HomeMy WebLinkAboutS2020-0071 - Permits1 City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111111
u$. 100 Civic Center Drive, Newport Beach, CA 92660 5 2 0 2 0 0 0 7 1
F �^ Permit Counter Phone (949)644-3288
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Job Address: 2521 BUNYA ST Floor: Suite: Bldg: 1
Description of Work:SFR POOL/SPA 396 SF WNARD DRAINAGE
Inspector Area: 8 Plan Check No: 0992-2020
Code Edit: 2019
Legal Description: N TR 4893 LOT 66
Owner: PLANTE BRAIN
Address: 18100 VON KARMAN AVE #790
IRVINE CA 92612
Phone:
Applicant: JANEIINFINTE POOLS
Address: 11748 MAGNOLIA AVE #B
RIVERSIDE CA 92503
Phone: 951.354-9888
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Tvoe : VB
Construction Valuation: $50,000.00
Building Permit Fee : $418.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$418.00
Building Green Fee:
$2.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$373.00
Building PC Investigation :
$0.00
Plan check EM. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,852.00
Contractor: INFINITE POOLS
Address:
11748 MAGNOLIA AVENUE #B
Address:
RIVERSIDE, CA 92503
Phone:
951.354-9888
Con State Lic:
858505
Lie Expire:
05131/2021
Bus Lie:
BT30072107
Lie Exp Date:
0613012021
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9049659
Expiration: 04/27/2021
Record Management:
Drainage Permit Fee:
Drainage Plan Check:
Grading Consultant Fee
Additional Fee :
PROCESSED BY:
ZONING APPROVAL:
FEES
$8.00
$322.00
$322.00
$0.00
$0.00
Plan Check Fee
POOLPermit : S2020-0071
Project No: 0992-2020
Inspection Requests Phone (949)644-3255
Architect:
a a
Address:
Phone:
Engineer:
LACHER TODD
Address:
1201 N TUSTIN AVE
e000
ANAHEIM CA 92807
Phone:
714-630-6100
Special Conditions:
Issued Date: 06/08/2020
Water Quality- --
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WQ Plan Check:
Others :
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $1,168.00
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PLAN CHECKED BY:: t
APPROVAL TO ISSUE: L�VY — \
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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State Lic:C-067656
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$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $1,168.00
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PLAN CHECKED BY:: t
APPROVAL TO ISSUE: L�VY — \
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 peng 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 `) 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 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 bPJ9W 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 legall]
sell a structure thing l-li2ve 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/caiaw.html.
MAM12) of Prg0egt7%Nner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
;heT;V*affirm undBr penalty of perjury that I am licensed under provisionommencing with Section 700 ) of Divi ion 3 of the Business and Profess' nsCode, and I se is in full force
and effect. Licen�Olass seC'. C3� License No ?SK�" Date-�- Contractor Signature -
�y{JAROjJIRj!SRS' CgO1Q@iPE STATION DECLARATION l (J
CdSibF GOMPEN$I�TiQ(JdAMA0E3 AS PROVIDED FOR IN SECTION COVERAGEIS UNLAWFUL, AND OF THE LABOR CODE, INTEREST, AND ATTORN VALL SUBJECT AN ER TO S FEES.
RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'h%Te%� affirm under penalty of perjury one of the following declarations:
s❑ •••.
i have and will me7lttain 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
ie rmance of FheworG for which this permit is issued. Policy No.
EjlyyA and v4Il'Ih1ilh1ain 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
tgnce cam .erenQpolicy number are: B �.
Carrier- '�'� �ow,i� g_,,Z �.. Policy Number �p���aSr� Expiration Date �"�'-�6 �1
Name of Agent Phone #
❑I certify that, in the perforghance of the work for which this permit is issued, I not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre
That, if I should become su eat to the workers' compensation provisions of ctio 70)of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Da 4-`9-�
DECLARATION REGA ING CONSTRUCTION LENDING AGENCY
hereby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the fallowing:
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 91dinances and sta a elatin - -building construction.
I authorize representatives of this city or county to ter the ve-i y for inspection purposes.
Signature of Property Owner or Authorized Agent IPrint Property Owner's or Authorized Agent's Name - - r : / Date4Fi`
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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