HomeMy WebLinkAboutS2020-0055 - PermitsCity of Newport Beach - Building Division *S2020-0055*
100 Civic Center Drive, Newport Beach, CA 92660
h Permit Counte4Phone(949)644-3288
-.
P001—Permit: S2020-0055
Project No : 0722-2020
Inspection Requests Phone (949)644-3255
Job Address: 1744 SKYLARK LN Floor: Suite: Bldg: 1
Description of Work:REMODEL (E) POOL, ADD SPA (64 SF) W/ BAJA STEP
Inspector Area: 3 Plan Check No: 0722-2020
Code Edit: 2019
Legal Description: N TR 3097 LOT 3
Owner:
HOLCOMB BEVERLY QUINCY TRUST
Contractor:
WILLHOIT CONSTRUCTION INC
Address:
1278 GLENNEYRE #213
Address:
1278 GLENNEYRE ST #213
Plan Dept Plan Check:
LAGUNA BEACH CA 92651
Building Dep Plan Check:
LAGUNA BEACH CA 92651
Phone:
949-677-9685
Phone:
949-285-5444
Applicant: WILLHOIT TAYLOR
Con State Lic:
941138
Address:
1278 GLENNEYRE ST #213
Lic Expire:
1113012020
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LAGUNA BEACH CA 92651
Bus Lic:
BT30040606
Phone:
949-285.5449
Lic Exp Date:
0813112020
Building Rear:
Setbacks: Front:
Left:
Right:
Construction Type :
Construction Valuation: $18,000.00
Building Permit Fee :
$363.00
Permit Issuing Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
Plan Dept Plan Check:
$0.00
Building Dep Plan Check:
$315.81
Building PC Investigation :
$0.00
Plan check Ext. Fee :
$0.00
WQ Compliance Insp Fee:
$0.00
TOTAL FEE : $1,337.81
PROCESSED BY:
ZONING APPROV
Workers Compensation Insurance
Carrier: ESG
Policy No: WC106764302
Expiration: 0410112021
Record Management
Drainage Permit Fee :
Drainage Plan Check:
Grading Consultant Fee
Additional Fee:
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FEES
$14.00
$322.00
$322.00
$0.00
$0.00
Plan Check Fee :
Architect
Address:
Phone
Engineer: LACHER TODD
Address: 1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone: 714-630-6100
Special Conditions
Issued Date: 06/19/2020
Water Quality
Building Dept Inspection Fee:
Water Quality Dept Insp Fee:
Building Dept WO Plan Check:
Others:
PLAN CHECKED BY::
APPROVAL TO ISSUI
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Fee
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State Lic:
State Lic:C-067656
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Issuance:
$1,022.00
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 items)
(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 issuarw_-„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 penally 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).
❑ 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 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 below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
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:/ANww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION j
I hereby affirm under penalty of perjury that I am licensed under provisions of Cf�apl9 <\cem�Ocing with SgRtLo0�3@09)Iof Di Is n� of the Business B Profess) and my license is in full force
and effect. License Class License No `"'�� \\ \ ZZ3S __�yy ((�6i ( - L Contractor S' rl ure
WORKERS' COMPENSATION DECLARATION `
NARNING: 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
COST 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:
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 the
iWormance 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'
rance carrier and policy number are:
ler " . . • Policy Number Expiration Date
of Ager
if I
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
le subject to the wor ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
;ATIDNdEOARDING Ck*STRUCTION LENDING AGENCY
affirm ylpder.penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Name ' ' Lender's Address
3natura elow, I certify to each of the following:
irs' compen ation laws of California, and agree
�— ( D
Civil Code).
"- I aLrl the propperty pwner or authorized to act on the property owner's behalf.
"I have read this lication 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.
"rallthonze irtpresentatives of this city or counK to ente b entified property for inspection purposes. „� / //tI •�
Signature of Properly Owner or Authorized t Print Pro ertOwner's or Authorized Agent's
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 All required alarms,latcheS
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO gs es part ces a pool !spa
Which bee vu
PERMIT CANCELLED EPA
barrier, shall be in place
PERMIT EXTENDED OAQMD prior to approval to fill
POOLALARMS U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO pool/spa & shall remain in
INSTALLED PROPOSED DEMOLITION. place & be maintained for
�'D-ZY)A SIGNATURE: th)efthe O Spa
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