HomeMy WebLinkAboutS2018-0190 - Permits1� City of Newport Beach - Building Division
'T 1f10 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 2007 PORT PROVENCE PL Floor: Suite: Bldg: 1
Descripitm of Work:SFR - POOL & SPA 308 SF W/ DRAINAGE
Inspector Area: 4
Legal Description:N TR 6624 LOT 51
Owner: ST JOHN ROBERT
Address: PO BOX 7206
NEWPORT CENTER CA 92658
Phone:
Applicant: ST JOHN ROBERT
Address: PO BOX 7206
NEWPORT BEACH CA 92658
Phone: 714-319-2999
Building Rear:
Setbacks: Front:
Left:
Right:
V -B
Construction Valuation: $30,000.00
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:
PROCESSED BY:
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Plan Check No: 2523-2018
Code Edit: 2016
Contractor: OW NER/BLDR
Address: ST. JOHN ROBERT
Phone:
Con State Lic: O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expiration:
Record Management:
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee:
Architect:
Address:
Phone
13001 -Permit: S2018-0190
Project No: 2523-2018
Inspection Requests Phone (949)644-3255
Engineer: LACHER TODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630-6100
Special Conditions
Issued Date:
State Lic:
State Lic:C-067656
OWNER/BLDR ATTACHED
1110112018
$14.00
Water Quality- --
Building Dept Inspection Fee:
$312.00
Water Quality Dept Insp Fee:
$312.00
Building Dept WQ Plan Check:
$0.00
Others
$0.00
Plan Check Fee:
PLAN CHECKED BY::
APPROVALTO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee Due at Permit Issuance :
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$0.00
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OWNER -BUILDER
1 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 (tem(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
the 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
Professions 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
not 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im roved for the purpose of sale).
k
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
pp 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:
By my signature below I acknowledge that, except for y personal esidence in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legally
sell a structuredhat I +nave built as an owner -builder i it has Gib constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of a usiness and
Professions Coat,, A available upon request when t is ap is submitted or at the followin Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of PrQperty,Owner or Authorized Agent Dat % P
LTC ASED EON-PPCTOR'S DECLARATI N
thereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force
a0d.gflect. License Class License No Date Contractor Signature
INORKERS',116 lIPENSATION DECLARATION
NRPjJe1GTO S: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENNT1041DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
�%efeby affirm under penalty of perjury one of the following declarations:
L bgve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'omlance oL:VW p$k for which this permit is issued. Policy No.
here 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' compensal
IWbe carrier ancjpolicy number are:
rier Policy Number Expiration Date
ne of Agent Phone #
certify that, in the pert nuance of t work or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pen atio laws of California, and agre
I, if I should becomes b'ect to the orker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant --- Dat Ir
CLARATION REG DING CONSTRUCTION LENDING AGENCY
Ireby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
Ider's Name Lender's Address
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 provi ed is c 4rect.
1 agree to comply with all applicable city and ounty ordina es an state laws relating to building construction. /64 7/— '— ,ln /l
1 authorize representatives of this city or -eau t e -en r o Identified property for inspection purposes. ry / �d<n I/nature of ProDertv Owner or Authorized Age t 'nt Property Owner's or Authorized Agent's Na D to
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
POOLALARMS
INSTALLED
DATE
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
I SUBMITTED
APPLICABLE TO
FOR OFFICE USE ONLY
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