� CY O 'v E m..Q
f c N
o c
ui
E B C 0' V 5
N O.0. -ci dG1
E ,
v m
c m
v m
c E
�O
0 C
rich >0o
Om. N<h4:
0 Vi i
CLO N m
m antero
'c cE
ff m�
30 0 c �° W
y..c..L..z
oma¢ 8 F° `w
CJ. M O Zg vi E { CL
C
8
�E m•-p�
Q UCL mu
> 1].
w-1 m EU dam_
x
c
a
rn
o c7 w I .
.�c 4- zc-w-
400 mcZ0 =E3�4
W
•W p'�y U) �.G mc
S m b Yy�.x
y N
C C .@ .p a p}
p�p8 �p
Ocb �U . 8€: �Oy O.
N 3 $g
. _. '$. b
U.
D�sp }u ri c
m .2!, 'Sm
m y L ;; } '•
c m Eo uao
mJ J
w H. E
do > d,
CK
G
c
m
zz
cn �
y
Lm� �
hy''a
�mm
N
-b m
ro �
'S, E
m
m
Nm�
Y co
N LoO
E
C4 N
6
8�0
g_
to
co
A J N
S h W
A
8R
so
@
E
o
n
0
�
mL
.coed
99
�
J
�
g
P
fl Z
U
Cl)
J
N
W O'er
W
@
N N.
t° ti to
w
O
9'0
N to p0zzp
2
oo Ra
CLJ C:
m=)
Umw
Az
v
A 9N�°Gy
ff1 m G J
h
o
=ROB hMW
w
o crnm
w`E >maE C2
g0g�E �
y
03
'O
0 N y
� CY O 'v E m..Q
f c N
o c
ui
E B C 0' V 5
N O.0. -ci dG1
E ,
v m
c m
v m
c E
�O
0 C
rich >0o
Om. N<h4:
0 Vi i
CLO N m
m antero
'c cE
ff m�
30 0 c �° W
y..c..L..z
oma¢ 8 F° `w
CJ. M O Zg vi E { CL
C
8
�E m•-p�
Q UCL mu
> 1].
w-1 m EU dam_
x
c
a
rn
o c7 w I .
.�c 4- zc-w-
400 mcZ0 =E3�4
W
•W p'�y U) �.G mc
S m b Yy�.x
y N
C C .@ .p a p}
p�p8 �p
Ocb �U . 8€: �Oy O.
N 3 $g
. _. '$. b
U.
D�sp }u ri c
m .2!, 'Sm
m y L ;; } '•
c m Eo uao
mJ J
w H. E
do > d,
CK
G
c
m
zz
cn �
y
Lm� �
hy''a
�mm
N
-b m
ro �
'S, E
m
m
Nm�
Y co
N LoO
E
C4 N
6
8�0
g_
to
co
A J N
S h W
A