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HomeMy WebLinkAboutX2018-3391 - PermitsMoub City. of Newport Beach - Q0uilding•Diwi;i®at, IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3391 100 Civic Center Drive, New ort BeachoCAB2 6 •' X 2 0 1 B 3 3 9 1p „ 4 Project No : 2607-2018 Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255 Combination Type- BLDG • r • ® Issued Date: 11/0812018 n Inspection Area 3 000 • ® PERIATS EXeiRE 180A VS19FTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday -Friday 7:00 a.m. to W30 ptm. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1501 MARINERS DR NB Description: DEMO SWIMMING POOL METHOD'B' Legal Desc.: N TR 3004 LOT 38 Owner: HALL RANDALL Address: 1501 MARINERS DR Record Management : NEWPORT BEACH, CA 92660 Phone: 949.281-6045 Applicant: BENISAILHOUSE Address: 170 NEWPORT CENTER DRIVE #260 Bus Lie: NEWPORT BEACH, CA 92660 Phone: (949)281-6045 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units . 0 Bldg Height: 0 Bldg Sprinklers: Valuation: Contractor: SAILHOUSE HOMES INC Address: 170 NEWPORT CENTER DR #260 Record Management : NEWPORT BEACH CA 92660 Phone: 949.281-6045 Con State Lie: 1007531 Lie Expire: 09/30/2019 Bus Lie: BT30036603 Lie Exp Date: 0813112019 2016 Worker's Compensation Insurance Carrier: STATE COMP. INS U Policy No: 9213113 0 Expire: 1212912018 Building Permit Fee: $152.00 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $285.24 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Building Setbacks Rear: I Special Conditions: ag�"?e� l"I Front: I k �i Left: / k ` $ Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee: $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $285.24 l OWNER -BUILDER DECLARATION .: a = .• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(,, indi(aAdd bek%By the cllculanark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, defrfolislf, or repair any structure, prior to its issuance, also requires the applicant for 1e 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 appereant jry' a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). °• ;, a �• ; , . °. 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) pofts otthe'wak,en§ the structure ys•2pt 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,dh6ou.1 %mploy oI•persontreffort, 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 Bf completion, the Owner -Builder will have the burden of proving that it was not built or nproved 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 poly 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 exempt from licensure under the Contractors' State License Law for the following reason: y 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi od nd my license is in full force nd effect. License Class License No Dat t^ I Contractor Signatu IORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 9k, 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 t1H rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work for which this 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 that, if I should become subject tgtqwork.F compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Signature of Applicant fpA DV(_ DECLARATION REGAR NG CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency far 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 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 county to enter t bov ntifie operty for inspection purposes. Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name )1 Date t �' ACTION DATE BY L76CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS -NOTIFICATION TO �3 avc�Gy "!�e IC-10,4 re't ,st PERMIT04NCELEPA �O' ^1/ C_ PERMIT EXTENDEDED qMD "'Y/+ PERMITFINAL O 21yib f ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: