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HomeMy WebLinkAboutX2019-1417 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1417 100 Civic Center Drive, Newport Beach, CA 92660 - X 2 0 1 9 1 4 1 7 Project No : 0985-2019 Excise Tax: Permit Counter Phone (949)644-3288 a Plan Check Feer $341.04: Fire Inspection: Inspection Requests Phone (949)644-3255 $0.00 'Overtime Plan Ck: Combination Type - BLDG - : Issued Date : 05/22/2019 _ Fire Plan Rev Investigation Fee. Inspection Area : 8 Grading PC Consultant: PERMITS EXPIRE 180. DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Record Management: Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00'a.m. to 6:00 p.m, No work on Sundays or Holidays Grading Permit Fee: Job Address: 2201 -ALTA VISTA DR NB - - $0.00 - Description: SFR DEMO (E) POOLISPA "ALTERNATE. METHOD" Building Dept Adm CA Seismic Safety : Legal Desc.: N TR 4705 LOT 79 WQ Insp. Fee: Disabled Access s s $0.00 Owner WEBB CHRIS/SYDNI Contractor FUSION POOL &SPA Architect:. $0.00 Address: 2201 ALTA VISTA DR - Address: 603 SEAGLAZE DR #900. Address: �` " " `"" .Building Green Fee : 'NEWPORT BEACH, CA 92660 OCEANSIDE CA 92054 °0••. - :o Phone. Phone 760-519-0135 Phone: State Lie: °o :•m °•®°o San Dist: .TOTAL FEE: $734.04 Applicant: GODSEY ERIC Con State Lic:: 842383 Engineer: LACHER TODD $0.00. Address: 603 SEAGAZE DR #900' `. Lie Expire:. 07/31/2020 Address: 1201 N TUSTIN AVE o • o oe O. OCEANSIDE CA 92054 Bus Lie: BT30061028 ANAHEIM CA 92807 © $0.00 Phone:. 760-519-0135 Lie Exp Date: '10/31/2019 Phone: 714-630-6100 - State Lic:C-067656 $0.00. Plan Check Fee: Code Edit: 2016 Worker's Compensation Insurance Designer. m o.° • • ...... Type of Construction: Carrier: SECURITY NATIONAL INC CO Address: Occupancy Group: U Policy No: SWC1207689 c ° °oo°o0 ...Added /New sq.ft. Bldg: 0 Expire: 1 0/0112 01 9 Phone: .000 C O 0. o° Added/New sq. ft. Garage: 0 ° ooe000 No of Stories: 0 Building Setbacks Rear: 6' oo.. Special Conditions: No of Units : 0 Front: 6' Bldg Height: 0_ Left: 6' Bldg Sprinklers:. ..Right: 6' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ,$0.00 wnmiuuion vawauun. azu.uuu.uu Fire Department. Building Permit Fee: :$392.00 Excise Tax: Plan Check Feer $341.04: Fire Inspection: Additional Fee $0.00 'Overtime Plan Ck: .$0.00 Grading Bonds Fee: Fire Plan Rev Investigation Fee. $0.00 Grading PC Consultant: Record Management: $0.00 Grading Permit Fee: $0.00 Energy. Compliance:. $0.00 Grading PC Fee: Building Dept Adm CA Seismic Safety : $0.00 WQ Insp. Fee: Disabled Access $0.00 $0.00 Park Dedication : Hazardous Mat $0.00 Electrical %: $0.00 .Building Green Fee : $1.00. Mechanical %:. Grading Bond: $0.00 Plumbing %: San Dist: .TOTAL FEE: $734.04 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ,$0.00 Planning Department-. Fire Department. $0.00 .Plan check Fee: $0.00 Fire Inspection: ..$0.00 $0.00 fair Share-: $0.00. Fire Plan Rev $0.00 $0.00 SJH Trans :. $0.00 Demolltion Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00. San Dist: $0.00 $0.00. NMUSD Feer - $0.00. $0.00 .- $0.00 $0.00. Plan Check Fee: $341.04 Fee Due at Permit Issuance : $393.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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) lection 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). I am exemppt from licensure under the Contractors' State License Law for the following reason: y my signalp a be7Gw 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 Iega111 Bit a structur@lfi2t9 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. fgipisions bade, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Qropar{y Owner or Authorized Agent Date ICEVSED CONTRACTOR'S DECLARATION niareby affirm yndafpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 of the Business and /RED ionn5��de�nd-my license is in full force nd affect.. Licen9e Mass License No Date 'z �2�� - Contractor Signatd7/ JORKERS' QOMP�rF, NSATION DECLARATION AMING: FAILL15T(YSEtURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST RF COMPENSS''ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hye�reb Y affirm unser penalty of perjury one of the following declarations: Pl have and-111"aintain 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 rfQrpy3nce of the work for which this permit is issued. Policy No. have and JEiij:Uniain 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' compensatiol isuance carrier and policy number are: arrier Policy Number Expiration Date ame of Agent - Phone # ]I certify that, in the performance of the work for whit -tis 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 agre tat, if I should become bject to th orkers' cc ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. : ignature of Applicant p.�'' ZZ— Z,;,7 iECLARATIC REG RDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 301 Civil Code). Enders Name Lender's Address y 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 of this city or coup j to ante e a oGe-identified property for inspection purposes. innature of Prooertv Owner or Authorized Agent/ Print Property Owners or Authorized Agent's NaLejEX'e- �'/ ate J' Z2'ZIO/% ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. D FOR OFFICE USE ONLY PERMITEXPIRED Eli SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCQNCELLED DEPA PERMIT EXTENDED QMD PERCERTIFICATE OF. �`�`s�l OCCUPANCYISSUED NO LITOATIONI O TO PROPOS' SIGNATURE: