HomeMy WebLinkAboutS2019-0131 - Permits0City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII P00LPermit : S2019-0131
k "00 Citic Center Drive, Newport Beach, CA 92660 5 2 0 1 9 0 1 3 1
Permit Counter Phone (949)644-3266 Project No : 1733-2019
"xaFnc��' - Inspection Requests Phone (949)644-3255
Job Address: 1615 HIGHLAND DR Floor:
Suite: Bldg: 1
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Description of Work:SFR POOL & SPA 594 SF WI DRAINAGE
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
Inspector Area;Check
Building PC Investigation :
No:
-2019
INSPECTOR
INS
WQ Compliance Insp Fee:
$0.00
Code dt
2016
`I r c
Legal Description:: N TR 3800 LOT 11
$0.00
Additional Fee :
$294.00
$0.00
Owner: CRARY NIKKI
Contractor:
LANDCRAFTERS INC
Architect:
... e
Address: 1615 HIGHLAND
Address:
29512 ANA MARIA LANE
Address:
PLAN CHECKED BY::
"es"ee
NEWPORT BEACH CA 92660
LAGUNA NIGUEL CA 92677
Phone:
Phone:
949-249-1086
Phone:
State Lig
Applicant: ELLISON PAUL
_ Con State Lic;
754071
Engineer:
BIEDENBACH CHRISTOPHER
"
Address:
Lic Expire:.
09/30/2020 -
Address:
1201 N TUSTIN
Bus Lig
BT30039467
ANAHEIM CA 92807
Phone:
Lic Exp Dater
05131/2020
Phone:
714-630.6100 State Lic:C-074003
" a
Building Rear:
Worker's Compensation Insurance
Special Conditions:
r.
Setbacks: Front:
Carrier:
EMPLOYEE SERVICE GROUP
�.
Left:
Policy No:
WC58970310
""OO
Right:
Expiration:
1 2101/2 01 9
Issued Date:
08/01/2019
Construction Type
" °p
Construction Valuation: $49,000.00
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 EM. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE: $1,692.00
PROCES
ZONING
FEES
s n
seesoo
asvee
n
Deem°
pp>eCf,
p
d m
C CIO.,
p
ppee
Record Management:
$6.00
Water Quality- --
Building Dept Inspection Fee:
'$0.00
Drainage Permit Fee:
$312.00
Water Quality Dept Insp Fee:
$0.00
Drainage Plan Check:
$312.00
Building Dept WQ Plan Check: -
$0.00
Grading Consultant Fee :
$0.00
Others:
$0.00
Additional Fee :
$294.00
$0.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance
• $1,692.00
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
r-."
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmarka) I have placed next to the app66able 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
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
I, 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
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
improved 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
apply to an owner of property who buildsor 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 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
sell 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
Professions CoiI e'Vilable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
Signature of PropekyOwner or Authorized Agent Date
:nSAED CONT0ACTOR'S DECLARATION
I`hereby affirm u'ndecpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 40 ivision 3 of the Business and Pr si s Dd a d licen a is in full force
%inti: f18pt. Liceruw Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WA114IN8yFAILURE6TAnV95RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
QOST OSCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 4le6ebg affirm undor.peaalty of perjury one of the following declarations:
❑"i'Rdve and willmaintain 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
e •mratnce of thg worltfor which this permit is issued. Policy No.
I have 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' compensation
vCj carrier pojicy number are:
Cayr� II ' Policy Number Expiration Date
Name of Agent Phone #
I certify that, in th a an a of the or for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre
that, if I should beco e s b t e rke 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/�
Signature of Applicant Date
DECLARATION REG NGC T TION LENDING AGENCY
I hereby affirm under ena ty 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).
Lender's Name Lender's Address
By 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 ve rowded' rrect.
I agree to comply with all applicable city and c Un Ina es d st s relating to building construction.
P
I authorize representatives of this city or count nter ove-i 1 led property for inspection purposes. ��ayG to
AlnnaturR of Prnnerty Owner or Authorized AGent �� Print Property Owners or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO(f��^vr'�'y
PERMIT CANCELLED - EPA t-�cJµ,(, ry-�Q�{�. 9cL'T�
PERMITEXTENDED OMD ( _ (�{�-�„� � J. �� �n� �` , ('ei- j G tLr'
POOL ALARMS �� ✓� /�% SBESTO OT IS O LE TO �/X/C•'v (J _L. (y�r� iN+rd's[ Jic r"`
INSTALLED PROP ED ON. 1�I /�V W ry
., SIGNATU ��-¢.�. riw VC, 0't
E
w v O 8 _ O m -Q O
U N C C E °c a LO U7 •C n
N Q O 7 N .c M C a N Cl)
Uoo U °-m ExEd'i a v o m m( v
_•�O m m E Lm Z 0 .�..
