HomeMy WebLinkAboutS2019-0191 - PermitsCity of Newport Beach - Building Division JJllJ1II Jill
100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 0 1 9 1
Permit Counter Phone (949)644-3288
.lob Address: 1708 NEWPORT HILLS DR W Floor: Suite:
Description of Work:SFR ADD NEW SPA TO EXISTING POOL 64 SF
Inspector Area: 4
Legal Description: N TR 7032 LOT 15
Owner: WILSON KELLAN BRADSHAW
Address: 1708 NEWPORT HILLS DR W
NEWPORT BEACH, CA 92660
Phone:
Applicant: WRIGHT JC
Address: 28862 OSO PKWY #D243
RANCHO SANTA MARGARITA, CA 92688
Phone: 949.795-0648
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Valuation: $40,000.00
Bldg: 1
Plan Check No:
Code Edit:
Contractor: INSTANT POOLSCAPES
Address: 28562 OSO PARKWAY #D243
RSM CA 92688
Phone: 949.795-0648
Con State Lie:
1009644
Lie Expire:
12/3112019
Bus Lic:
BT30053469
Lie Exp Date:
12131/2019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expiration:
Building Permit Fee :
$418.00
Record Management:
Permit Issuing Fee:
$0.00
$0.00
Investigation Fee:
$0.00
Drainage Permit Fee:
Building Green Fee:
$2.00
Drainage Plan Check:
Plan Dept Plan Check:
$0.00
Grading Consultant Fee
Building Dep Plan Check:
$373.00
$0.00
$0.00
Building PC Investigation :
$0.00
Additional Fee :
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
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TOTAL FEE : $1,084.00
FEES
13001 -Permit: S2019-0191
Project No : 2707-2019
Inspection Requests Phone (949)644-3255
Issued Date: 12/10/2019
$8.00
Water Quality ---
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Building Dept Inspection Fee:
$0.00
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Water Quality Dept Insp Fee:
2707-2019
$0.00
Building Dept WQ Plan Check:
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2016
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$294.00
$0.00
$0.00
Architect:
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Address:
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Phone:
State Lie:
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Engineer:
BIEDENBACH CHRISTOPHER
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Address:
1201 NTUSTIN
ANAHEIM CA 92807
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Phone:
714.630-6100 State Lic:C-074003
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Special Conditions:
Issued Date: 12/10/2019
$8.00
Water Quality ---
Building Dept Inspection Fee:
$0.00
$0.00
Water Quality Dept Insp Fee:
$0.00
$0.00
Building Dept WQ Plan Check:
$0.00
$0.00
Others
$294.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance: $1
PLAN CHECKED BY::
APPROVALTO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
V YYIYCR'�V�wu� vrvr•-u v+• ••+•�
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 applicab!e•
(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 Pail penalty of
not more than five hundred dollars ($500). 1201 N TUSTIN
I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business
and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements ark not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for (jVU4dV of sale).
'�. j, p owner of the°prpperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
orp-llilily lio tan ojITar,&? rc perty who builds or improves'thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I.f i aPn exemlM1Tgn licensure under the Contractors' State License Law for the following reason:
[ 4 myasignature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
seRV94ructure Aha:1d4Bve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
I%sPE$SiBns C58e, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
� Pire of PrgprOtT Owner or Authorized Agent
IEENSED OQNY;RI4CTOR'S DECLARATION
J ea affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Div s}on 4� the Business and Profes . n ode, nd my licen in ce
IL
Licer;e Class License No Date l V The
Signature
11GORWRS' 6�I��hSATION DECLARATION
......
N"1j%gt40*,F'AILURE�MAECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG u/ro
DOLLARS ($100,000), IN ADDITION
$OS?OP1COMPEN 'fl 11, AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm urlP penalty of perjury one of the following declarations:
I-1 1 have 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 thi
;ormance of the work for which this permit is issued. Policy No.
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'
Iance carrier and policy number are: .
------ Date
Policy Number
ne of Agent v,,..,,".
certify that, in the perfor ance of th r which this permit is !as d. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become su ct to th orkers' c pens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionsIDS,/
_ O
nature of Applicant D
CLARATION REGA DING CONS ION LENDIN
:reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 97, 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 p 's correct.
I agree to comply with all applicable city and county Inances a d state laws �relatingilding construction.
I authorize representatives of this city or county t n r the above identified prpection purposes. L W"�Z, b�� ate
nature of Prooertv Owner or Authorized Agent at—Property, Owners or Authorized Agents/am U
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED UBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITEXTENDED I AQMD
POOLALARMS pROPO55TOS O IFICON TAPPLICABLE TO
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