Loading...
HomeMy WebLinkAboutS2020-0023 - Permitswtr� City of Newport Beach - Building Division *S2020-0023* u 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 sa a �"�LIFari�w�. Job Address: 1421 PRISCILLA LN Floor: Description of Work:NEW POOL AND SPA 554 SF Inspector Area: 3 Legal Description: N TR 1763 LOT 22 Owner: SOKOSKY MATTHEW/ANDREA Address: 1421 PRISCILLA LN NEWPORT BEACH CA 92660 Phone: 949-307-5361 Phone: Applicant: JSQ IMPROVEMENTS Address: 8482 DEEPCLIFF DR HUNTINGTON BEACH A 92646 Phone: 714-745-3290 Building Rear: 6 Setbacks: Front: 20 Left: 6 Right: 6 Construction Construction Valuation: $40,000.00 Building Permit Fee : $418.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Dep Plan Check: $373.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE: Suite: Bldg:1 Plan Check No: 0278.2020 Code Edit: 2019 Contractor: JSQ IMPROVEMENTS Architect: Address: 8482 DEEPCLIFF DR Address: Bus Lic: HUNTINGTON BEACH CA 92646 Phone: (714) 356-1251 Drainage Permit Fee: State Lic: Con State Lic: 1010088 Lic Expire: 01/31/2022 Bus Lic: BT30071820 Lic Exp Date: 05131/2021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9219657 Expiration: 1011112020 FEES POOLPermit : S2020-0023 Project No : 0278-2020 Inspection Requests Phone (949)644-3255 Engineer: LACHERTODD Address: 1201 N TUSTIN AVE ANAHEIM CA 92807 Phone: 714.630.6100 Special Conditions: Issued Date: 0510712020 State Lic:C-067656 NE Record Management: $8.00 Water Quality --- Building Dept Inspection Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Grading Consultant Fee : $0.00 Others $0.00 Additional Fee: $0.00 $0.00 ,. Plan Check Fee : $362.00 Fee Due at Permit Issuance : $428.00 PROCESSED BY: ZONING APPROVAL: w PLAN CHECKED BY:: APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION e°meO mee•o • e o •m c °•° o cro • m•e©m ° m ° • °pr e ° ° o °COcc ° 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) (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 L) all of or L) 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). 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 apply to an owner of properly 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 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 legal) 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. •• Signatgre of Property Owner or Authorized Agent ` D LIGEWD CONTRACTOR'S DECLARATION I hereb affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Saglion 70 ) of Div' ion 3 of the Bu ' ss and o essions Code, and r rise is in full force and•a. qty' License Class License No 1De` Contra igna ure WORKERS' COMPENSATION DECLARATION WARNING: FQQIi.URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TO ONE HUNDRED THO DOLLARS (E700,ODD1, IN AOOITION TO THE COST OpCOI PBNSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. under penalty of perjury one of the fallowing declarations: Owill 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 th �f the work for which this permit is issued. PolicyNo. Vher4yWAi 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' compensatio erend policy number are:. • • Policy Number Expiration Date " • • Phone # t, in the performancgot-t a work for w h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensat'on law of California, and agre that, if I saVBUjd become sub j t10 the workers' co satio pr isi Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� �j e—d ,6 Signature�of Apph ant .R•"' D DECLARA.ION �RDINGe9NS fi CT}0N LEDf NG AGENCY ' 309 I hereby affir rider enalty of per' tFjat'there is a construction lending agency for the performance of the work for which this permit is issued (Section ivil Code). Lender's Name � Lender's Address By my signature below, I certify fSeach of the following: 1 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 ire I agree to comply with all applicable city and county orddi ends and BOB laws relating to building construction. I authorize representatives of this city or county to 2r the abov �tifie party for inspection purposes. Signature of Property Owner o ed Agent Print Property Owner's or Authorized am lS e ACTION 6ff E BY r,CLA ON OF COMPLIANCE WITH COD FICE USE FON-LY' i REG'. TIONS PART 61 OF TITLE 40 AND AQMD RULE All required ala rmS,ietche8 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO as part of a pool / spa Carrier, shall be in place prior to approval to fill p00118pa d shall remain in PERMITCANCELLED OEPA PERMIT EXTENDED QMD POOLALARMS 7 3Orjp ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO INSTALLED PROPOSED DEMOLITION. place & be maintained for SIGNATURE:t f file p I/ k �,6 ,7020 PERMITFINAL I 2® ei M UJ N W U w U Lu Ux N NWin � H W z) - FW F O d ~ M J U W_ LL U K U a W W U Z O U O O Z O LU W F- N UCN O N �O o 0 0 LO LL 00 0 _Z �l Z Fm �t 00 u� O � d' 0 0 W QU Z LL — a� ga � W W O X W W Q CYC J m a n Ir fq U -i -U U m w Q N (o rn V! O C', f.. Q W � } Q U p Q W 2 U LL w w `o LL m m O rn cu rnE CL J C) o m 4.4 Ix m LLI F- Il! 'a' O fOFW� to zWLU Z ° Z" gpo�LU O wc7 a axQO v =aW 0 Ow m _X Q Q N w J O O O m N X W z Q W O Z O O LLl W U Q W co m aZ Z 7W m N g z Z W CQ7 wW w U w> LL No > m FO j Iii_ d Z N 0 NM K to O W C W O2 O 0 Z (/jwU(~j ^2W Z FLL U�F y Z � fn wZm O WLLNW Q w m ? QU uW20 w � 00020 UO� O°y=0 ~Q a m w Q-3QU JF- oI:0a O N H M, Z 0 Q K O LL Z O LL W J a 2 O U z Z 0 LU W F- �Z W Q �O 0 CD U w U)a _Z �l Z 0 �t Z W LL ¢ 0 0 QU Z LL — a� ga N �} (o rn C', > o o `o rn m m O rn LL. O O 0 0 N m N X N m N O N O O O N a = O a O C9 F U O K w FO w x �Fa L Lu LL te z Q z a' D N =,Q O W W� F W y J Q IW— c = W F W Y D a.,E F W 7 CL K W W W 2 K Q o o- U U ran ¢ U (�) 2 V m M, Z 0 Q K O LL Z O LL W J a 2 O U z Z LU W F- �Z W Q �O iY CD U w U)a _Z �l Z 0 �t Z W LL ¢ U a QU Z LL — a� ga 0 z O W z Z a r.: G W O U L I