'6 E C G/ a cCL
y m m m a C NCL NN
ECm p of o z a t
w E .o z c l"" E >�. o CD fi
w -o O m w O 7 E m L N N O
C O oO 0 C c N fA mp. d 7 U
c o G Q 3 N N E O .� O. Eco a) -0 O
w °�-'��-3° N c m a� a ms
c°(UI-a �>, a Qj� 0 a mQ w
a r
° � O _o o¢ c m oma_ v ;� a oc
a w E m 3 a Y; w 46
N = m p Eo 5' a a s m N C m C O O ac O S
LL N N U m ) 0 v! d N c � i N m C
' a- c E
S O (A 0 o j n-
xo O E ce
W m
wo vm1oapi cc Icc o= N Co a)E
aci roi� ��moa _m E o a0 Qp N°
a C ! ` 0 O N d 0 C N fl_ N
.O N m to O m N C 8 m 'DO O_ N
;O w a 0 c w pt m m m p
a. QE1cn
, N Z N C N 7 Gf + rte.. U N 2m a UO) -
0 C m O
V- Ci Z.=••' El`,'C-. N p - mn p m N W O N +'a
S O p p -, m E p C �T C a O O pC O N O
L4 d U7 C m o a L O O y N N N 8 E p ) E
rn w oc
d) a) o o E E O mB o0
O iii `o Hma 0 o c E ° O 0p o �a
�U Z E Eo � a) M CO %o . -a OL T2 r -a m 9 Q
N a 0 y 3 U) r— v c E x m � N -o$a s - a) >�m
3 �c� ��� y0 m pa o Lco �- > o a cyE
Q C .0 m D r a C m N� C t/! L N C O O C N C N >,
O m
p3 a'Oc c o o t: >a c C �.: as da ro >a
O O m O.
E'3 $ m m0�zm�n E� c�8� o a0iyc� 'oo
Q rg SIz IL 0 QcF Zti c'miiim @m JDcQ dd F r_ U) mcoi
w
Z
L- m
00 N
>
LL O
>, U
m
8
05 J
o Q
m
N
O
0
U
c
0
U
3
c
Lu
O
W
z
W
U
W
IL
W
a
W
W
Z
O
F
J
W
LL
LLI
h
Z
D
0
Y
00
M_
U
W
w
W
U
Z
O
U
W
z
0
w
LLJ
O
O
<
r
O
- M
N ti
O
~
O
W
coz
?�Z
WM
LL
O
J
J F
O
O
W y,
J
M
et a
I- M O
O
'Na'
wDz
0
LLIW
�kk
#k d F
p®
Na
®
O
Y W Ucu
m
M
WU
�'
O
U w w
4
N
OE
HQR
U
O
o
W
xm
UW
0
6�1
r
>
63
4.
N
N
co
LO
c00
of
W
_
-
LL
Cl) Z¢
w
J
LUp
u
Q
o00
0
Of
O m O
N 'C
0)
°.
W
3:0
U
a
co 0
o o
IY
w 0®
Lu
F- LLi 0 LLi
N
X
1-
�p.WD
fry
Z
M
O�LUW
2
4ZQwWg
JpaF"
_
J
m
m
O
CL
W
Z
0
Q W K
N
m
X
VO'
a Q
_
LL
m
O
2
O
O
W
W
J
Q,
o
d
0
J
W
0 L:F
0
o
U
g
ui
z
w
rn
0Q
2 p
F-
U
U-
W o
N
m
N
Q
Ln g
a Z C.L.
0
rn
O
y
W
7W CW
0)
O
(° ULL
..
r b
W W pO W
1-
Pq
M
z
WWO�v(
Z
H-
W
U
w
LO
(9
wand°
�F
w0(L�
z
omvZ
vU
Za�z
F-
w
m
p1
<.)4u
o�Uo
Q
n
g
a
o�
Z
�
X
w
m
1M:
W
M
d
c
O
0
0
z
0
w
LLJ
Q
<
o
O
U
W
coz
?�Z
J
J F
O
O
LL W
J
M
et a
ui
�U
wDz
0
¢W¢E
N
Nd
N
X
m
M
O
O
OE
O
O
0
6�1
r
W
N
W
N
co
LO
c00
of
_
-
LL
0
rn
a
NO
N
X
co
W
M
~0
0
_
m
m
O
O(V
W
0
N
m
J
VO'
_
LL
O
O
Q,
o
0
o
X
rn
0Q
O
h
N
N
E
rn
O
0
A
co
N
CO
�I
LO
V
LCL
:N
a
Z
�
W
O
E
0
aN
W
6
O
Z
U
p
..
M
lY
I'
W
6L
X
a
W
LU
a
~°f
wW
m
..
❑
Q
>
</J
Lm
z
0
W
N
,C
®
Q
®
a
W
6L1
<
4
F
C
V
W
=
W
W
Y
IL
W
t-
WW
Q'
6L°
W
ac�awawoWo®Lug
Vi
Q❑
W
Q
U
U
2
U
Ulm
U
X
w
m
1M:
W
M
d
c
O
0
0
z
w
LLJ
Q
<
o
U
W
coz
?�Z
J
J F
W
W
c2
LL W
J
M
et a
ui
�U
wDz
0
¢W¢E
C�U
Nd
O
F"
z
a
S
z
7
J
0
U
W
z
O
U
Ll
yt•;
S
u
C'� .,
c u
a)
E C°
�to
u
C a
C a
�Z0)
LuF
N
J`x�
atm
�W
CC -JW
T}0�
R�
hoz
r
O0
co
G
o
b G
N
u
C'� .,
c u
a)
E C°
C a
N
Q "
au o
G
b G
o
G E
N
�
N U
G _p
N
U
�t d
0.
� N
U 'D
LL N
G C
o N
v 'U
� D o
.D
u
_